# Successful partial pulpotomy of a permanent mandibular molar: a two-year case report

**Authors:** Rose M. Thomas, Daniel Sisson

PMC · DOI: 10.1038/s41415-025-8334-y · British Dental Journal · 2025-03-14

## TL;DR

This case report shows that partial pulpotomy can successfully treat a deep carious lesion in a molar, preserving the tooth's vitality for two years.

## Contribution

The paper presents a successful two-year outcome of partial pulpotomy as a viable alternative to root canal treatment.

## Key findings

- Partial pulpotomy preserved the vitality of a mandibular molar with a deep caries lesion.
- Clinical and radiographic evaluations confirmed the success of the treatment two years post-procedure.
- The procedure was technically simple, affordable, and effective in this case.

## Abstract

Emerging evidence reveals vital pulp therapy to be an alternative treatment modality for teeth that may have been considered candidates for root canal treatment or extraction. The aim of the procedure is to maintain the vitality of the tooth thus providing minimally invasive treatment. The procedure can be implemented in appropriate cases following clinical and radiographic examination. Direct examination of the exposed pulp tissue under magnification and strict aseptic conditions have been recommended for a successful outcome. This case report describes management of a patient with a deep caries lesion, involving the mesial pulp horn, using a vital pulp therapy procedure. The treatment options and discussions with the patient are highlighted together with the stages of the procedure carried out. A successful outcome of the partial pulpotomy is evidenced by clinical and radiographic examination two years post-treatment.

Vital pulp therapy procedures can be considered as an alternative to root canal treatment in appropriate cases.The aim of the procedure is to provide optimal conditions for repair to preserve the vitality of the tooth.This procedure is technically simple, affordable and effective.This case report describes successful management of a deep carious lesion using partial pulpotomy.

Vital pulp therapy procedures can be considered as an alternative to root canal treatment in appropriate cases.

The aim of the procedure is to provide optimal conditions for repair to preserve the vitality of the tooth.

This procedure is technically simple, affordable and effective.

This case report describes successful management of a deep carious lesion using partial pulpotomy.

## Full-text entities

- **Diseases:** caries lesion (MESH:D003731)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

4 figures with captions in the complete paper: https://tomesphere.com/paper/PMC11908969/full.md

## References

23 references — full list in the complete paper: https://tomesphere.com/paper/PMC11908969/full.md

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Source: https://tomesphere.com/paper/PMC11908969