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With the advancement of pulpal regenerative therapies, we have come to appreciate and respect the healing capacity of the pulp. While MTA and new bioceramic materials are allowing us to create better coronal seals, we now have new treatment options to replace the traditional apexification and apexigenesis procedures. While pulpal regenerative procedures were first applied to necrotic immature teeth, usually affected by trauma, this has led to the development of new vital pulp therapies on carious, immature teeth.
The following case demonstrates a MTA pulpotomy on a vital, healthy pulp with carious exposure.