Restorative management of the posterior tooth that has undergone a pulpotomy

Abstract

Pulpotomy is increasingly being recognized as a treatment option for the management of permanent teeth with extremely deep caries. These teeth can present with or without symptoms of pulpitis. Traditionally, irreversible pulpitis has been managed with pulp extirpation and root canal treatment. Contemporary research has shown that pulpotomy may be suitable to manage permanent teeth diagnosed with irreversible pulpitis. This article discusses the options and decision-making process of how to restore posterior permanent teeth that have undergone a pulpotomy. In addition, the article highlights diagnostic and material considerations relating to the role of pulpotomy in managing deep caries. CPD/Clinical Relevance: Clinicians should be aware of the use of pulpotomy in management of extremely deep caries or partial irreversible pulpitis in permanent teeth.