Clinical Case: Preserving Pulp Vitality with Bioceramic Partial Pulpotomy and Composite Overlay

Case Presentation: A male patient presented with sensitivity to cold and discomfort during chewing on the right side. Examination revealed recurrent caries under old amalgam restorations in teeth 46 and 47, with a particularly deep carious lesion distally on tooth 46, posing a risk to the pulp. Treatment Overview The treatment involved: 1 - Amalgam Removal and Caries Excavation: Old amalgam restorations and associated cracks were removed under rubber dam isolation. Deep caries was excavated, especially on the distal aspect of tooth 46. 2 - Vital Pulp Therapy (VPT) with Bioceramic Putty: A partial pulpotomy was performed to remove infected pulp tissue while preserving healthy pulp. Bioceramic putty was applied directly over the exposed pulp, leveraging its biocompatibility and bioactivity…