Abstract
We report on a case in which good treatment results were obtained using vital pulp therapy(VPT) for a deep carious lesion. A 28-year-old female first presented with a chief complaint ofcold pain. A deep carious lesion was found in #45, and since pulp expousure was anticipated, VPTusing MTA cement was planned. As accidental exposure of the pulp occurred during the removalof the infected tooth structure, a pulp diagnosis was performed under a strong magnifying fieldusing a microscope, and after pulp amputation at the cervical level, the pulp was capped withMTA cement. As the patient showed no signs of pulp symptoms such as spontaneous pain duringthe follow-up, the final prosthetic restoration was performed using a lithium disilicate glassceramicinlay. The main complaint of cold pain was improved, and good results were obtainedregarding esthetics and function.