Vital pulp therapy in young permanent teeth with the bioactive material Biodentine.Case series.

Vital pulp therapy stands out among minimally invasive endodontics as an alternative treatment for young permanent teeth with reversible and irreversible pulpitis affected by caries lesions, trauma or restorative treatments, eliminating the affected portion of pulp tissue and promoting its repair. The development of bioactive materials has allowed a range of therapeutic options focused on maintaining the largest amount of vital pulp tissue by stimulating the formation of tertiary dentin, which contributes to the complete root development of these teeth, avoiding complex, expensive procedures that can generate negative experiences in pediatric patients. The objective of this study was to radiographically evaluate the root formation of young permanent teeth with irreversible pulpitis due to dental caries treated with vital pulp therapy with Biodentine. Three cases of first permanent molars with incomplete root formation and irreversible pulpitis were presented, which were treated through vital pulp therapy with a 4-year follow-up. Complete root formation, absence of symptoms and adequate maxillofacial development were evident. It is concluded that vital pulp therapy is the treatment of choice in teeth with irreversible pulpitis and can be performed by a pediatric dentist, ensuring preservation of the pulp organ and its complete root development.