DOI: https://doi.org/10.36347/sjmcr.2026.v14i06.005

Pages: 1344-1350

Irreversible pulpitis has long been considered a formal indication for conventional root canal treatment. However, recent advances in pulp biology and the development of bioactive materials have challenged this concept, positioning pulpotomy as a conservative alternative for preserving pulp vitality. This report presents clinical cases of mature permanent molars diagnosed with irreversible pulpitis and treated by partial pulpotomy. After achieving controlled hemostasis, a bioceramic material was placed, followed by a definitive coronal restoration. Clinical and radiographic follow-up revealed complete resolution of symptoms and absence of apical pathology, confirming the preservation of pulp vitality. Current evidence suggests that partial pulpotomy in teeth diagnosed with irreversible pulpitis can achieve high success rates when strict clinical protocols are respected. Proper case selection, effective hemorrhage control, and adequate coronal sealing remain critical factors for treatment success. Bioceramic materials play a pivotal role due to their bioactive and antibacterial properties, as well as their ability to stimulate reparative dentin formation. This therapeutic approach aligns with the principles of minimally invasive dentistry and highlights the potential of vital pulp therapy as a predictable treatment option for mature permanent teeth.