7.1 Introduction

Enamel, dentin, and cementum protect the pulp from the oral environment [1]. An intact dental pulp could provide several defense mechanisms, possibly preventing bacterial invasion; hence, it is valuable to sustain an exposed pulp rather than meticulously replacing it with a synthetic root filling material [2]. Vital pulp therapy aims to preserve and maintain pulpal health in teeth where pulp has become infected and there are chances to reverse the health of the pulp for good [3]. Various treatment options for pulp‐exposed teeth are direct pulp capping (DPC), pulpotomy, and pulpectomy. DPC is defined as “placing a dental material such as calcium hydroxide or mineral trioxide aggregate (MTA) directly on a mechanical or traumatic vital pulp exposure, thereby sealing the pulpal wound to facilitate the formation of reparative dentin and maintenance of the vital pulp” [4].

Historically, lack of success with DPC procedures was due to inefficient protocols and lack of materials that could generate a favorable environment that could lead to hard tissue formation [5, 6]. With the introduction of calcium silicate cements (MTA and bioceramics) and advanced treatment protocols, the DPC procedures have become more predictable with much favorable outcomes in comparison to the 30–85% success outcome of earlier times [7–9].

The aim of this case report is to present a case with management of infected pulp due to deep caries using the latest DPC protocols and recently introduced calcium silicate cements.