CATEGORY 72 AUSTRALASIAN DENTIST CLINICAL Figures 22 and 23 show the 6 months post-operative clinical and X-ray pictures. Again, there was no periapical radiolucency observed. Tooth vitality tests confirmed that the tooth is intact and stable, with positive response to cold and without spontaneous pain or any discomfort. Conclusion This clinical case highlights the successful use of vital pulp therapy in a young adult patient through the application of MTA vpt as a direct pulp capping material, VisCalor bulk as a thermo-viscous biobase, and a lithium disilicate crown (IPS e.max) crown as the final restoration. This conservative approach preserved pulp vitality in a severely carious mandibular molar, thereby avoiding the need for endodontic treatment. The combination of vital pulp therapy and adhesive restorative materials with favourable handling properties contributed to a predictable clinical outcome and provided a stable foundation for a long-term indirect ceramic restoration, ensuring both functional and aesthetic rehabilitation. This case emphasises the importance of minimally invasive treatment strategies and careful material selection to preserve tooth structure, maintain function, and support patient acceptance of comprehensive oral rehabilitation. u Correspondence to: Dr. Alejandra Darrás S. Darras Odontología Private Practice Baptista #761 Cochabamba, Bolivia Email: aledarras15@gmail.com Literature Aguilar P, Linsuwanont P. Vital pulp therapy in vital permanent teeth with cariously exposed pulp: a systematic review. J Endod. 2011 May;37(5):581-7. doi: 10.1016/j.joen.2010.12.004. Epub 2011 Mar 5. PMID: 21496652. Morotomi T, Washio A, Kitamura C. Current and future options for dental pulp therapy. Japanese Dental Science Review. 2019;55:5–11. doi:10.1016/j. jdsr.2018.09.001. Torabinejad M, Chivian N. Clinical applications of mineral trioxide aggregate. J Endod. 1999 Mar;25(3):197-205. doi: 10.1016/S00992399(99)80142-3. PMID: 10321187. Bhopatkar J, Ikhar A, Chandak M, Mankar N, Sedani S. Composite pre-heating: a novel approach in restorative dentistry. Cureus. 2022;14(7):e27151. doi:10.7759/cureus.27151. Fig. 13 Immediate post-build-up view after application of VisCalor bulk. Fig. 17 Tooth preparation for indirect restoration with IPS e.max after 10 days. Fig. 21: Post-operative radiograph two months after cementation showing no periapical radiolucency. Fig. 14 Immediate post-build-up view after application of VisCalor bulk. Fig. 18 Immediately before cementation of the indirect restoration, with rubber dam in place. Fig. 22: 6 months follow up Fig. 15 Immediate post-operative radiograph showing the MTA vpt layer in close proximity to the pulp and the direct restoration with VisCalor bulk. Fig. 19 Clinical view after adhesive luting of the e.max indirect restoration. Fig. 23: 6 month post-operative radiograph showing no periapical radiolucency. Fig. 16 Clinical view showing the VisCalor bulk restoration without rubber dam. Fig. 20: Follow-up clinical view taken two weeks after luting.
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