Vital pulp therapy (VPT) is a dental procedure aimed at preserving and treating the healthy, living pulp (the soft tissue inside the tooth that contains nerves and blood vessels) when it’s been injured or exposed—but not infected or dead.
This procedure is typically common for our younger patients (under 18 years old). It is only recommended when there is no swelling or abscess around the tooth and it is not loose. Under controlled and ideal circumstances, it is a very successful treatment option for young developing teeth.
| Feature | Vital Pulp Therapy (VPT) | Root Canal Treatment (RCT) |
|---|---|---|
| Purpose | Preserve healthy or partially inflamed pulp | Remove infected or dead pulp completely |
| Pulp Status | Vital (alive) | Non-vital (dead or severely infected) |
| When It's Used | Early decay or mild trauma | Deep decay, abscess, severe infection or trauma |
| Procedure Involves | Partial pulp removal or protection | Complete removal of pulp, cleaning & filling canals |
| Complexity | Less complex, faster | More complex, may require multiple visits |
| Pain Level | Minimal discomfort | Some post-op discomfort common |
| Tooth Maturity | Ideal for young or developing teeth | Common in both adult and mature teeth |
| Materials Used | Calcium hydroxide, MTA, bioceramics | Gutta-percha, sealers |
| Follow-Up | May need monitoring | Often followed by a crown or permanent restoration |
| Cost | Minimal | Usual and customary fee |
| Goal | Keep tooth's natural nerve alive | Save the tooth by removing the damaged pulp |