Algorithms for Vital Pulp Therapy: Preserving the Tooth from the Pulp Up 

 

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​​Speaker: Andriy Polovinschchykov​​

 

Advances in pulp biology, diagnostic imaging, and bioactive materials have renewed the focus on vital pulp therapy (VPT) as a conservative alternative to root canal treatment for teeth with reversible or limited pulp injury. Appropriate case selection and systematic clinical algorithms are essential to maximize outcomes and preserve long-term tooth vitality and function.

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Purpose: This masterclass presents contemporary, evidence-based algorithms for diagnosis, treatment planning, and clinical execution of VPT procedures—including direct pulpcapping, partial and full pulpotomy—aimed at clinicians seeking to integrate conservative pulp-preserving strategies into daily practice.

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Content and Methods: The course combines succinct didactic sessions on pulp pathology, diagnostic criteria (clinical and radiographic), biomarkers of inflammation, and material science (calcium silicate cements, bioceramics) with stepwise treatment protocols and complication management. Interactive case-based discussions illustrate decision trees for case selection, procedural steps, hemostasis management, restoration planning, and follow-up schedules. A hands-on component (simulated or clinical demonstration) reinforces technique for achieving predictable pulpal healing and coronal seal.

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Learning Outcomes: Participants will be able to:

1. apply diagnostic algorithms to distinguish reversible from irreversible pulp conditions

2. select appropriate VPT modalities and biocompatible materials

3. perform standardized clinical steps to optimize pulp healing

4. implement evidence-based follow-up and retreatment criteria.

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Significance: By translating current evidence into practical algorithms, this masterclass empowers dentists to preserve tooth structure and vitality, improving patient outcomes and expanding conservative treatment options​