Biomimetic Cuspal Rehabilitation Using Indirect Ceramic Onlay After Pulpal Preservation: A Case Report.

Authors

Ihtisam Alam, Aravind R Kudva, S Vidhyadhara Shetty, Aboobacker Sidheeque

Published in

Case reports in dentistry. Volume 2026. Pages 5817747. Epub Oct 09, 2026.

Abstract

Preservation of pulp vitality after pulpal exposure using vital pulp therapy (VPT) is now considered a predictable alternative to root canal treatment for normal or reversible pulpitis. With the growing demand for minimally invasive dentistry, indirect ceramic onlays offer good esthetic outcomes and durability with minimal tooth reduction.
A mandibular left first molar with deep caries was treated with direct pulp capping using mineral trioxide aggregate (MTA). Following initial setting of MTA, immediate dentin sealing (IDS) was performed, and tooth was prepared for an indirect ceramic onlay and was adhesively luted. At 1-year follow-up, the tooth presented normal response to pulp sensibility tests and absence of clinical or radiographic pathology.
MTA-based direct pulp capping combined with IDS and adhesively bonded ceramic onlay can provide a biologically and mechanically sound alternative to root canal treatment for selected permanent molars with deep caries having pulpal exposures.

PMID:
42859658
Bibliographic data and abstract were imported from PubMed on 11 Oct 2026.

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