Direct Pulp Capping With Biodentine in Permanent Teeth With Reversible Pulpitis

This study evaluates the clinical and radiographic outcomes of direct pulp capping using Biodentine (Septodont, Saint-Maur-des-Fossés, France), a calcium silicate-based cement, in mature permanent teeth diagnosed with reversible pulpitis following carious or mechanical pulp exposure. Biodentine was placed as a full-thickness (bulk) capping and interim restoration, with a definitive composite restoration completed at a later visit. Pulp vitality, postoperative pain, and radiographic healing are assessed over a 6-month follow-up period.

Inclusion Criteria: * Mature permanent teeth clinically diagnosed with reversible pulpitis * Vital pulp exposure (carious or mechanical) confirmed intra-operatively * Positive response to pulp sensibility testing (cold and/or electric pulp test) at baseline * Successful haemostasis of the exposed pulp achieved within 6 minutes * Patient consent to follow-up Exclusion Criteria: * Irreversible pulpitis or pulp necrosis * Spontaneous or lingering pain * Radiographic periapical pathology * Haemostasis not achieved within the time limit * Non-restorable teeth * Teeth with periodontal compromise