Fig. 1

A 22-year-old adult patient presented to the clinic with a complaint of pain in response to cold and hot stimuli.

Preoperative x-rays showed the presence of deep caries in the maxillary second premolar.

Hypersensitivity on thermal stimulations

Positive percussion

Fig. 2

Rubber dam isolation

Caries removal should be performed using low-speed instruments that exert minimal pressure, aiming to eliminate the carious tissue without causing irreversible damage to the pulp. This consideration holds significant importance for the long-term prognosis of the pulp.

Fig. 3

Observation of pulpal exposure from both the buccal and palatal aspects following caries removal

Fig. 4

Placement of ivory matrix band for the purpose of increasing isolation

Bleeding control with sodium hypochlorite

MTA placement with Map One System

It provides significant convenience, particularly in areas where placement is challenging.

The nickel-titanium tip of the Map one system enables easy delivery of MTA to the desired area.

Fig. 5

Covering the exposed pulp with PD White MTA

Fig. 6

Elevation of the proximal margin using composite material

Fig. 7

Placement of sectional matrix system

Fig. 8

Composite restoration premolar tooth from occlusal aspect

Fig. 9

The emergence profile of the restoration

Fig. 10

2 years follow-up from occlusal aspect

Fig. 11

X-rays taken during the pre-operative, post-operative, 1-year, and 2-year follow-up periods.


Vital pulp treatments eliminate the complications encountered in root canal procedures. Furthermore, the probability of post-operative discomfort is reduced. In cases where the placement of MTA might be challenging, it is recommended to use the MAP One system.


Dissecting dentine-pulp injury and wound healing responses: consequences for regenerative endodontics 

Minimally invasive endodontics: a new diagnostic system for assessing pulpits and subsequent treatment needs 

A prospective clinical study investigating the effectiveness of partial pulpotomy after relating preoperative symptoms to a new and established classification of pulpits

European Society of Endodontology position statement: Management of deep caries and the exposed pulp (2019)  / Duncan, H. F.

Preserving pulp vitality: part two - vital pulp therapies. (2021) / Edwards, D., Stone, S.

Endodonti (2012) / Tayfun Alaçam