Effectiveness of Pulpotomy in Symptomatic Permanent Teeth With Deep Caries Lesions

Inclusion Criteria: * Patients over 18 years of age. * Patients in good general health, ASA I or ASA II with no contraindications to contraindications to receive a TPV procedure under local anaesthesia. * Tooth with symptomatology of pulpitis, both reversible and irreversible, to be determined by history of spontaneous pain, exacerbation of pain with heat and cold confirmed by the cold test and radiating pain. * Tooth without signs of pulp necrosis and absence of sinus tract and abscess. * Tooth in occlusion with antagonist tooth and without discomfort on chewing. * Tooth that can be directly restored. * Tooth with pocket depth and mobility within normal limits. * Extent of the caries lesion greater than two thirds of the amelodentine distance or which tooth or the pulp has been exposed during caries removal. Exclusion Criteria: * Patients with allergies or intolerance to any anaesthetic solution. * Pregnant patients or patients who suspect pregnancy due to the impossibility of complementary radiographic tests cannot be carried out. * Patients with systemic pathology that prevents the use of a vasoconstrictor or with a compromised immune system that may influence the response to treatment. * Tooth with an immature apex. * Tooth that is not restorable or not viable for preservation. * Tooth with negative response to thermal sensitivity test or electrical test. * Tooth in which haemostasis cannot be achieved after exposure of the pulp, or with a pulp, or with a haemostasis time exceeding 10 minutes, where there is no pulp bleeding or partial or complete tissue necrosis is observed.