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vital pulp therapy case report | X-ray examination X-ray examination showed a radiolucent lesion near the dental pulp. Diagnosis A reversible pulpitis was diagnosed. Laser-assisted VPT procedure Treatment delivery sequence After fulfillment of the consent form, the opera- tion area was anaesthetised by infiltration method and 2 % lidocaine with Epi 1:80,000, 1.8 ml (Darou Pakhsh, Tehran, Iran). The controlled area and proper placing of the laser warning signs were defined to secure the operating room. The protective goggles for patient, operator and assistant were checked. Furthermore, the patient's information (examina- tion sheet and X-ray, consent form, etc.) was re- viewed. Cavity preparation was performed by fissure diamond burs and then round stainless-steel burs. After caries removal, the pulpal bleeding was ob- vious and a partial pulpotomy was indicated. Partial pulpotomy was started with sterile round diamond bur on a high-speed handpiece to remove the inflamed pulp tissue gently via normal saline irrigation. Haemostasis was ob- tained by cotton pellet soaked in normal saline for five minutes and then followed by diode laser irradiation. CEM cement dressing was applied with a base of 2 mm CEM cement paste according to the manufacturer’s instruction (Biunique Dent, Teh- ran, Iran) using a sterile plastic instrument and then the dry sterile cotton pellet was used for more adaptation of CEM cement to the cavity wall (Fig. 2). Mouth rinsing was done by 0.2 % chlorhexidine oral rinse (Shahre Daru, Tehran, Iran) for one minute and then the surface of the tooth was cleaned by a swab wetted by the same chlorhexi- dine solution. Interim restorative treatment (IRT) was applied with Glass Ionomer GC Fuji IX according to the man- ufacturer’s instruction without finger pressure (Fig. 3). Permanent filing was postponed for one month. AD Dental Tribune International The World’s Largest News and Educational Network in Dentistry www.dental-tribune.com roots 4 2017 15