Abstract
Introduction: This case report describe the use of calcium hydroxide and iodoform paste in inducing the apex development in Vital Pulp Therapy (apexogenesis) in permanent lower molar having pulp polyp. Methods: Pulpotomy of coronal pulp of immature permanent molar was done and the remaining pulp was capped with calcium hydroxide and iodoform paste (metapex) after achieving the stop of bleeding. Tooth was restored with conventional GIC. Results: Ten months clinical and radiographic follow-up revealed successful preservation of pulpal re-vitality after re-examination of vitality sign of the pulp with continued root development in the treated tooth. Conclusion: Depending on the result of this case report, metapex may be an alternative option for pulpotomy treatment of immature irreversible inflamed permanent molars.