Pulpal exposures are unfortunately a routine occurrence when treating carious teeth and frequently lead to endodontic treatment owing to the size of the pulpal exposure or the tooth being non-vital, whether or not a periapical radiolucency is present. Alternative care may be indicated when the tooth is vital, caries is close to the pulp radiographically, there is minimal dentine present at that spot and there is no periapical radiolucency present.