Dentists are not recognised as pioneers of tissue regeneration but perhaps should be as they have been using tissue regenerative techniques for over a hundred years. Vital pulp therapies offer a minimally invasive approach to the management of pulpal disease preventing the need for root canal therapy even in cases of irreversible pulpitis. Vital pulp treatments are more predictable than dogma may suggest and careful management of the injured or exposed pulp can result in a predictable successful outcome preserving the defence system of the tooth.