Indirect pulp therapy, therapeutic pulptomy and pulpectomy are the 3 pulpal procedures that treating dentists utilize in their practice to maintain the patient's natural dentition. Signs and symptoms of the tooth will give clues as to which procedure is recommended. Oftentimes, the decision to perform one procedure will change midtreatment to one of the other procedures. It's of the utmost importance to know "when" to do "what" procedure. Proper diagnosis followed by a careful, meticulous and predictable techniqe with the appropriate materials will lead to a very high success rate. There are several "tricks of the trade" that Dr. Wren will share with actual cases from his office from preopertive BW's, intra-oral photos, and post operative BW's oftentimes followed for many years.