This comprehensive review article examines the latest advancements in vital pulp therapy, a transformative approach in modern dentistry. It explores techniques like direct and indirect pulp capping, pulpotomy, apexogenesis, and regenerative endodontics. The review investigates innovative materials, regenerative approaches, and compares clinical outcomes. The findings underscore vital pulp therapy's pivotal role in preserving dental vitality, promoting regenerative healing, and shaping the future of dental care