Vital pulp therapy (VPT) defined as "treatment which aims at preserving and maintaining the pulp tissue that has been compromised but not destroyed by extensive dental caries, dental trauma, and restorative procedures or for iatrogenic reasons", offers some beneficial advantages over the conventional root canal treatment such as protective resistance for mastication forces or to prevent the loss of environmental changes sensation ability, which can lead to unnoticeable progression of caries and later fracture. A wide range of materials is suggested in the literature to be used as pulp capping protective dressing materials that vary from ready-made synthetic materials to biological-based scaffolds and composites. The future of vital pulp treatment may involve the development of regenerative techniques and further understanding the role of bioactive molecules. Future studies should be conducted employing newer materials in various vital pulp therapy modalities that give a successful and predictable outcome so that they are not only incorporated in day-to-day clinical practice but are clinicians' preferred choice over pulpectomy.