A 22 year old male was referred by his dentist as an emergency patient with acute pulpitis on a recently restored maxillary molar which had kept him awake at night with pulsating throbbing pain. We saw the patient and carried out pulpotomy as a first stage palliative procedure and the patient was scheduled for RCT two days later. The symptoms had subsided almost immediately and the RCT was completed and the patient was referred back to his dentist for continuing treatment on the carious adjacent premolar.