title: Determining treatibility of primary teeth with pulpal exposure.
abstract: OBJECTIVE
  To determine rates of pulpal exposure during caries removal with an excavator or a bur, to assess success rates of vital pulp therapies in both cases, to analyze pulpal bleeding as an indicator of primary teeth treatability.
  
  
  METHODS
  Of the 352 primary mandibular molars with deep carious lesions, 141 with pulp exposed during the removal of caries were grouped according to type of instrument causing pulpal exposure and existence of bleeding at the exposure site. Teeth suitable for direct pulp capping or formocresol pulpotomy were treated and followed up for two years.
  
  
  RESULTS
  The difference between the rates of pulpal exposure with an excavator (52.5%) or a bur (47.5%) was insignificant. The treatment success rate of teeth with pulp exposed by an excavator (15.8%) was significantly lower than teeth with pulp exposed by a bur (48.8%), regardless of whether bleeding existed at the exposure site or not; however when bleeding existed, this difference was insignificant (15.8% and 40.6%, respectively).
  
  
  CONCLUSIONS
  Pulpal exposure possibility during caries removal caused by an excavator and a bur was similar the treatment success rate was lower when the exposure was caused by an excavator the existence of pulpal bleeding resulted in mistakes in diagnoses.
authors.affiliation: Department of Pedodontics School of Dentistry, Erciyes University, Kayseri, Turkey. salihdogan@erciyes.edu.tr
authors.forename: S
authors.initials: S
authors.lastname: Doğan
authors.forename: L
authors.initials: L
authors.lastname: Durutürk
authors.forename: A I
authors.initials: AI
authors.lastname: Orhan
authors.forename: I
authors.initials: I
authors.lastname: Batmaz
mesh_terms: D002648:Child; D003657:Decision Making; D003737:Dental Cavity Preparation / Q000009:adverse effects / Q000295:instrumentation*; D003762:Dental Instruments / Q000009:adverse effects; D003785:Dental Pulp Capping; D003789:Dental Pulp Exposure / Q000209:etiology / Q000628:therapy*; D003790:Dental Pulp Necrosis / Q000473:pathology; D003793:Dental Restoration, Permanent / Q000706:statistics & numerical data*; D006801:Humans; D006472:Oral Hemorrhage; D011671:Pulpitis / Q000473:pathology; D011672:Pulpotomy; D014094:Tooth, Deciduous / Q000473:pathology*