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Original Research

Open Access

Determining Treatibility of Primary Teeth with Pulpal Exposure

  • Doğan S1
  • Durutürk L2,*,
  • Orhan A I3
  • Batmaz I4

1Department of Pedodontics School of Dentistry, Erciyes University, Kayseri, Turkey

2Ministry of Health, Ankara Oral and Dental Health Center, Ankara, Turkey

3Department of Pedodontics School of Dentistry, Ankara University, Ankara, Turkey

4Department of Statistics, Middle East Technical University, Ankara, Turkey.

DOI: 10.17796/jcpd.37.4.l3176v7602558853 Vol.37,Issue 4,July 2013 pp.345-350

Published: 01 July 2013

*Corresponding Author(s): Durutürk L E-mail:


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. Study Design: 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.


Deciduous teeth, Primary teeth, Deep carious lesion Mechanical pulp exposure Carious pulp exposure.

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Doğan S,Durutürk L,Orhan A I,Batmaz I. Determining Treatibility of Primary Teeth with Pulpal Exposure. Journal of Clinical Pediatric Dentistry. 2013. 37(4);345-350.


1. Starkey P.E. Management of deep caries and pulpally involved teeth in children. In: Goldman H.M. et al Current Therapy in Dentistry. Ed. C.V. Mosby Company, St. Louis; 896-932, 1968.

2. Kennedy D.B. and Kapala J.T. The dental pulp: Biologic principles of protection and treatment. In: Braham R.L. and Morris E. Textbook of Pediatric Dentistry. Ed. Williams-Wilkins, Baltimore; 237-249, 1985.

3. Greeley M.C.B. Pulp therapy for the primary and the young permanent dentition. In: Forrester D.C., Wagner M.L., Fleming J. Pediatric Dental Medicine. Ed. Lea & Febiger, Philadelphia; 456-460, 1981.

4. Troutman K.C., Reisbick M.H., Berson R.B., Good D.L., Gutmann J.l. Pulp therapy. In: Stewart R.E., Barber T.K., Troutman K.C., Wei S.H.Y. Pediatric Dentistry. Ed. C.V. Mosby Company, St. Louis; 908-941, 1982.

5. McDonald R.E., Avery D.R., Dean J.A. Treatment of deep caries, vital pulp exposure and pulpless teeth. In: McDonald R., Avery D.R. and Dean J.A. Dentistry for the Child and the Adolescent. Ed. C.V. Mosby Company, St. Louis; 388-412, 2004.

6. Camp J.H., Barrett E.J., Pulver F. Pediatric endodontics: endodontic treatment for the primary and young permanent dentition. In: Cohen S.and Burns R.C. Pathways of the Pulp. Ed. C.V. Mosby Company, St. Louis; 797-844, 2002.

7. Mejare I. Endodontics in primary teeth. In: Bergenholtz G., Horsted-Bindslev T., Reit C. Textbook of Endodontology. Ed. Blackwell Publishing Ltd., Oxford; 73-88, 2010.

8. Eidelman E., Touma B., Ulmanski B. Pulp pathology in deciduous teeth. Clinical and histological correlations. Israel J Med Sci 4:1244-1248, 1968.

9. Koch G., Nyborg H. Corelation between clinical and histological indications for pulpotomy of deciduous teeth. J Int Assoc Dent Child 1:3-10, 1970.

10. Rodd H.D., Waterhouse P.J., Fuks A.B., Fayle S.A., Moffad M.A. UK National Guidelines in Paediatr Dentistry: Pulp therapy for primary molars. Inter J Paediatr Dent 16:15-23, 2006 .

11. Schröder U., Heide S., Höskuldsson E., Rolling I. Endodontics. In: Koch G., Modeer T., Paulsen S., Rasmussen P. Pedodontics - a clinical approach. Ed. Munksgaard, Copenhagen; 185-205, 1994.

12. Guideline on pulp therapy for primary and immature permanent teeth. Reference Manual 33:6 11/12 page:214, 2009.

13. Fuks A.B. Current concepts in vital primary pulp therapy. Eur J Paediatr Dent 3:115-120, 2002.

14. Carotte P. Endodontic treatment for children. Brit Dent J 198:9-15, 2005. 15. Kopel H.M. Considerations for the direct pulp capping procedure in primary teeth: A review of the literature. J Dent Res March-April:141-149, 1992.

16. Mathewson R.J. and Primosch R.E. eds. Fundamentals of Pediatric Dentistry. Quintessence Pub, Chicago; 257-280, 1995.

17. Markovic D., Zivojinovic V., Vucetic M. Evaluation of three pulpotomy medicaments in primary teeth. Eur J Paediatr Dent 6:133-138, 2005.

18. Schröder U., Szpringer-Nodzak M., Janicha J., Wacinska M., Budny J., Mlosek K. A one year follow up of partial pulpotomy and calcium hydroxide capping in primary molars. Endod Dent Traumatol 3:304-306, 1987.

19. Hilton T.J. Cavity sealers, liners, and bases: current philosophies and indications for use. Oper Dent 21:134-146, 1996.

20. Stockton L.W. Vital pulp capping: a worthwhile procedure. J Can Dent Assoc 65:328-331, 1999.

21. Schuurs A.H.B, Gruythuysen R.J.M, Wesseling P.R. Pulp capping with adhesive resin-based composite vs calsium hydroxide: a review. Endod Dent Traumatol 16:240-250, 2000.

22. Ibricevic H., Al-Jame Q. Ferric sulfate as pulpotomy agent in primary teeth: twenty month clinical follow up. J Clin Pediatr Dent 24:269-272, 2000.

23. Fuks A.B, Bimstein E., Guelmann M., Klein H. Assessment of a 2 percent buffered gluteraldehyde solution in pulpotomized primary teeth of schoolchildren. J Dent Child Sep-Oct: 371-375, 1990.

24. Farooq N.S., Coll J.A., Kuwabara A., Shelton P. Success rates of Formocresol pulpotomy and indirect pulp therapy in the treatment of deep dentinal caries in primary teeth. Pediatr Dent 22:278-286, 2000.

25. Waterhouse P.J., Nunn J.H., Whitworth J.M. An investigation of the relative efficacy of Buckleys formocresol and calcium hydroxide in primary molar vital pulp therapy. Brit Dent J 188:32-36, 2000.

26. Waterhouse P.J., Nunn J.H., Whitworth J.M., Soames J.V. Primary molar pulp therapy- histological evaluation of failure. Inter J Paediatr Dent 10:313-321, 2000.

27. Kalaskar R.R., Damle G. Comparative evaluation of lyophilized freze dried platelet derived preparation with calcium hydroxide as pulpotomy agents in primary molars. J Indian Soc Pedod Prev Dent 22:24-29, 2004.

28. Lewis T.M., Law L.B. Pulpal treatment of primary teeth. In: Finn S.B. Clinical Pedodontics. Ed. WB Saunders Company, Philedelphia; 201-223, 1973.

29. Bazargan H., Chopra, S., Gatonye H., Jones H, Kaur T. Permanent restorations on pulpotomized primary molars: An evidence-based Review of the literature (2007). ( evidence_based/PermanentRestorationsOnPulpotomizedPrimaryMolars. pdf)

30. Osborne J.W., Summitt J.B., Roberts H.W. The use of dental amalgam in pediatric dentistry: Review of the literature. Pediatr Dent 24:439-44, 2002.

31. El-Kalla IH., Garcia-Godoy F. Fracture strength of adhesively restored pulpotomized primary molars. ASDC J Dent Child Jul-Aug;66(4):238-42, 1999.

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