A pulp polyp, also known as chronic hyperplastic pulpitis, is a “productive” (i.e., growing) inflammation of dental pulp in which the development of granulation. Pulp polyp (PP) is also known as chronic hyperplastic pulpitis or proliferative pulpitis. Clinically it appears as proliferative red mass seen in the occulsal portion . PDF | Chronic hyperplastic pulpitis (pulp polyps) usually occurs in molar teeth of children and young adults and is characterized by an.

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Unusual Presentation of Chronic Hyperplastic Pulpitis: A Case Report

Laboratory examinations including CBC differential, WBC, platelet count, PT, and PTT were within normal limits, and in orthopanthogram radiography we observed left carious mesioangular semi impacted 3 rd molar with no specific lesion in bone and adjacent tissues Figure 1.

A hyperplastic response of the pulp to acute inflammation occurs in young teeth but has never been reported to have developed in the teeth of middle-aged patients [ 12 hyperplasyic.

After the surgical crown lengthening immediate temporization should be done and healing period of 12 weeks is recommended before the placement of permanent restoration for posterior teeth and 6 months for anterior aesthetic areas [ 13 ].

Fear of surgical procedures and assume a lesion as a pupitis cancerophobia 4.

It also enumerates the multidisciplinary approach involved in the treatment of the tooth with chronic hyperplastic pulpitis to restore back the hylerplastic, phonetics and function of the tooth. Oral and Maxillofacial Pathology.


Analyzing periapical lesions on intraoral periapical radiographs: Continuous trauma from occluding the teeth. The surface of the lesion was ulcerated and replaced by a fibrin purulent membrane.

Principles of Oral and maxillofacial Surgery.

The results of the present study showed puliptis majority of the PP patients were associated with definite periapical changes. Sitemap What’s New Feedback Disclaimer. Following surgery the patient was instructed to avoid chewing in the surgical area during the first postoperative day. Its colour may vary from cherry red of the granulation tissue to opaque whiteness of moist keratinized epithelium, depending on the degree to which the appearance of the granulation tissue is modified by its covering.

Initial periodontal therapy and re- evaluation and excision of pulpal growth for histological analysis. Acquired tooth pathology Dentistry stubs.

Unusual Presentation of Chronic Hyperplastic Pulpitis: A Case Report

In review of systems ROS she gave history of idiopathic thrombocytopenic purpura and splenectomy of 12 years ago and caesarian section three years ago, but both of them had no relation to the present lesion. The crown was fixed with the help of luting cement i. The first step in treatment plan after phase I therapy was to deal with endodontic procedure. Initial phase of treatment included complete scaling and root planning.

Pre-surgical analysis including determination of tooth anatomy, finish line margins of the restoration, biological width analysis and the amount of tooth structure required to be exposed for crown lengthening was assessed. Response to thermal and electrical stimuli may be normal and it might mimic the proliferating gingival tissues [ 45 ].


The metal post helps to withstand the masticatory forces Mouradian et al. Intraoral examination showed a large polypoid lesion about 1. Pulp polyp occurs as a result of an open cavitated carious lesion which acts as a pathway for escape of the inflammatory exudate, tooth fracture due to trauma with pulpal exposure and even long standing fractured restoration can lead to pulpal stimuli and result in pulpal reactions causing pulp polyp. Author information Article notes Copyright and License information Disclaimer.

Hence, this paper highlights about the multidisciplinary approach involved in the management of extensive carious lesion with pulp polyp in middle aged adults. Thus intrapulpal pressure, which may consequently cause tissue damage and destruction of the microcirculation, does not develop 1.

Pulp polyp

The purpose of this case report is to report the hyperplastic pulpitis in right mandibular molar in middle aged patient and its multidisciplinary management. This dentistry article is a stub. Showing periapical changes in PP patients Click here to view. Pulpal growth was pale pink in colour and was covering the entire carious cavity in relation to Abstract The molar tooth of children and young adults is a common site for chronic hyperplastic pulpitis pulp polyp.

It rarely occurs in middle aged adults. This article needs additional citations for verification.