Corresponding author. E-mail: moc. 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 condition is usually characterized by extensive involvement of the pulp, dictating the extraction of involved tooth. Extraction of permanent molars can lead to transient or permanent malocclusion, aesthetic, phonetic and functional problems.
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Chetan 2 Comments Pulp Polyp, also called as Chronic Hyperplastic Pulpitis, or Proliferative pulpitis is a productive pulpal inflammation due to extensive carious exposure of any young pulpal tissue. This is a type of irreversible pulpitis , which is chronic and usually asymptomatic in nature. It is characterized by development of granulation tissue, covered by epithelium and it results from irritation for a long time.
Causes of Pulp Polyp Dental caries in young tooth where significant loss of tooth is seen. Fractured tooth, causing trauma to the pulpal tissues.
Mechanical irritation from chewing, and bacterial irritation provides stimulus. Symptoms of Pulp Polyp They are asymptomatic, and sometimes the masticatory stress can lead to some tenderness.
Sometimes, localized bleeding may occur. The polyps cover the entire cavity by enlarging itself. Diagnosis Appearance of Polypoid tissue — A fleshy, reddish mass fills most of the pulp chamber or extends beyond the tooth structure. Polypoid tissue is less responsive when compared to normal pulp tissue. Radiographs show a large, open cavity with direct access to the pulp chamber.
Response is seen on electric pulp testing too. Treatment Removal of the polypoid tissue, followed by the extirpation of the pulp. When the pulpal mass is removed, bleeding can be controlled by application of pressure.
Formocresol dressing is placed after the entire pulp is removed. Related posts:.
Unusual Presentation of Chronic Hyperplastic Pulpitis: A Case Report
Pulp polyps develop as overgrowth of the pulpal tissue resulting in the hyperplastic mass. A pulp polyp may be found in an open carious lesion tooth cavity , a fractured tooth, or within a cavity with a missing dental restoration. Due to lack of intrapulpal pressure in an open lesion, pulp necrosis does not occur as would be expected in a closed carious cavity. A good vascular supply and immune resistance is required for its development; as such, this condition is more commonly seen in molar teeth of children and young adults and rarely in older age groups.
Chronic hyperplastic pulpitis
Thursday, November 8, Chronic Hyperplastic Pulpitis Pulp polyp A pulp polyp, also called as Chronic Hyperplastic Pulpitis, is found in an open carious lesion, fractured tooth or when a dental restoration is missing. Due to lack of intrapulpal pressure in an open lesion pulp necrosis does not take place as would have occurred in a closed caries case. Also a good vascular and immune supply is necessary, therefore found in adults. It is a productive pulpal inflammation where the development of granulation tissue is seen.
It is an inflammation of the pulp due to extensive carious exposition in young or severely damaged teeth. The polyp may grow until covering the whole cavity. Sometimes the epithelium covers the space of the granulous tissue, because of the low intensity but prolonged exposure. The polyp shows three parts: the root, the pendulum, and the coronary head. This structure is highly vascularized and cellularized with low resistance.
Pulp Polyp – Chronic Hyperplastic Pulpitis – Proliferative Pulpitis
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