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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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 chroic modified by its covering. Please help improve this article by adding citations to reliable sources.

Detection of periapical bone defects in human jaws using cone beam computed tomography and pulptis radiography. The face of a child: She was instructed not to brush over the surgical site and was placed on a strict maintenance schedule following surgery. The results of the present study showed that majority of the PP patients were associated with definite periapical changes. National Center for Biotechnology InformationU.

Crevicular incisions were made using Bard—Parker No. This observation suggests that clinically detected PP are radiographically associated with definite periapical changes suggesting it to be a periapical lesion.

This page was last edited on 23 Decemberat The crown was fixed with pukpitis help of luting cement i. It is a response of the pulp to acute inflammation occurs chrlnic young teeth but never in teeth of old patients, may this be indicative of a good pulpal response.


It rarely occurs in middle aged adults.

A pulp pulpiti may be found in an open carious lesion tooth cavityin a 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. Principles of Oral and maxillofacial Surgery.

Histological evaluation of teeth with hyperplastic pulpitis caused by trauma or caries: Periapical condensing osteitis and endodontic treatment.

Neglected treatment by the patient for about six months 5. Pulp polyp, Root canal therapy, Post and core and crown lengthening. Acquired tooth pathology Dentistry stubs.

Surgical lengthening of the clinical crown. Int J Periodontics Restorative Dent. Dimensions and relations of the dentogingival junction in humans. Published online Jan 1. Discussion 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 ].

You can help Wikipedia by expanding it. Endodontic procedure The first step pupitis treatment plan after phase I therapy was to deal with endodontic procedure. In case of extensive loss of coronal tooth structure, root canal treatment followed by prefabricated metal post.

Retrieved from ” https: Transudates and exudates which are inflammatory response products in open chronic pulpitis, drain into the oral cavity and do not accumulate.

Unusual Presentation of Chronic Hyperplastic Pulpitis: A Case Report

Left side semi impacted carious lower 3 rd molar was the origin of the lesion. Distribution of PP in different teeth Click here to view. 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.


So based on the clinical and radiographic examination these differential diagnosis were possible which included pulp polyp, papilloma or gingival polyp.

We send the specimen included the carious 3 rd molar with base of the lesion in the carious cavity and the bulk of the lesion to the pathologist for histopathologic examination Figure 3.

Journal List Iran Endod J v. Haematoxylin and Eosin stained soft tissue section showed fibro-collagenous connective tissue with intense chronic inflammatory cells predominantly plasma cells and lymphocytes covered by parakeratinized stratified squamous epithelium which exhibited irregular rete hyperplasia and mild acanthosis with focal ulcerated areas with these findings inflammatory fibroepithelial hyperplasia consistent with the clinical diagnosis of pulp polyp was given.

None, Conflict of Interest: Chronic hyperplastic pulpitis is characterized by the development of granulation tissue, covered at times with epithelium and resulting from long standing, low grade irritation [ 3 ].

Unusual Presentation of Chronic Hyperplastic Pulpitis: A Case Report

Prior to obturation the placement of the gutta-percha cones was confirmed radiographically. Good blood supply to the lesion 6. J Appl Oral Sci ;