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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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Related articles Hyperplastic pulpitis lamina dura periapical pathologies peridontitis pulp polyp. Radiographic image showing completion of obturation in relation to 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.

Initial phase of treatment included complete scaling and root planning. The root canals were instrumented manually with K-files Mani, Japan. Fear of surgical procedures and assume a lesion as a cancer cancerophobia 4.

Pulp Polyp

Acquired tooth pathology Dentistry stubs. Clinical, radiographic and histological evaluation of chronic periapical inflammatory lesions. Here we report a case of pulp polyp in mandibular first molar of a year-old woman that grew into the carious cavity. Oral and Maxillofacial Pathology.

The dynamics of pulp inflammation: Prior to obturation the placement of the gutta-percha cones was confirmed radiographically.

Diagnosis was chronic hyperplastic pulpitis Figure 4Figure 5. This article has been cited hyperpoastic other articles in PMC. The fibrovascular stroma contained numerous capillary sized blood vessels lined by plump endothelial cells.

You can help Wikipedia by expanding it. 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 ]. Abstract Chronic hyperplastic pulpitis pulp polyps usually occurs in molar teeth of children and young adults and is characterized by an overgrowth of granulomatous tissue into the carious cavity.


This observation suggests that clinically detected PP are radiographically associated with definite periapical changes suggesting it to be a periapical lesion. Complete oral prophylaxis was done along with scaling and root planing in She gave history of six months for its presence that enlarged gradually and interfered with eating and occluding the teeth, so hyperplaastic made patient worried about it Figure 1Figure 2.

Unusual Presentation of Chronic Hyperplastic Pulpitis: A Case Report

Management of the tooth with chronic hyperplastic pulpitis includes extraction when minimal amount tooth structure remains which is unfavourable for restoration and conservatory approach requires a multidisciplinary approach including endodontic management, surgical crown lengthening and prosthodontic management. BC Decker Inc; The surface of the lesion was ulcerated and replaced by a fibrin purulent membrane.

Histological evaluation of teeth with hyperplastic pulpitis pulppitis by trauma or caries: The relationship of pulp polyp with the presence and concentration of immunoglobulin E, histamine, interleukin 4 and interleukin 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.

After the crown preparation impression was made and sent to the lab for the processing of porcelain fused to metal crown.

Its hyperplastid 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. Oral and Maxillofacial Pathology. This dentistry article is a stub. Find articles by Somiya Lingeswaran. Various periapical changes in the digital radiographs were recorded by a skilled oral radiologist.


Unusual Presentation of Chronic Hyperplastic Pulpitis: A Case Report

Braz Dent J ; She was instructed not to brush over the surgical site and was placed on a strict maintenance schedule following surgery. Diagnostic and clinical factors associated with pulpal and periapical pain. 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 ]. It is readily available and is easy to use which provides retention and stability to the core structure.

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. Hyperplastic pulpitis pulp polyp is the most visually dramatic of all pulp response, rising out of the carious shell of the crown and is a “mushroom” of living pulp tissue that is often firm and insensitive to touch 3.

Placement and Adjustment of post The post space was prepared one week after the endodontic treatment was completed. Thus intrapulpal pressure, which may consequently cause tissue damage and destruction of the microcirculation, does not develop 1. Radiographic image showing Metal post placement with core build-up. Correlations between diagnostic data and actual histologic findings in the pulp. J Clin Diagn Res. BC Decker Inc; Intraoral examination showed a large polypoid lesion about 1.

Detection of periapical bone defects in human jaws using cone beam computed tomography and intraoral radiography. Histophysiology and diseases of in dental pulp.