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

Surgical lengthening of the clinical crown. Pulp polyp PP is a chronic hyperplastic condition resulting in formation of granulation tissue and proliferative mass. Age-wise distribution of PP Click here to view. None, Conflict of Interest: Shows total number of patients Click here to view.

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Pulp polyp – A periapical lesion: J Appl Oral Sci ; This paper discusses multidisciplinary approach in the management of chronic hyperplastic pulpitis which was initiated with scaling and root planing, root canal therapy hyperpllastic by post and core, crown lengthening and restoration of the tooth with porcelain fused to metal hyperplastlc.

After 10 days, the sutures were removed and healing was found to be adequate and satisfactory. The aim of this case report is to describe the diagnosis of a chronic hyperplastic pulpitis involving the permanent molar as well as to describe its management in order to preserve them as a functional unit of the dentition.


A year-old woman referred for treatment of left side lesion of the oral cavity.

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. Analyzing periapical lesions on intraoral periapical radiographs: Here we report a case of pulp polyp in mandibular first molar of a year-old woman that grew 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. 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. The post space was prepared one week after the endodontic treatment was completed.

The surface of the lesion was ulcerated and replaced by a fibrin purulent membrane. Exposing adequate tooth structure for restorative dentistry. Pulp polyp was commonly seen in mandibular first molar followed by mandibular second molar and maxillary first molar.

Int J Periodontics Restorative Dent. Flap retraction revealed that the teeth had a sufficient amount of sound tooth structure above the alveolar crest so that an ostectomy was not necessary. Unsourced material may be challenged and removed.

The results of the present study showed that majority of the PP patients were associated with definite periapical changes. Preoperative occlusal view depicting pulpal growth in relation to The dynamics of pulp inflammation: Int Endod J ; Pre-surgical analysis including determination of chfonic 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.


She pulpitia prescribed systemic antibiotics Amoxycillin mg three times a day for five days and analgesics Ibuprofen mg three times a day for three days with instructions to rinse the mouth daily with a solution of 0. Left side semi impacted carious lower 3 rd molar was the origin of the lesion.

Unusual Presentation of Chronic Hyperplastic Pulpitis: A Case Report

Endodontic procedure The first step in treatment plan after phase I therapy was to deal with endodontic procedure. The metal post helps to withstand the masticatory forces Mouradian et al.

Crown preparation of the restored tooth and Luting of finished permanent prosthesis. Preoperative buccal view depicting short clinical crown length in No mobility of tooth and sensitivity to percussion because significant inflammation has not yet spread to the apical area 2.

Pulp Polyp

Immunopathogenesis of chronic periapical lesions. A pulp polyp may be found in an open carious lesion tooth cavityin a fractured tooth, or when a dental restoration is missing. According to chronologic time for development of the lower cyronic molar teeth between 4.