Tuesday, February 4, 2014

What Is Pulp Polyp & What Is Treatment of Chronic hyperlpastic pulpitis or proliferative pulpitis

 

Question: I have a soft mass in my tooth cavity which bleeds on touching or eating. The suggested symptoms are of pulp polyp .


Pulp polyp is an unusual type of hyperplastic granulation tissue response in the pulp which is characterized by an overgrowth of the tissue outside the boundary of the pulp chamber as protruding mass.


Clinical Features of pulp polyp

  • Pulp polyp clinically appears as a small pinkish-red lobulated mass which protrudes from the pulp chamber and often fills up the carious cavity.
  • The teeth in which pulp polyp commonly develops are the deciduous molar and first permanent molars.
  • The condition is obviously seen in either children or young adults.
  • The affected tooth  always have large open carious cavity , which is present for a long duration.
  • The pulp polyp bleeds profusely upon provocation.
  • If traumatized the pulp polyp becomes ulcerated and appears as dark red, fleshy mass with fibrinous exudates on the surface.
  • The involved tooth is usually painless.
  • Treatment of Pulp polyp, How to treat it
  • Treatment is done either by root canal treatment or by extraction of the affected tooth.


 Pathogenesis: How any Why does pulp polyp occurs

  • Pulp polyp exhibits an intense proliferation of the pulpal connective tissue and this type of hyperplastic tissue growth depends on several factors, which are as follows:
  • Persistence of balance between injurious  agents and tissue resistance.
  • Presence of low grade sustained inflammation.
  • Pulp tissue should be well vascularized with excellent tissue reactivityThe carious cavity should be young with good body resistance.
  • If all these factors are favourable then a tooth with chronic pulpitis may progress further to develop into chronic hyperplastic pulpitis.
  • However the incidence rate is quite low.


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