CHRONIC HYPERPLASTIC PULPITIS PDF

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. Causes Causes of a pulp polyp include the following: Carious tooth with significant loss of tooth structure Loss of a dental restoration that results in pulpal exposure Fractured tooth due to trauma with a pulpal exposure Pulpal tissue with access to a good blood supply Possible hormonal estrogen and progesterone influence Clinical features : 1. Occurs mostly in children and young adults , who possess a high degree of resistance and reactivity.

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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.

The majority of pulp polyps present symptomless, however if it becomes involved in mastication, discomfort may present and the polyp may change appearance to an ulcerated, dark red mass; although unlikely, bleeding may present. Pulp polyps usually show no radiographic apical lesions, however in long standing polyps or in those with extensive pulp involvement, chronic apical periodontitis may develop and present as a radiographic peri-apical lesion due to advancement of the inflammation present.

Peri-apical lesions may present as widening of the periodontal-ligament space, an apical radiolucency or with no changes. Management[ edit ] There are a number of management options for teeth with pulp polyps. The option chosen depends namely on the amount of sound tooth tissue remaining. Extraction is usually the only option for teeth with a large carious cavity and little sound tooth tissue remaining; however, if a tooth is deemed restorable i.

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Pulp polyp

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.

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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. The majority of pulp polyps present symptomless, however if it becomes involved in mastication, discomfort may present and the polyp may change appearance to an ulcerated, dark red mass; although unlikely, bleeding may present.

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