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Multiple pulp polyps associated with deciduous teeth

Article · January 2015

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KHURSHID MATTOO et al.
DATE OF PUBLICATION: MARCH 19, 2015 VOL 1 ISSUE 2 JAN-MAR 2015

MULTIPLE PULP POLYPS ASSOCIATED WITH DECIDUOUS TEETH

ADITYA KAPOOR1,KHURSHID MATTOO2, LAKSHYA YADAV3

1Department of Prosthodontics, Subharti dental college, Subharti University, Meerut, (India)

2Department of Prosthodontics, College of dentistry, Jazan University, (KSA)

3 Department of Prosthodontics, King George dental college, KGMC University, Lucknow, (India)

Corresponding author: Khurshid Mattoo, College of dental sciences, Jazan University (KSA)

Mobile – +966595086078; Email address – drkamattoo@rediffmail.com

Work attributed to: Subharti dental college and hospital, Subharti University, India.

ABSTRACT

Chronic hyperplastic pulpits occur in molar teeth of children and young adults and is characterized by a clinically visible over‐
growth of granulomatous tissue into the surrounding tooth cavity. Here, we report rare occurrence of three pulp polyps in the
same individual at the same time two in the lower deciduous molars and one in the maxillary left first deciduous molar.

KEYWORDS: pulp, hyperplasia, deciduous, granulation tissue, inflammation, repair

1. INTRODUCTION

Pulp polyp also called as chronic hyperplastic pulpitis is a

vascular condition of the pulp that usually takes place in an
open carious lesion that is devoid of intra pulpal pressure
thereby asserting itself as a mild non painful pulpal condi‐
tion.1,2 Mechanical irritation compounded with bacterial
invasion results in chronic inflammation producing a
hyperplastic response from the pulp filling the dentinal de‐
fect. Being a type of irreversible pulpitis it is usually

asymptomatic in nature. Only when the tissue overgrows
the size of the tooth occlusal pressure may cause bleeding Figure 1:(A) Mandibular left molar showing deep red tissue
or tenderness. The diagnosis is based on clinical picture proliferation within the open cavity of the tooth (B) Intra
which is usually a reddish mass filling the pulp chamber oral periapical view of the same tooth (C) Maxillary deci‐
origin of which is not from surrounding periodontal tissues duous first molar overshadowed by pulp polyp (D) IOPA of
and is responsive to pulp vitality tests.3,4 Often also re‐ the same tooth showing underlying permanent premolars
ferred as a pyogenic granuloma of the pulp tissue it is
seldom seen in permanent teeth of older adults because 2. CLINICAL REPORT
adults lack rampant caries occurrence and do not have
A young boy aged 15 years, was referred to the department
wide apices of roots to bring an ample blood supply.
of Prosthodontics for making of primary impressions due to
patient’s extreme sensitiveness to gagging reflex. Medical
history was irrelevant, but dental history disclosed multiple
broken and carious teeth with numerous overgrowths of
tissues within the tooth. Extra oral examination was non‐
contributory whereas intra oral examination showed mul‐
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KHURSHID MATTOO et al.
DATE OF PUBLICATION: MARCH 19, 2015 VOL 1 ISSUE 2 JAN-MAR 2015

tiple proximal and occlusal caries with open cavities. Max‐ of infiltrate from acute to predominant chronic inflamma‐
illary left sided deciduous first molar and mandibular tory cells.
second molars on either side showed pink tissue where
teeth would be (Fig 1 A and C). On careful palpation the
4. CONCLUSION
tissue originated from within the pulp in all three teeth and Chronic hyperplastic pulpitis is a unique pulpal disorder
obscured remaining tooth in two teeth. The patient had that needs to be differentiated from other disorders of the
observed the growth about three months back and then pulp and gingiva. Occurrences of three cases in the same
there was a gradual enlargement of the tissue. The lesions patient are rarely reported and this case suggests that mul‐
varied from half centimeter to one centimeter in length tiple pulp polyps do occur.
with about 2 to 3 mm in height between all lesions. All
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