Pulp Polyp Treatment & Management
- Author: Catherine M Flaitz, DDS, MS; Chief Editor: Arlen D Meyers, MD, MBA more...
See the list below:
- Treatment of a pulp polyp in a permanent tooth includes either root canal therapy or extraction of the tooth.
- The more conservative pulpotomy treatment has been successful in selected cases when only the coronal pulp is affected.
- In immature teeth with incomplete root development, placement of an apical barrier and strengthening of the thin root with composite resin may be indicated prior to root canal treatment.
- Pulp revascularization of an immature permanent tooth is another new treatment approach that results in the formation of vital pulpal tissue.
- The tooth requires a full-coverage crown following endodontic therapy.
- Prior to extensive restorative treatment, the risks and benefits of this treatment, including the long-term prognosis of the affected tooth in a young child, needs to be thoroughly explained.
See the list below:
- The affected tooth is extracted when primary teeth are involved or when minimal tooth structure in permanent teeth is available for restoration or the alveolar bone support is unfavorable.
- A surgical crown lengthening procedure may be needed to prepare a tooth for a full-coverage crown.
- Healing is uneventful in most cases.
Sattari M, Haghighi AK, Tamijani HD. The relationship of pulp polyp with the presence and concentration of immunoglobulin E, histamine, interleukin-4 and interleukin-12. Aust Endod J. 2009 Dec. 35(3):164-8. [Medline].
Abdel Jabbar NS, Aldrigui JM, Braga MM, Wanderley MT. Pulp polyp in traumatized primary teeth--a case-control study. Dent Traumatol. 2013 Oct. 29(5):360-4. [Medline].
Raslan N, Wetzel WE. Exposed human pulp caused by trauma and/or caries in primary dentition: a histological evaluation. Dent Traumatol. 2006 Jun. 22(3):145-53. [Medline].
Vergotine RJ, Hodgson B, Lambert L. Pulp polyp associated with a natal tooth: case report. J Clin Pediatr Dent. 2009 Winter. 34(2):161-3. [Medline].
Trope M. Treatment of the immature tooth with a non-vital pulp and apical periodontitis. Dent Clin N Am. Apr 2010. 54(2):313-324. [Medline].
Caliskan MK. Success of pulpotomy in the management of hyperplastic pulpitis. Int Endod J. 1993 Mar. 26(2):142-8. [Medline].
Caliskan MK, Oztop F, Caliskan G. Histological evaluation of teeth with hyperplastic pulpitis caused by trauma or caries: case reports. Int Endod J. 2003 Jan. 36(1):64-70. [Medline].
Caliskan MK, Turkun M, Oztop F. Histological evaluation of a tooth with hyperplastic pulpitis and periapical osteosclerosis. Int Endod J. 1997 Sep. 30(5):347-51. [Medline].
Camp JH. Diagnosis dilemmas in vital pulp therapy: treatment for the toothache is changing, especially in young, immature teeth. Pediatr Dent. 2008 May-Jun. 30(3):197-205. [Medline].
Nair RG, Samaranayake LP, Philipsen HP, Graham RG, Itthagarun A. Prevalence of oral lesions in a selected Vietnamese population. Int Dent J. 1996 Feb. 46(1):48-51. [Medline].
Neuhaus KW. Teeth: malignant neoplasms in the dental pulp?. Lancet Oncol. 2007 Jan. 8(1):75-8. [Medline].
Neville B, Damm D, Allen C, Bouquot J. Pulpal and periapical disease. Oral and Maxillofacial Pathology. 3rd ed. St. Louis, Mo: WB Saunders; 2009. 120-53.
Piskin B, Aktener BO, Karakisi H. Neural changes in ulcerative and hyperplastic pulpitis: a transmission electron microscopic study. Int Endod J. 1993 Jul. 26(4):234-40. [Medline].
Smulson MH, Sieraski SM. Histopathology and diseases of the dental pulp. Weine FS. Endodontic Therapy. 5th ed. St. Louis: Mo: Mosby; 1996. 84-165.
Southam JC, Hodson JJ. Neurohistology of human dental pulp polyps. Arch Oral Biol. 1973 Oct. 18(10):1255-60. [Medline].
Southam JC, Hodson JJ. The growth of epithelium, melanocytes, and Langerhans cells on human and experimental dental pulp polyps. Oral Surg Oral Med Oral Pathol. 1974 Apr. 37(4):546-55. [Medline].
Whitaker SB, Singh BB, Weller RN, Bath KR, Loushine RJ. Sex hormone receptor status of the dental pulp and lesions of pulpal origin. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1999 Feb. 87(2):233-7. [Medline].