Pulp Polyp Case Study

(systematic diagnosis, plan of treatment, prognosis )

Prepared by : Issa Diab

ID : 201201908

The dental pulp composed by a fibrous connective tissue containing: 1. blood vessels

2. lymphatic vessels

3. nerves fibers 4. undifferentiated connective tissue cells it is surrounded by:

1. dentin which prevent the pulp tissue from excessive swelling during the edematous phases

2. the pulp tissue take their blood supply through small apical foramen

3. the pulp tissues is surround by lines of odontoblast cells formed the outer layer of the pulp and this cells make a connection between the pulp tissues and the Dentino-enamel-junction by their long extension .

4. odontoblast cells are responsible for the sensitivity of

A pulp polyp is not sensitive to touch (little nerves in the hyperplastic tissue), may or may not bleed, this depends on the degree of vascularity of the tissue .

6. Sometimes, pulp polyp can be confused with hyperplastic gingiva which extend into the carious defects( by probing we can follow the origin of the polyp)

Histopathologic features:

1. The pulp polyp is a composed of granulation tissue.

2. The mass is infiltrate by Inflammatory cell , plasma cells , lymphocyte

3. Pulp polyp is covered by stratified squamous epithelium

Treatment:

1. R.C.T

2. extraction.

Prognosis : prognosis of pulp polyp is unfavorable , but is favorable after R.C.T

Gangrenous necrosis of the pulp:

Untreated pulpitis will result in complete necrosis of the pulp tissue, this is defined as necrosis of the tissue due to ischemia with super imposed bacterial tissue.

Clinical features:

1. There may be pain which means there is still some vital pulp tissue left such as another canal.

2. Discoloration of the tooth, because the products of gangrene pass into the dentinal tubule and show through the translucent enamel giving the tooth a greenish-black color.

3. Foul odor when the inflamed pulp are open for