Chronic Hyperplastic pulpitis is one of the types of asymptomatic and irreversible pulpitis a patient may experience. It is an inflammation of the pulp due to extensive carious exposition in young or severely damaged teeth. The polyp may grow until covering the whole cavity. Sometimes the epithelium covers the space of the granulous tissue, because of the low intensity but prolonged exposure. A clinic for dental 24/7 care in Perth explains all about pulpitis above..
The polyp shows three parts: the root, the pendulum, and the coronary head. This structure is highly vascularized and cellularized with low resistance.
It is caused by a slow but progressive carious exposure. The low-intensity stimulation needed for the polypus formation is given by bacterial infection and mechanical mastication. This condition has no symptoms except while chewing when teeth may bleed or the masticatory stress can lead to some pain.
The diagnosis is easy, due to the characteristic reddish pulp that can be seen filling the cavity. Sometimes it can exceed the pulp chamber and grow outside the tooth. It’s less sensitive than regular pulp tissue and cutting the tissue does not cause pain. The tooth does not respond to thermal stimulation, except to extreme cold. Radiographs show a large open cavity that connects directly to the pulp chamber.
To treat the chronic hyperplastic pulpitis, it is necessary to perform a removal of the polypoid tissue, followed by the extirpation of the pulp. When this happens, the bleeding can be controlled by the application of pressure. After the surgery, formocresol dressing is placed once the pulp is removed.
There are certain authors in the past that recommend reducing the polyp using medicine to avoid the profuse bleeding that comes with the extirpation of the tissue, but fortunately, nowadays dentists use an anesthetic that prevents the bleeding. The prognosis is favorable for the tooth after proper endodontic treatment and restoration.