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CASE REPORT

Hyperplastic Pulpitis Management with Endocrown: A Case Report

The Open Dentistry Journal 01 Nov 2022 CASE REPORT DOI: 10.2174/18742106-v16-e2208151

Abstract

Background:

Pulp polyp (PP) or pulp hyperplasia is a type of irreversible pulpitis that occurs more frequently in young teeth. It is characterized by an exophytic proliferation of granulation tissue with a pinkish-red colour and fibrous consistency, usually asymptomatic.

Case Presentation:

Conservative approach for a PP in a young permanent lower molar using orthograde root canal treatment and subsequent endocrown placement with a 6-month follow-up. A detailed clinical history was carried out, as well as a radiographic study of the lesion, palpation and pulp sensitivity tests. The clinical diagnosis was pulp hyperplasia or PP, confirmed by histopathological analysis.

Results:

Treatment of this case required four appointments: surgical excision of the PP, cleaning and shaping of the root canal system, three-dimensional filling of the canals, cementation and adjustment of the endocrown, thereby achieving remission of symptoms and restitution of chewing function.

Conclusion:

Conservative treatment is a reproducible procedure that has shown satisfactory results in the lower first molar with the presence of a PP.

Keywords: Hyperplastic pulpitis, Pulp polyp, Lower molar, Pulpectomy, Endocrown, Molars.
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