POLYPS IN DENTISTRY.

                   POLYPS IN DENTISTRY 

               PULP POLYP 

                GINGIVAL POLYP

A big Hello to all of you!!

I am back with a striking blog that will make you aware of the  outcome owing to the overgrowth of the soft  tissue structures  like pulp(innermost layer of the tooth)and gums(gingiva) becoming troublesome gradually.

Let’s be curious to know about the POLYPS DEVELOPING OWING TO MECHANICAL AND BACTERIAL INVASION OF THE PULP AND GINGIVA CAUSING CHRONIC HYPERPLASTIC PULPITIS AND CHRONIC HYPERPLASTIC GINGIVITIS RESPECTIVELY, WHICH IS PRODUCTIVE (MEANS GROWING).

PULP POLYP AND GINGIVAL POLYP:-

TIME TO EXPLORE THE PULP POLYP:-

PULP POLYP:

Expresses..as tingling and sharp pain on eating hot and cold foods beyond regular tooth sensitivity termed as HYPERPLASTIC PULPITIS.

It is due to excessive inflammation of the blood vessels  and nerves become inflammed.

Best part to the road to recovery is to seek advice  of the DENTIST(ENDODONTIST, PERIODONTIST AND MAXILLOFACIAL SURGEON).

INFLAMMATION CAN BE REVERSIBLE OR IRREVERSIBLE(PULP CANT HEAL SELF).

Best part to the road to recovery is with the help of the DOCTOR CONCERNED. 

ENDODONTIST AND PERIODONTIST ARE THE SPECIALIZED DOCTORS INVOLVED IN TREATING THE POLYPS ON A WHOLE.

 EXUBERANT PROLIFERATION OF THE PULP TISSUE HAPPENS AND CAUSES :-

INFLAMMATION/IRRITATION which  builds up pressure inside the tooth causing pain and discomfort. 

 REVERSIBLE PULPITIS :-

PAIN AND THE MILD INFLAMMATION SUBSIDES OWING TO ASSOCIATION OF EXTREME TEMPERATURES THEN ITS REVERSIBLE PULPITIS.

This condition is treatable with the RESTORATION (FILLING).IN THIS CASE TOOTH PULP REMAINS HEALTHY ENOUGH TO SAVE.

IRREVERSIBLE PULPITIS:-

CAUSATION OF INFLAMMATION AND PAIN:-

 Deep carious lesions(HEAVELY DECAYED TOOTH).

Traumatic lesions to the soft tissues.(MECHANICAL IRRITATION).

Repeated infections.(ABSCESS ETC.).

Cracked tooth syndrome.HAPPENS DUE TO EXCESSIVE TOOTH RESTORATION(FILLING)OR EXCESSIVE GRINDING (BRUXISM) OF TEETH.

Excessive CLENCHING OF TEETH.

CROWN PREPARATION  causing traumatic injury to the viable tissue called PULP.

INFLAMMATION/IRRITATION:-  builds up pressure inside the tooth causing pain

PAIN IS SEVERE AND  INTENSE BUT LINGERS ON FOR A LONGER PERIOD AS THE PULP INVOLVED CANNOT BE SAVED.

SYMPTOMS INVOLVED ARE:-

Intense pain.

Spontaneous pain.

Malaise.

Fever.

Bad breath.

Sensitivity to cold and hot stuff.

Pain happens when the tooth is tapped.(TENDER ON PERCUSSION). 

 

 KINDLY NOTE:PULP POLYP IS THE OUTCOME OF THE IRREVERSIBLE PULPITIS.

 

DIAGNOSIS:-FLESHY REDDISH PULP PORTION FILLS THE MOST OF THE PULP CHAMBER OR CAVITY.

 EARLY STAGE:-

LESS VASCULAR (BLEEDING NOT THAT PROMINENT OR OBVIOUS.

 

DIFFERENTIAL DIAGNOSIS:-

LATER STAGE :

BECOMES SIMILAR TO GINGIVAL POLYP(GINGIVAL ENLARGEMENT).

 

PECULIAR FEATURES:-

VISIBLE MAINLY IN THR MOLARS.(DECIDUOUS MOLARS ANX PERMANENT IST MOLARS.

ASYMPTOMATIC SOMETIMES.

DISCOMFORT MAINLY DURING MASTICATION OF FOOD BOLUS.

BLEEDING MAY BE PERSISTENT BUT MAXIMAL AT LATER STAGES.

HINDERANCE DURING CLOSURE OF MOUTH.

REFFERED PAIN HAPPENS MAKING THE EXACT LOCATION OF  THE PAIN DIFFICULT. 

TREATMENT MODALITIES:-

TREATMENT PROCEDURE INVOLVED IS ROOT CANAL TREATMENT .DONE BY THE ENDODONTIST BY EXTIRPATION OF PULP(REMOVAL).

IN SEVERE CASES, EXTRACTION OF THE TOOTH IS THE FINAL RESORT.

 

Note :-TAKE DUE PRECAUTIONS TO PREVENT THE INFECTION.

 

NEXT LET’S EXPLORE GINGIVAL POLYP:

 

GINGIVAL POLYP:-

COMING ONTO GINGIVAL POLYPS

LET’S LEARN ABOUT...

MYRIAD OF NAMES FOR GINGIVAL POLYP.

LET’S TAKE A LOOK...

GINGIVAL POLYPS ARE-focal fibrous HYPERPLASTIC LESIONS known localized gingival enlargements.(GINGIVAL OVERGROWTH/GUM(GINGIVAL ENLARGEMENT/HYPERTROPHY/LOCALIZED GINGIVAL TUMOUR/LUMP(GROWTH)ON THE GINGIVA.

Gingival OVERGROWTH means overgrowth of gum tissue around the teeth.COINED AS HYPERPLASTIC  GINGIVITIS.

ETIOLOGY OR THE CAUSATIVE FACTORS:-

TRAUMATIC ETIOLOGY. 

PRESENCE OF LOCAL IRRITANTS LIKE PLAQUE AND CALCULUS TO BE BROUGHT UNDER CONTROL(PRIMARY CAUSE).

SIDE EFFECTS OF THE MEDICATION.(DRUG INDUCED).

NEOPLASTIC(CANCEROUS )ENLARGEMENT.

 

FALSE/PSEUDO ENLARGEMENT- GINGIVAL ENLARGEMENT.

HEREDITARY (FAMILIAL) ENLARGEMENT.

INFLAMMATORY ENLARGEMENT(ANY MECHANICAL INJURY OR ANY SORT OF TRAUMA).

LOCATION ENLARGEMENT (ANTERIOR(FRONT) TEETH MOST COMMON DUE TO MOUTH BREATHING HABIT)

CLINICAL PRESENTATION  BASED VARIATION SEEN  OWING TO UNDERLYING CAUSE - FOR EXAMPLE:-

STRAWBERRY ENLARGEMENT.

HORMONAL INDUCED/ INFLUENCED GINGIVITIS.

ALLERGIC/HYPERSENNSITIVE GINGIVITIS./PLASMA CELL GINGIVITIS.

CONDITIONAL ENLARGEMENT DUE TO CERTAIN DEFFICIENCIES-

      (VITAMIN C DEFFICIENCY)

IGNORED TREATMENT CAN LEAD TO  REPERCUSSIONS RESULTING IN COMPROMISED ORAL HEALTH. 

If the condition is left untreated:- CAN RESULT IN:-

          MIS- ALLIGNMENT OF THE TEETH

          SEVERE GUM DISEASE.

AND FINAL OUTCOME IS THAT YOU CAN LOOSE YOUR TEETH AT AN EARLY STAGE IN YOUR LIFE .THUS COMPROMISING WITH YOUR AESTHETICS AND FUNCTIONAL ABILITY.                                                                        

TYPES OF  GINGIVAL DISTRIBUTION:-

GENERALIZED

LOCALIZED

MARGINAL

PAPILLARY

DIFFUSE

DISCRETE

 SYMPTOMS:-

Bleeding gums

Tender gums

Pain

Bad breath

Poor oral hygiene.

 

TREATMENT :-

A) INITIAL ENLARGEMENT (PHASE 1 THERAPY). Includes

Scaling(oral prophylaxis)/ULTRASONIC OR MANNUAL CLEANING).

Root planning(DEEP CLEANING).

Oral hygiene instruction(FOLLOWED RELIGIOUSLY WITHOUT FAIL).

 

PHASE 2 THERAPY(AGGRESSIVE/ADVANCED TREATMENT MODALITIES UNDERTAKEN):-

Gingivoplasty(GINGIVAL CONTOURING).

Gingivectomy(EXCISION OF GUMS/ (GINGIVA).

LASER EXCISION. 

ELECTROSURGERY. 

PERIONTAL FLAP SURGERY. 

DIAGNOSIS:-

Gingival polyp is diagnosed inspite of myriad of etiology(causative factors)  by a CAREFUL HISTORY.

 

DIFFERENTIAL DIAGNOSIS:-

REQUIRES THOROUGH MEDICAL AND DENTAL HISTORY. 

NATURE AND EXTENT OF ENLARGEMENT. 

IDENTIFICATION OF ETIOLOGIC OR PREDISPOSING FACTORS.

LABORATORY INVESTIGATION OR BIOPSY SPECIMENS(EXCISIONAL OR INCISIONAL BIOPSY) TO CONFIRM THE DIAGNOSIS.

Note:- PLAQUE CONTROL IS VERY ESSENTIAL ASPECT IN THE MANAGEMENT OF GINGIVAL POLYPS. 

REMEMBER DEAR READERS:-

IN ALARMING OR SEVERE CASES,CONCERNED SPECIALIZED DOCTORS UTILIZE THE ADVANCED PROCEDURES.

ELABORATIVE/ ADVANCED(AGGRESSIVE) 

TREATMENT INVOLVES:-

Tools used -laser tools and scalpel (all surgical instruments with saliva control instruments).

LASER EXCISION(LASER UTILITY). ADVANCED PROCEDURE.

ELECTROSURGERY:-(ELECTRIC CURRENT USED BY THE PERIODONTIST TO CUT THE GINGIVAL OVERGROWTH).

PERIODONTAL FLAP SURGERY(BY THE CONCERNED SPECIALIST -PERIODONTIST).

GINGIVECTOMY AND GINGIVOPLASTY.

(EXCISION OF THE GINGIVA AND CONTOURING OF GINGIVA).

Note :-TAKE DUE PRECAUTIONS TO PREVENT THE INFECTION.DON’T IGNORE MAINTAINANCE OF ORAL HYGIENE AND PREVENTION AGAINST ANY EXTERNAL AND INTERNAL TRAUMA /INJURY.

 

So all my dear readers ,its time to end the blog.

I hope you all understood the blog so far.

ALL THE TOPICS COVERED TILL NOW ARE ON A WHOLE VERY BENEFICIAL FOR ALL OF YOU IN ORDER TO ATTAIN THE SOUND ORAL HEALTH. 

ORAL HEALTH INFLUENCES THE SYSTEMIC HEALTH AND IN TURN SYSTEMIC HEALTH INFLUENCES THE ORAL HEALTH. 

KEEP POURING IN YOUR SUGGESTIONS IF ANY....

DONT IGNORE ORAL PROPHYLAXIS AND YOUR ORAL HYGIENE AT ANY POINT IN YOUR LIFE.

THANKYOU ALL...

MEET YOU  ALL VERY SOON WITH MY UPCOMING BLOGS!!

GOODBYE..KEEP SAFE ALWAYS....