 today we will be seeing a small topic from oral pathology or oral medicine that is pulpolyp so pulpolyp so there are two types of polyp actually one is gingeral polyp and pulpolyp so gingeral polyp as a name indicates it starts from the gingiva and similar with the pulp so pulpolyp is also known as proliferative pulpitis or chronic hyperplasty chronic hyperplastic pulpitis okay its nature is chronic and it is hyperplastic okay overgrowth and inflammation of the pulp sorry so that is chronic hyperplastic pulpitis it is chronic in nature it is overgrowth of cells with reaction to the inflammation of pulp so it is a irreversible type of pulpitis so it always seen on tooth with extensive K-res exposure and mostly on the young pulp okay mostly on the young pulp that is recently erected tooth which is one to two years of age so in those cases we can see the pulpolyp and resulting from a long-standing and low-grade irritation okay so there will be a long-standing that is why this chronic nature is there chronic nature okay long-standing and low grade is not a high-grade infection very low-grade infection which results in granulation tissue so what are the causes of pulpolyp so mostly it could be due to K-res that is a large open cavity okay so K-res will be like large open cavity and a fracture tooth causing trauma or the dental K-res in young resistant pulp and also it could be due to the mechanical irritation of chewing and bacterial infection okay what are the symptoms so mostly the pulpolyp is a symptomatic it will not show any symptoms okay but masticatory stress can lead to some kind of tenderness it is due to the mastication now localized bleeding mostly it is asymptomatic okay and its appearance is pinkish swollen tissue okay mostly it will be a pinkish one and it will be inflamed and swollen tissue mass so the differential diagnosis we can say the proliferating drinkable tissue proliferating drinkable tissue with a differential diagnosis so the treatment options so how do we treat pulpolyp the first thing is elimination of the polypolyp tissue followed by first we need to eliminate the polypolyp tissue followed by extirpation of the pulp provided tooth can be restored so this should be removed with a periodontal curate or spawn excavator so we can use a periodontal curate or spawn excavator sometimes bleeding will be there but it can be controlled by pressure so the pulp tissue of the chamber is then completely removed and temporary dressing is sealed in and contact with the completed radical pulp tissues so we are not removing the radical pulp tissue at the first sitting where as a radical pulp can be removed on the second sitting okay first we are curating all the pulp tissue polypolyp tissue in the coronal part of the granulation tissue and then we are placing a temporary dressing and we are sending back the patient and in the second visit we can remove the radical pulp and if we have time we can do pulpectomene okay if we don't have time because if the radical pulp removal taking lot of time means we can keep it for the next sitting the pulpectomene can be done on the third sitting okay so this radical pulp removal is done on second sitting and this temporary filling process will be done on the first sitting so that's how we manage pulp polyp so that was all about pulp polyp it's a very small topic from oral pathology it is very commonly asked a short note for university exam so you can write about its causes its introduction part its symptoms its appearance its differential diagnosis and its treatment part the first second and third sitting and you can just differentiate between the pulp polyp and the chinchawal polyp so I'll come for the new topic in the industry and more thank you