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      Unusual Presentation of Chronic Hyperplastic Pulpitis: A Case Report

      case-report

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          Abstract

          Chronic hyperplastic pulpitis (pulp polyps) usually occurs in molar teeth of children and young adults and is characterized by an overgrowth of granulomatous tissue into the carious cavity. Here, we report a rare type of pulp polyp in lower third molar of a 27-year-old woman that not only grow into carious cavity but also extruded in very large size that interfered with occluding of the teeth.

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          Impacted teeth

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            Histological evaluation of teeth with hyperplastic pulpitis caused by trauma or caries: case reports.

            The purpose of this histological study was to examine teeth with hyperplastic pulpitis caused by trauma or caries. The pulp tissue of one young permanent incisor with a complicated crown-root fracture and a hyperplastic pulpitis, which had been contaminated with oral microflora for 40 days, and pulp polyps from four permanent first molars whose crowns were destroyed by extensive caries were prepared for standard histological examination. Histologically, normal pulp tissue organization was observed in the tooth with a complicated crown-root fracture in the cervical radicular region. Irregular calcification was seen in the coronal and radicular portion of the pulp in the four carious teeth with pulp polyps. Radicular pulp tissue in the middle and apical third of root canals beneath irregular calcification showed intensive fibrosis but was free from inflammatory cells. Hyperplastic pulpitis is a type of irreversible chronic open pulpitis. Young permanent teeth with hyperplastic pulpitis caused by trauma or caries have a great inherent defensive capacity to heal.
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              Principles of management of impacted teeth

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                Author and article information

                Journal
                Iran Endod J
                Iran Endod J
                IEJ
                Iranian Endodontic Journal
                Iranian Center for Endodontic Research (Tehran, Iran )
                1735-7497
                2008-2746
                Winter 2008
                10 January 2008
                : 2
                : 4
                : 156-158
                Affiliations
                [1 ] Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Kerman University of Medical Sciences and Health Services, Kerman, Iran
                [2 ] Department of Oral Pathology, Faculty of Dentistry, Kerman University of Medical Sciences and Health Services, Kerman, Iran
                Author notes
                [* ]Corresponding author at: Javad Faryabi, Oral and Maxillofacial Surgery department, Faculty of Dentistry, Shafa Avenue, Kerman, Iran. E-mail: jfr@kmu.ac.ir
                Article
                iej-02-126
                3834634
                03d5e397-f004-4b23-9aa6-81c6202be44d
                © 2008, Iranian Center for Endodontic Research

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License, ( http://creativecommons.org/licenses/by/3.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 2 July 2007
                : 11 October 2007
                : 26 November 2007
                Categories
                Case Report

                Dentistry
                dental pulp diseases,case reports
                Dentistry
                dental pulp diseases, case reports

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