Pulp polyp - A periapical lesion: Radiographic observational study
Introduction: Pulp polyp (PP) is a chronic hyperplastic condition resulting in formation of granulation tissue and proliferative mass. The radiographic appearance of PP has innumerable presentations. Diagnosing and treatment planning of periapical lesions, heavily relies on the radiographic changes...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2015-01-01
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| Series: | Journal of Indian Academy of Oral Medicine and Radiology |
| Subjects: | |
| Online Access: | http://www.jiaomr.in/article.asp?issn=0972-1363;year=2015;volume=27;issue=1;spage=68;epage=71;aulast=Suresh |
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| author | Kandagal V Suresh Nidhi Bajaj Ajay G Nayak D Mounesh Kumar Chapi Snehal Patil Ashwini Rani |
| author_facet | Kandagal V Suresh Nidhi Bajaj Ajay G Nayak D Mounesh Kumar Chapi Snehal Patil Ashwini Rani |
| author_sort | Kandagal V Suresh |
| collection | DOAJ |
| description | Introduction: Pulp polyp (PP) is a chronic hyperplastic condition resulting in formation of granulation tissue and proliferative mass. The radiographic appearance of PP has innumerable presentations. Diagnosing and treatment planning of periapical lesions, heavily relies on the radiographic changes surrounding the root structures. Objective: To evaluate different radiographic periapical changes in clinically detected PP patients. Materials and Methods: Patients reporting to Department of Oral Medicine and Radiology and who were clinically diagnosed with PP by an oral diagnostician were subjected to radiographic examination. Digital intraoral periapical radiographs of 50 patients with PP were taken. Various periapical changes in the digital radiographs were recorded by a skilled oral radiologist. The data obtained was subjected to statistical analysis using SPSS ver 17.0 and P-value was set at <0.05 as significant. Result: Periapical changes like periodontal space widening (PDLW), loss of lamina dura, periapical abscess, periapical granuloma, hypercementosis, condensing osteitis and root resorption were noted. Periodontal space widening was seen in all patients (100%), loss of lamina dura was noted in 72%, periapical rarefying osteitis in 56%, condensing osteitis in 8%, hypercementosis, periapical granuloma, and root resorption were seen in 4% of PP patients. Majority of PP were asymptomatic (66%). Pulp polyp was commonly seen in mandibular first molar followed by mandibular second molar and maxillary first molar. Statistically significant difference was noticed between periapical changes in PP patients (P value <0.0001). All PP patients showed definite periapical changes suggesting it to be a periapical lesion. Conclusion: Pulp polyp is confined to the pulpal portion of the tooth which, may or may not cause changes in periapical region. The results of the present study showed that majority of the PP patients were associated with definite periapical changes. This observation suggests that clinically detected PP are radiographically associated with definite periapical changes suggesting it to be a periapical lesion. |
| first_indexed | 2024-12-20T14:17:26Z |
| format | Article |
| id | doaj.art-6b1ef405029549958f3e46c014f7f315 |
| institution | Directory Open Access Journal |
| issn | 0972-1363 0975-1572 |
| language | English |
| last_indexed | 2024-12-20T14:17:26Z |
| publishDate | 2015-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Indian Academy of Oral Medicine and Radiology |
| spelling | doaj.art-6b1ef405029549958f3e46c014f7f3152022-12-21T19:37:59ZengWolters Kluwer Medknow PublicationsJournal of Indian Academy of Oral Medicine and Radiology0972-13630975-15722015-01-01271687110.4103/0972-1363.167085Pulp polyp - A periapical lesion: Radiographic observational studyKandagal V SureshNidhi BajajAjay G NayakD Mounesh Kumar ChapiSnehal PatilAshwini RaniIntroduction: Pulp polyp (PP) is a chronic hyperplastic condition resulting in formation of granulation tissue and proliferative mass. The radiographic appearance of PP has innumerable presentations. Diagnosing and treatment planning of periapical lesions, heavily relies on the radiographic changes surrounding the root structures. Objective: To evaluate different radiographic periapical changes in clinically detected PP patients. Materials and Methods: Patients reporting to Department of Oral Medicine and Radiology and who were clinically diagnosed with PP by an oral diagnostician were subjected to radiographic examination. Digital intraoral periapical radiographs of 50 patients with PP were taken. Various periapical changes in the digital radiographs were recorded by a skilled oral radiologist. The data obtained was subjected to statistical analysis using SPSS ver 17.0 and P-value was set at <0.05 as significant. Result: Periapical changes like periodontal space widening (PDLW), loss of lamina dura, periapical abscess, periapical granuloma, hypercementosis, condensing osteitis and root resorption were noted. Periodontal space widening was seen in all patients (100%), loss of lamina dura was noted in 72%, periapical rarefying osteitis in 56%, condensing osteitis in 8%, hypercementosis, periapical granuloma, and root resorption were seen in 4% of PP patients. Majority of PP were asymptomatic (66%). Pulp polyp was commonly seen in mandibular first molar followed by mandibular second molar and maxillary first molar. Statistically significant difference was noticed between periapical changes in PP patients (P value <0.0001). All PP patients showed definite periapical changes suggesting it to be a periapical lesion. Conclusion: Pulp polyp is confined to the pulpal portion of the tooth which, may or may not cause changes in periapical region. The results of the present study showed that majority of the PP patients were associated with definite periapical changes. This observation suggests that clinically detected PP are radiographically associated with definite periapical changes suggesting it to be a periapical lesion.http://www.jiaomr.in/article.asp?issn=0972-1363;year=2015;volume=27;issue=1;spage=68;epage=71;aulast=SureshHyperplastic pulpitislamina duraperiapical pathologiesperidontitispulp polyp |
| spellingShingle | Kandagal V Suresh Nidhi Bajaj Ajay G Nayak D Mounesh Kumar Chapi Snehal Patil Ashwini Rani Pulp polyp - A periapical lesion: Radiographic observational study Journal of Indian Academy of Oral Medicine and Radiology Hyperplastic pulpitis lamina dura periapical pathologies peridontitis pulp polyp |
| title | Pulp polyp - A periapical lesion: Radiographic observational study |
| title_full | Pulp polyp - A periapical lesion: Radiographic observational study |
| title_fullStr | Pulp polyp - A periapical lesion: Radiographic observational study |
| title_full_unstemmed | Pulp polyp - A periapical lesion: Radiographic observational study |
| title_short | Pulp polyp - A periapical lesion: Radiographic observational study |
| title_sort | pulp polyp a periapical lesion radiographic observational study |
| topic | Hyperplastic pulpitis lamina dura periapical pathologies peridontitis pulp polyp |
| url | http://www.jiaomr.in/article.asp?issn=0972-1363;year=2015;volume=27;issue=1;spage=68;epage=71;aulast=Suresh |
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