In many cases, the histopathologic changes are limited to the coronal pulp tissue with the apical tissue exhibiting only mild vasodilation and minimal chronic inflammation. Ultrastructural examination of nerve fibers associated with the pulp polyp exhibits variable findings within the same tooth, ranging from normal to moderate or severe degeneration of both myelinated and unmyelinated nerve fibers. The more conservative pulpotomy treatment has been successful in selected cases when only the coronal pulp is affected. The tooth requires a full-coverage crown following endodontic therapy. A surgical crown lengthening procedure may be needed to prepare a tooth for a full-coverage crown.
Healing is uneventful in most cases.
No medications are recommended for the management of this lesion. Antibiotics are not prescribed for the treatment of the pulp polyp despite a bacterial component. Orthodontic treatment may be needed to restore the occlusion. Space discrepancy from crown destruction or premature loss of a tooth may result in a crowded malocclusion or the impaction of a succedaneous tooth. The prognosis is excellent.