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Dentistry · Caries, pulp and periodontal disease: pulp polyp
Sample itemA 10-year-old has a fleshy, pink, insensitive tissue mass protruding from a large cavity in a first permanent molar. What is the diagnosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Chronic hyperplastic pulpitis
Chronic hyperplastic pulpitis (pulp polyp) develops in young patients with a large open cavity and a well-vascularised pulp. The tissue is relatively painless and bleeds easily.
Option by option
A. Acute pulpitis
Acute pulpitis causes severe pain, not a painless polyp.
B. Pyogenic granuloma of the gingiva
A pyogenic granuloma arises from gingiva, not from inside the cavity.
C. Chronic hyperplastic pulpitis (correct)
Correct. Open cavity and good blood supply in the young produce a pulp polyp.
D. Giant cell epulis
A giant cell epulis is a gingival lesion arising on the alveolar ridge.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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