Polyps of primary molars

Deciduous molar polyps are actually gingival polyps and are closely related to daily diet. Once gingival polyps appear, pain is inevitable and needs to be treated promptly. Although there are many ways to treat gingival polyps, each patient's condition is different, and the appropriate treatment method is also different. Symptomatic treatment is required to ensure the best treatment effect.

Gingival polyps are polyp-like objects formed when gingival papillae proliferate into the cavities due to long-term food impaction and stimulation from the rough edges of the defective teeth when cavities appear on the occlusal surfaces of the affected teeth. During the development of caries in multi-rooted teeth with periodontal ligament polyps, the bone cavity is perforated, the pulp chamber floor is destroyed, and external stimuli cause reactive hyperplasia of the periodontal ligament at the root bifurcation. The polypoid granulation tissue perforates the pulp floor and enters the pulp chamber, and its appearance is very similar to that of a dental pulp polyp.

Treatment

For gingival polyps (connected to the gums), first take a dental X-ray to see if the tooth is worth treating. If so, root canal treatment is performed to repair the tooth. Otherwise, the tooth should be removed and replaced with a denture.

Suggestions

1. Stop the medication or replace it with other drugs. This is the most fundamental treatment for drug-induced gingival hyperplasia, but the patient's systemic condition often does not allow stopping or changing the medication. Therefore, it is best to adopt methods such as alternating with other drugs with the assistance of an internist to reduce side effects.

Second, remove local irritants by performing scaling to remove plaque, tartar, and all other irritants. In some mild cases, gingival hyperplasia can be significantly improved or cured after treatment.

3. Local drug treatment: For some patients with obvious gingival inflammation, the gingival pockets can be rinsed with 3% hydrogen peroxide solution, and a drug film or iodine preparation can be placed in the pocket, and an antibacterial mouthwash can be given. Further treatment can be performed after the inflammation is relieved.

4. Surgical treatment: For some cases with severe gingival hyperplasia, even with the above treatments, it cannot completely disappear. At this time, surgery is required to remove and trim the shape of the gums. However, surgery should be performed when the patient's general condition is stable. If you do not stop taking the medicine and maintain oral hygiene after surgery, the disease is likely to relapse.

5. Strictly control plaque and urge patients to seriously control plaque to reduce the degree of gingival hyperplasia during medication and reduce recurrence after surgery.