How to judge whether it is a tooth cavity or a polyp

Everyone knows that polyps can grow on many parts of the human body, but what many people don’t know is that polyps can actually grow in the teeth. Basically, most people have cavities, which makes it easy for them to develop tooth decay, and once they have tooth decay, cavities will form, so it is easy for meat to get stuck in the hole when they eat meat. So most people can't tell whether they have flesh stuck in their tooth cavities or polyps growing on their teeth?

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.

In chronic hyperplastic pulpitis, the affected tooth has a larger pulp foramen and an enlarged apical foramen. The pulp is well-supplied with blood, causing the inflammatory pulp tissue to proliferate in a polyp-like manner, protruding through the pulp foramen, which is more common in children and adolescents. It often occurs in deciduous molars or first permanent molars.

When polyps are found in deep cavities of affected teeth, they must be clinically differentiated from gingival polyps and periodontal ligament polyps. Gingival polyps are mostly caused by the proliferation of gingival papillae into caries cavities. Periodontal ligament polyps occur during the development of caries in multiple-rooted teeth. Not only is the pulp cavity perforated, but the pulp chamber floor is also destroyed. External stimuli cause reactive hyperplasia of the periodontal ligament at the root bifurcation, and the polypoid granulation tissue passes through the perforation at the pulp floor and enters the pulp cavity, looking very much like a dental pulp polyp. When performing clinical differentiation, a probe can be used to explore the pedicle of the polyp to determine the origin of the polyp. When a gingival polyp is suspected, it can be removed from the pedicle. The diagnosis can be confirmed by seeing that the bleeding site is at the gingival papilla on the outside of the gingival wall of the carious cavity adjacent to the affected tooth. When periodontal ligament polyps are suspected, the integrity of the pulp chamber floor should be carefully examined, and X-rays can assist in diagnosis. Once a periodontal polyp is diagnosed, the affected tooth should be extracted.