16/09/2026
Not every tissue growth near a tooth is a pulp polyp!
A 6-year-old patient presented with a gingival papillary enlargement between the lower E and first permanent molar. Clinically, it appeared polyp-like, but there was no caries, pain, bleeding, or discoloration.
An X-ray revealed no evidence of dental caries or pathology.
The tissue was most likely a localized reactive gingival enlargement associated with plaque accumulation and local irritation/trauma.
Management included professional cleaning, removal of local irritants, improved oral hygiene, and a one-week follow-up to monitor healing.
Clinical reminder: Always differentiate between a gingival lesion and an odontogenic/pulpal lesion before initiating treatment.
Diagnosis begins with observation, examination, and appropriate investigations—not assumptions.
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