Prognosis
Prognosis
Chronic pulpitis, being a form of irreversible pulpitis by definition, requires root canal treatment for resolution. Once treated, prognosis is equivalent to other forms of irreversible pulpitis: 85–95% success at 10 years without preexisting periapical pathology.
Untreated chronic pulpitis inevitably progresses to pulp necrosis, typically without dramatic acute symptoms. The insidious, asymptomatic nature means necrosis and periapical pathology may develop without the patient seeking care, potentially leading to extensive disease before diagnosis.
Pulp polyp has an excellent postoperative prognosis after root canal treatment and crown restoration. The structural integrity of the tooth (rather than the endodontic prognosis) often determines long-term outcome given the typically extensive coronal destruction associated with the lesion.