 Pulp polyps usually show no radiographic apical lesions, however in long standing polyps or in those with extensive pulp involvement, chronic apical periodontitis may develop and present as a radiographic peri-apical lesion due to advancement of the inflammation present.Peri-apical lesions may present as widening of the periodontal-ligament space, an apical radiolucency or with no changes.To differentiate from a polyp of gingival origin, the pulp polyp may be lifted from the walls of the cavity with an excavator revealing the presence of the pedicle with very little or no discomfort experienced by the patient.