Pulp polyp (PP) is a type of irreversible pulpitis that occurs more frequently in young teeth, also referred to as chronic hyperplastic pulpitis or proliferative pulpitis, refers to a tissue condition characterized by excessive tissue growth in the pulp chamber. This process is often activated by an open cavity (traditionally induced by caries) and a chronic stimulus. This clinical case aimed to present a surgical traditional approach to extract a tooth diagnosed with a pulp pathology which is classified as a pulp polyp (PP) in a primary first molar. This article has been elaborated following the guidelines for case reports. A 7-year-old pediatric male patient with no systemic complications and no history of dental follow-up was referred to undergo care at the supervised internship clinic at the Maurício de Nassau University Center to assess his oral health condition in the year 2024 and to evaluate multiple caries lesions and sensitivity in some teeth. The patient didn’t show any painful symptoms or signs of secondary infection and did not respond positively to pulp tests. The extraction of unit 74 was performed with minor local anesthesia and atraumatic technique. The removal was successful and the child did not have any complications, the recovery went well, respectively. Pulp polyps can be treated by removing the pulp polyp followed by pulpectomy or root canal therapy, which removes the diseased pulp and seals the canals, or, in extreme situations, by teeth extraction.