Midline odontogenic infections: a continuing diagnostic problem

Treatment of an extraoral cutaneous sinus tract with endodontic intervention: a case report

“…The dental practitioner should specifically be careful about the determination of oral conditions and symptoms such as deep dentine caries, unsuitable restorations, gingival and periodontal problems. [5] Diagnosis of a necrotic tooth can sometimes be challenging in the early phases as there might be no detectable symptoms except slight alterations in the tooth color. In advanced stages, radiographic analysis may reveal bone resorption.…”

“…In advanced stages, radiographic analysis may reveal bone resorption. [5,6] In a clinical study, Gupta & Hasselgren [7] analyzed teeth in terms of dental periradicular inflammation and sinus tract formation. They indicated that; sinus tracts of endodontic origin are most commonly found in the intraoral region.…”

Surgical Management of Extra-Oral Mandibular Cutaneously Pus Draining Sinus Tract in a 13-years Old Girl - A Case Report

“…Antibiotic therapy is indicated when there are signs of systemic involvement (e.g., fever or lymphadenopathy). [14] In this case, report the cord was removed from its origin to the point of skin attachment, which allowed relaxation of the facial skin, elimination of the skin dimpling in the affected area, and restoration of normal facial contours.…”

Dental Sinus Infections- why are we still missing the well documented diagnosis?

“…Often these lesions are also surrounded by scar tissue as they have been previously biopsied or a surgical removal or radiotherapy has been performed (6,7,14).…”

“…Several articles have been published on the late diagnosis and mistreatment of dental sinus infections in dental, maxillofacial and dermatology literature, but very few in general medicine, which is perhaps why the diagnosis is still being missed so frequently by general practitioners (6,(11)(12)(13)(14). Therefore, it is important to reiterate the management and diagnosis of this condition, despite the fact that it is already well documented in the current literature as patients are still being subjected to unnecessary treatment.…”