Non-Surgical Endodontic Treatment of Extraoral Sinus Tract of Endodontic Origin

Abstract

ABS TRACT Cases with periapical lesions or extraoral sinus tracts have both aesthetic and functional problems. Non-surgical endodontic therapies to resolve these problems provide less traumatic solutions wıth higher cost-effectivity. A 14-year-old male patient was admitted to our clinic with complaints of swelling and skin lesion on the tip of his chin. Clinical and radiological examination revealed the cause of the extraoral sinus tract and periapical radiolucency as pulp necrosis associated with apical periodontitis in mandibular left incisors. Additionally, a radiopaque foreign object was detected in the middle third of the root canal of the mandibular left central incisor teeth. The foreign object was removed from the mandibular left central incisor and root canal fillings were performed for the mandibular left incisors teeth. Two weeks after the treatment, the extraoral sinus tract was completely healed and after 12 months the teeth were clinically asymptomatic and periapical tissue healing continued. The aim of this case report is to evaluate the success of the non-surgical endodontic treatment of the extraoral sinus tract and periapical lesion due to pulp necrosis and chronic apical periodontitis.