Non Surgical Management of Cutaneous Sinus Tract of Dental Origin: A Report of Three Cases

Kansal, Rohit; Kaushik, Aishvarya; Talwar, Sangeeta; Chaudhary, Sarika; Nawal, Ruchika Roongta

doi:10.14260/jemds/1568

Cited by 4 publications

(8 citation statements)

References 13 publications

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“…Thanks to its antibacterial and necrotic tissue dissolution properties, sodium hypochlorite is still the best solution and is frequently used. 15 Calcium hydroxide (Ca(OH) 2 ) is currently used as an intra-canal medication in endodontics. It has been needed for a quick and efficient treatment of the sinus tract associated with non-vital teeth.…”

Section: Discussionmentioning

confidence: 99%

Misdiagnosis of dental sinus tract

Hidoussi¹

2020

IJCE

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Cutaneous dental sinus tract arises as a consequence of chronic periapical periodontitis induced by pulp degeneration or necrosis. The absence of symptoms along with its unusual occurrence lead to ill-suited treatments. So, more often than not, it is misdiagnosed at the beginning. This article presents in detail the management of a 17-year-old patient in a good systemic health complaining of a sinus tract under his chin, which is secondary to pulp necrosis of the mandibular central incisor. A non-surgical endodontic treatment of this fistula was performed, which led to a successful resolution of the sinus tract, and which promoted periapical healing of the tooth involved. The article aims at highlighting the case history, diagnosis and management of this odontogenic cutaneous fistula.

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Section: Discussionmentioning

confidence: 99%

Misdiagnosis of dental sinus tract

Hidoussi¹

2020

IJCE

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“…The differential diagnosis should include traumatic lesions, fungal and bacteriologic infections, neoplasms, presence of foreign body, local skin infection, pyogenic granuloma, chronic tuberculosis lesion, osteomyelitis, actinomycosis and gumma of tertiary syphilis. Rare entities to be included in the differential diagnosis are defects of thyroglossal duct origin or branchial cleft, salivary gland and duct fistula and suppurative lymphadenitis (Kansal et al, 2013;Patni et al, 2010). Pustule is the most common of all purulent draining lesions and is readily recognized by its superficial location and short course.…”

Section: Discussionmentioning

confidence: 99%

“…Its biological properties are achieved by the dissociation in Ca 2+ and OHions. The antimicrobial effects of calcium hydroxide relate directly to its high alkalinity (pH 12.5), it has a destructive effect on cell membranes and protein structures (Kansal et al, 2013). The use of calcium hydroxide appears to promote a favorable environment for osseous repair and the resolution of the sinus tract.…”

Section: Discussionmentioning

confidence: 99%

“…Patients with cutaneous sinus tracts often undergo dermatological and other surgical interventions before being referred to the dentist. Therefore, all chronic draining sinus tracts of the face and neck signal the need of a thorough dental evaluation to avoid submitting patients to multiple biopsies, antibiotic regimens and unnecessary surgery Kansal et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

“…The most common initiating factor of the periradicular abscess is carious exposure and subsequent bacterial invasion of the tooth pulp. The discharge of purulent exudates usually is associated with periapical radiolucent area and goes through tissues and structures along the path of least resistance (Kansal et al, 2013;Kell and Nahmias, 2007). The site of drainage can be located intra or extraorally, depending on certain circumstances such as the tooth which is diseased, and the apex position relatively to muscular attachments, bacterial virulence and lower host resistance (Pour et al, 2014;Sammut et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Non surgical management of cutaneous sinus tract of odontogenic origin: A case report

Abdelmoumen¹,

Skhiri²,

Boughzela³

2014

J. Dent. Oral Hyg.

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Cutaneous sinus tracts of dental origin are often initially misdiagnosed and inappropriately treated because of their uncommon occurrence and the absence of symptoms in approximately half the individuals affected. This paper reports a case describing the diagnosis and treatment of an extra-oral cutaneous sinus tract of odontogenic origin in relation to a mandibular left first molar. Non-surgical endodontic treatment was performed, and it resulted in resolution of the sinus tract and promoted periapical healing of the tooth involved.

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Surgical management of an odontogenic cutaneous sinus tract misdiagnosed for 4 years

Hammouda

Touil

Kikly

et al. 2022

Clinical Case Reports

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A cutaneous sinus tract of dental origin may easily be misdiagnosed and incorrectly treated. This paper reported a case of a 20‐year‐old male patient referred for a productive cutaneous sinus tract misdiagnosed by medical doctors for more than 4 years. The clinical and radiographic examinations confirmed the odontogenic origin related to a mandibular first right molar presenting an infected radicular cyst. Surgical treatment was performed leading to a significant healing of the sinus tract.

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Non Surgical Management of Cutaneous Sinus Tract of Dental Origin: A Report of Three Cases

Cited by 4 publications

References 13 publications

Misdiagnosis of dental sinus tract

Misdiagnosis of dental sinus tract

Non surgical management of cutaneous sinus tract of odontogenic origin: A case report

Surgical management of an odontogenic cutaneous sinus tract misdiagnosed for 4 years

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