Treatment of Extraoral Cutaneous Sinus Tracts With Non-Surgical Endodontic Intervention: Report of Six Cases

Dinçol, Muzaffer Emir; Yilmaz, Bülent; Ersev, Handan; Gündüz, Vildan Mert; Arslanoğlu, Burak; Yalçın, Turgut; Ekiz, Didem; Erişen, Raif

doi:10.17096/jiufd.73461

Cited by 7 publications

(4 citation statements)

References 12 publications

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“…This preventive approach is little described in the literature. Both of these methods have been tested by McCLUER from 1961 with similar aesthetic results [14,15].…”

Section: Unsightly Scarsmentioning

confidence: 99%

Cutaneous and Mucous Sinus Tract of Dental Origin: What’s Behind it?

Brigui

2023

AJBSR

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Dental Sinus Tract is an inflammatory channel putting in communication a deep peri-dental suppurative lesion with an exit orifice, it's nature's method of establishing drainage. A general practitioner commonly encounters in his practice this type of lesion. However, their discovery is very often delayed due to their chronic nature (asymptomatic) and their localization (hidden in the mucous folds or in skin furrows). The aim of this clinical case reports is to dissect the diagnostic difficulties and to discuss the therapeutic particularities of the management of mucous and cutaneous fistulas of dental origin. the first patient was referred to our service for the extraction of an impacted canine in whom we discovered by chance a mucous fistula that hides a cystic lesion perforating the vestibular alveolar table, after 2 weeks of intracanal calcium hydroxide and a root canal obturation, periapical surgery was performed with apical resection and 3 mm MTA plug. the second patient was referred by the maxillofacial department to verify a possible dental origin for the drainage of the cutaneous sinus tract in the left posterior part of the cheek, the radiographic analysis shows a decayed 36 with diffuse radiolucency and a resorbed distal root. The tooth was judged to be preserved and after root canal instrumentation and calcium hydroxide medication, the skin lesion shows signs of healing, therefore, the root canal filling was made with a bio-ceramic sealer and the patient was put under control. The key to the success of the treatment of mucous and cutaneous sinus tract of dental origin is, first of all, to know how to identify the etiology to their existence in order to not misdiagnose and initiate inappropriate therapies and, secondly, to be aware of the importance of post-operative follow-up. Finally, the treatment of the dental cause, conservative or not, leads generally to the disappearance of the fistula and a regression of the symptoms.

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“…This preventive approach is little described in the literature. Both of these methods have been tested by McCLUER from 1961 with similar aesthetic results [14,15].…”

Section: Unsightly Scarsmentioning

confidence: 99%

Cutaneous and Mucous Sinus Tract of Dental Origin: What’s Behind it?

Brigui

2023

AJBSR

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“…[17,18] Once the correct diagnosis is made, definitive treatment, through either tooth extraction or root canal therapy to eliminate the source of infection, is simple and effective. [19] In this case report, the diagnosis and treatment of an odontogenic extraoral sinus tract are described.…”

Section: Introductionmentioning

confidence: 98%

Treatment of Extraoral Sinus Tract with Endodontic Intervention: A Case Report

Karakaya

İriboz

Öveçoğlu

2020

ERD

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Odontejenik fistüller çoğunlukla pulpa enflamasyonuna bağlı gelişen tedavisi için genellikle kanal tedavisi nadiren de cerrahi işlem gereken patolojik oluşumlardır. Pek çoğu intraoral olarak oluşmasına rağmen bazen ekstraoral olarak da gözlemlenebilmektedir. Ekstraoral fistül, ağız boşluğu ve cilt arasında patolojik bir yoldur. Hastaların genellikle dental semptomları olamaması sebebiyle pek çok diğer cilt lezyonu ile karışabilmekte ve etkisiz tedaviler uygulanabilmektedir. Bu sebeple bu vakaların ayırıcı tanısının yapılması oldukça önemlidir. Bu vaka sunumu, alt çene kesici dişlerden oluştuğu tespit edilen ve çene ucu bölgesinden drene ekstraoral fistül vakasının kök kanal tedavisi uygulamasının ardından 3 aylık takibini içermektedir.

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“…It may cause unnecessary treatment such as surgical interventions and long-term antibiotic treatment before the correct diagnosis can be made. [4][5][6][7][8] Since there are no dental symptoms, patients first refer to dermatologists for the treatment of lesions. However, extraoral sinus tracts seen in the head and neck region usually develop due to endodontic infections.…”

mentioning

confidence: 99%

“…In order to resolve periapical pathology in non-surgical endodontic treatment, it is necessary to remove the infected material in the root canals and the root canals must be sealed three dimensionally. 6,8,12 Akpınar et al reported that 80.4% of the teeth in the odontogenic sinus tract were treated with only root canal treatment, 12.8% were treated with root canal treatment and endodontic surgery and the remaining 6.8% were treated with tooth extraction. 11 Unfamiliar objects in root canals are often seen in children and usually detected by chance.…”

mentioning

confidence: 99%

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

Özlek¹,

Gunduz²,

Akkol³

2020

Turkiye Klinikleri J Dental Sci

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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.

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Treatment of Extraoral Cutaneous Sinus Tracts With Non-Surgical Endodontic Intervention: Report of Six Cases

Cited by 7 publications

References 12 publications

Cutaneous and Mucous Sinus Tract of Dental Origin: What’s Behind it?

Cutaneous and Mucous Sinus Tract of Dental Origin: What’s Behind it?

Treatment of Extraoral Sinus Tract with Endodontic Intervention: A Case Report

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

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