Management of Cutaneous Draining Sinus Tract of Odontogenic Origin (original) (raw)
Related papers
Non Surgical Management of Cutaneous Sinus Tract of Dental Origin: A Report of Three Cases
Journal of Evolution of Medical and Dental sciences, 2013
Chronic inflammation of the dental pulp is one of the reasons for cutaneous sinus tract of odontogenic origin. A cutaneous sinus or extra oral sinus from a lesion of endodontic origin is rare as compared to an intra oral sinus and may occur as result of long standing inflammatory process associated with necrotic pulp. Such patients are usually healthy and are unaware of the underlying asymptomatic dental problem. Common clinical presentation in these patients is a papule or nodule located most commonly in the chin, cheek or in submandibular area and this leads them to seek treatment from a general physician or a dermatologist. They may undergo unnecessary multiple biopsies, multiple surgical interventions, multiple antibiotic regimens, and even be subjected to radiation therapy or electrodessication. However more often than not, recurrence of sinus tract takes place because the primary dental etiology is never taken care of. The present article aims to report three cases of cutaneous sinus tracts in the submental area which were treated conservatively by endodontic treatment of the involved teeth.
Nonsurgical management of cutaneous sinus tract of odontogenic origin: A report of two cases
Journal of Conservative Dentistry, 2021
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.
Non surgical management of cutaneous sinus tract of odontogenic origin: A case report
Journal of Dentistry and Oral Hygiene, 2014
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.
Treatment of odontogenic cutaneous sinus tract misdiagnosed for 6 years
Dental, Oral and Craniofacial Research
Cutaneous odontogenic fistulas or sinus tracts are frequently misdiagnosed and incorrectly treated, leading to unnecessary procedures and patient suffering. An understanding of the draining of cutaneous sinus tracts will lead to more appropriate treatment [1]. Most cases respond to conservative, nonsurgical root canal therapy. Our objective is to report a case of cutaneous sinus tract evolving for 6 years secondary to chronic periapical dental infection caused by old trauma. The conservative treatment of the causal teeth was sufficient to achieve healing despite the oldness of the fistula.
Journal of Dentistry Indonesia
Extraoral draining sinus of odontogenic origin usually lacks intraoral symptoms, thus it may be diagnosed as a cutaneous lesion. It is rare and may be confused with a wide variety of diseases for example furuncle, pericoronitis in relation to the mandibular third molars, parotid fistula, preauricular sinuses, periapical and periodontal pathology, and many more. Patients might seek treatment from their physician as they are not aware of its odontogenic origin and these cases usually are misdiagnosed and leading to inappropriate treatment. Objective: To discuss the detailed management of two cases of extraoral draining sinus that were successfully treated. Case Reports: The first case was referred by the Department of Oral and Maxillofacial Surgery, for management of extraoral draining sinus originating from tooth 36. In the second case, the extraoral draining sinus is caused by pulpal necrosis of several mandibular anterior teeth. Intra-radicular microorganisms in infected root canal...
Management of Extra Oral Sinus Cases: A Clinical Dilemma
Journal of Endodontics, 2004
The cutaneous sinus tract of dental origin is an uncommon but well documented condition. Its diagnosis is not always easy unless the treating clinician considers the possibility of its dental origin. Such patients may undergo multiple surgical excisions, biopsies, and antibiotic regimens, but all of them fail with the recurrence of the sinus tract. This is because the primary etiology is incorrectly diagnosed. This case report describes the treatment of four patients presenting with variable complaints of pain and purulent or hemorrhagic discharge from lesions of the face. Clinical and radiographic examination revealed carious teeth with radiolucent areas indicating chronic periradicular abscess. The teeth were restorable, so nonsurgical endodontic therapy was performed in all of them. No systemic antibiotic therapy was provided. The patients responded well, and the cutaneous lesions healed uneventfully. Improper diagnosis can lead to needless loss of teeth that can be otherwise maintained through timely and proper management.
IP Innovative Publication Pvt. Ltd., 2016
The cutaneous sinus tract of maxillary dental origin is a rare but, a well-documented condition. However, several non-odontogenic disorders may also produce an extra-oral sinus tract. The diagnosis is a perplexity unless the treating operator considers the occurent of its dental origin. Such patients may undergo multiple surgical excisions and antibiotic therapy, but the treatment fails with the recurrence of the lesion, because the primary etiology is misdiagnosed. This case report describes a non-surgical endodontic therapy performed in relation with right maxillary first molar (# 16) which was misdiagnosed earlier. The confirmatory diagnosis was made by injection of radio-opaque contrast followed by Cone-beam computed tomography (CBCT) scan. The condition was diagnosed as chronic periradicular abscess with # 16 draining to an extra oral cutaneous sinus tract opening in right malar region. A successful outcome is observed after non-surgical endodontic treatment during follow-up of five years.
Surgical management of an odontogenic cutaneous sinus tract misdiagnosed for 4 years
Authorea (Authorea), 2021
A cutaneous sinus tract of dental origin may easily be misdiagnosed and incorrectly treated. This paper reported a case of a 20-years-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 Introduction: Cutaneous sinus tracts of dental origin are relatively uncommon and are often initially misdiagnosed and inappropriately treated, due to their rarity and the absence of specific symptoms (1). This condition is defined as a pathologic canal leading from an enclosed area of inflammation or infection that opens to an epithelial surface of the face or the neck. (2)
The Bulletin of Tokyo Dental College, 2016
Here, we report the diagnosis and treatment of an extraoral cutaneous sinus tract originating in a mandibular second molar with a C-shaped root canal system. The patient was referred to our department by a dermatologist after a series of unsuccessful treatments, including antibiotics. Diffuse radiolucency on a preoperative radiograph revealed that earlier root canal treatment had been only partially successful. Consequently, we performed retreatment of the root canal comprising removal of the former restoration and gutta-percha, cleaning and shaping, and passive irrigation with sodium hypochlorite. The patient responded well, and the cutaneous lesion completely resolved uneventfully within 1 month postoperatively. Preoperative recognition and thorough knowledge of the root canal anatomy and conventional methods of obturation are necessary in performing successful endodontic treatment.