Professional paper
Cutaneous Sinus Tract of Odontogenic Origin – A Misdiagnosed Lesion: Report of two cases
Kavitarani Bhimappa Rudagi
; Dept of Conservative Dentistry and Endodontics, Sharad Pawar Dental College, Sawangi (meghe), India
Bhimappa Mallappa Rudagi
; Dept of Oral and Maxillofacial Surgery Sharad Pawar Dental College, Sawangi (meghe), India
Abstract
The aim of the present article was to discuss two different case reports of the extra-oral odontogenic cutaneous sinus tracts with emphasis on their diagnoses and treatment plans. Odontogenic cutaneous sinus is a rare but well documented condition. It is usually misdiagnosed as a local skin lesion and mistreated by multiple surgical excisions and/or systemic antibiotics with eventual recurrence. This is because the primary dental etiology is overlooked. We have described two cases of extraoral cutaneous sinus tract of an odontogenic origin. In both cases there were complaints of pain and purulent/hemorrhagic discharge from the lesions. Clinical and radiological examination showed inactive teeth, which were infected periapically in both cases. Non-surgical endodontic treatment was successful in Case 1. Surgical intervention was performed in Case 2. Both patients responded well and healing was uneventful. An understanding of the pathogenesis of cutaneous sinus tract arising from dental infection will lead to proper early diagnosis and successful treatment.
Keywords
Cutaneous Fistula; Dental Pulp Necrosis; Root Canal Preparation
Hrčak ID:
94362
URI
Publication date:
28.12.2012.
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