Nonsurgical management of cutaneous sinus tract of odontogenic origin: A report of two cases

J Conserv Dent. 2021 Mar-Apr;24(2):219-222. doi: 10.4103/jcd.jcd_125_21. Epub 2021 Oct 9.

Abstract

Discharging facial lesions of dental etiology are almost always difficult to diagnose. Due to the lack of dental signs in most patients, these lesions are often misunderstood and overlooked. Such patients often seek cosmetic therapy and end up undergoing unnecessary treatments, if an odontogenic source is not established. To make an accurate diagnosis, a comprehensive medical and dental history, as well as knowledge of the various presentations of facial lesions, is of pivotal importance. The cases identified here were misdiagnosed at first, and they were treated with antibiotics and surgical procedures as a result. Root canal operations were performed after referral to a dental unit, and the sinus tract eventually healed. This emphasizes the significance of taking odontogenic sources into account when treating head and neck lesions.

Keywords: Cone-beam computed tomography; PR; cutaneous sinus; dental origin; extraoral sinus; medico-legal claims; missed canal; nonsurgical management; skin lesions.

Publication types

  • Case Reports