Open AccessNon-surgical management of an extraoral cutaneous sinus tract of odontogenic origin
Author(s) -
Lynn Lilly Varghese,
Auric Bhattacharya,
Praveena Sharma,
Abhishek Apratim
Publication year - 2020
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2020-234699
Subject(s) - medicine , pulp necrosis , odontogenic , sinus (botany) , dentistry , etiology , periodontitis , pulp (tooth) , surgery , pathology , botany , biology , genus
Chronic apical periodontitis associated with dental pulp necrosis is the main cause of odontogenic extraoral cutaneous sinus openings. These tracts are often initially misdiagnosed unless the treating clinician considers a dental aetiology. This case report of a 19-year-old woman describes the diagnosis and treatment of an extraoral cutaneous sinus tract of odontogenic origin. Non-surgical conservative endodontic therapy was opted as the involved teeth were restorable. One month after the completion of obturation, there was closure of the sinus tract. One year follow-up showed complete resolution of the sinus tract with minimal scar formation.