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Case report
Non-surgical management of an extraoral cutaneous sinus tract of odontogenic origin
  1. Lynn Lilly Varghese1,
  2. Auric Bhattacharya2,
  3. Praveena Sharma3 and
  4. Abhishek Apratim4
  1. 1Department of Conservative Dentistry and Endodontics, Melaka Manipal Medical College, Bukit Baru, Melaka, Malaysia
  2. 2Oral and Maxillofacial Surgery, Melaka Manipal Medical College, Bukit Baru, Melaka, Malaysia
  3. 3Department of Conservative Dentistry and Endodontics, College of Dental Sciences, Davangere, Karnataka, India
  4. 4Department of Prosthodontics, Melaka Manipal Medical College, Bukit Baru, Melaka, Malaysia
  1. Correspondence to Dr Lynn Lilly Varghese; lynn.varghese{at}manipal.edu.my

Abstract

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.

  • dentistry and oral medicine
  • oral and maxillofacial surgery
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Footnotes

  • Contributors LLV was involved in the diagnosis, treatment execution and article drafting. AB was involved in treatment planning and follow-up of the patient and initial drafting of the article. PS was involved in drafting and reviewing of the script. AA was involved in drafting and reviewing the article before submission.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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