EAS Publisher | Cutaneous Dental Sinus Tract: A Challenging Diagnosis

Cutaneous Dental Sinus Tract: A Challenging Diagnosis

DOI : https://doi.org/10.36349/easjdom.2024.v06i03.007

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Cutaneous odontogenic fistulas or sinus tracts are frequently misdiagnosed and incorrectly treated, leading to unnecessary procedures and patient suffering. A 30 year old patient referred to us with a chronically draining lesion on his cheek. The clinical and radiologic examination reveal a pulpal necrosis of a decayed first molar which is the most probale dental origin. The absence of total healing of cutaneous sinus tract after endodontic treatment of the first mandibular molar lead to search an eventual second etiology; a disinclused third molar. After the extraction of the disinclused third molar, the lesion showed an obvious healing. This double etiology has extended the treatment and delayed the healing.

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Lecturer, Dept. of Pharmacology and Therapeutics, Shaheed Monsur Ali Medical College & Hospital, Uttara, Dhaka-1230, Bangladesh

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