Diagnosis and treatment of extraoral sinus tract of endodontic origin: a case report


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Aydın H., Kuştarcı A., Er K.

Clinical Dentistry and Research , cilt.41, sa.2, ss.89-94, 2017 (Hakemli Dergi)

  • Yayın Türü: Makale / Vaka Takdimi
  • Cilt numarası: 41 Sayı: 2
  • Basım Tarihi: 2017
  • Dergi Adı: Clinical Dentistry and Research
  • Derginin Tarandığı İndeksler: TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.89-94
  • Akdeniz Üniversitesi Adresli: Evet

Özet

This case report presents the successful endodonticmanagement of an odontogenic infection drained extraorallyoriginated via a maxillary molar tooth. An infection that led tomucosal swelling in the right maxillary region two months agobecame acute once again because the necessary treatmentscould not be performed, and the patient was referred to anemergency room of a hospital as the infection was drainedextraorally to buccal area. Severe soft tissue injury was founddue to the wound debridement, wound dressing, abscess, andhaematoma drainage performed in fistula area. Root canaltreatment of the right maxillary first molar tooth diagnosed asthe source of infection was performed in our endodontic clinic,and the repair of the defective region was performed with a fullthicknessskin graft via a plastic surgery operation. As a result,extraoral sinus tracts of endodontic origin can be conservativelyhealed with root canal treatment, whereas a delayed diagnosisor misdiagnosis may lead to more complicated cases.