NON-SURGICAL ENDODONTIC TREATMENT OF EXTRAORAL OROCUTANEOUS SINUS TRACT: A CASE REPORT

Dr. Herojit Naorem, Dr. Kapil Gandhi, Dr Ritika Malhotra, Dr. Rishabh Kapoor, Dr. Babita Jangra

Abstract


The development and progression of endodontically induced periapical lesions is clearly associated with the presence of microorganisms in the root canal system. The present case report discusses diagnosis and treatment of an extraoral cutaneous sinus tract of odontogenic origin in relation to a mandibular right permanent first molar with closed apex (diagnosed as non-suppurative periradicular periodontitis with an extraoral cutaneous sinus tract opening in the left side of mandibular posterior region). Conservative endodontic therapy was performed using triple antibiotic paste as intracanal medicament. Patient responded well with the treatment approach and the cutaneous lesions was healed uneventfully. In the absence of any clinical symptom complete obturation was done in mandibular right first permanent molar. Patient was kept on regular follow-up.


Keywords


periapical lesion, extraoral sinus tract, odontogenic, non-surgical endodontic treatment.

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References


Qazi SS, Manzoor MA, Qureshi R, Arjumand B, Hussain SM, Afridi Z. Nonsurgical endodontic management of cutaneously draining odontogenic sinus. J Ayub Med Coll Abbottabad 2006;18:88-9.

Manuel ST, Parolia A, Kundabala M, Vikram M. Non-surgical endodontic therapy using triple-antibiotic paste. Kaen Dent J 2010;33:2

Bose R, Nummikoski P, Hargreaves K. A retrospective evaluation of radiographic outcomes in immature teeth with necrotic root canal systems treated with regenerative endodontic procedures. J Endod 2009;35:1343-9

Mittal N, Gupta P. Management of Extra Oral Sinus Cases: A clinical Dilemma. J Endod. 2004;30(7):541–7.

Sheehan DJ, Potter BJ, Davis LS. Cutaneous Draining Sinus Tract of Odontogenic Origin: Unusual Presentation of a Challenge Diagnosis. South Med J. 2005;98(2):250–2.

Sato I, Ando-Kurihara N, Kota K, Iwaku M, Hoshino E. Sterilization of infected root-canal dentine by topical application of a mixture of ciprofloxacin, metronidazole and minocycline in situ. Int Endod J 1996;29:118-24.


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