Managing the Cutaneous Sinus Tract of Dental Origine

Authors

  • Edvard Janev Faculty of Dentistry, Ss Cyril and Methodius University of Skopje, Skopje
  • Enis Redzep Faculty of Dentistry, Ss Cyril and Methodius University of Skopje, Skopje

DOI:

https://doi.org/10.3889/oamjms.2016.100

Keywords:

Fistula, cutaneous sinus tract, periapical dental infections, root canal

Abstract

BACKGROUND: Draining cutaneous sinus tract in chin area may be caused by chronic periapical dental infections. Misdiagnosis of these lesions usually leads to destructive invasive treatment of the sinus tract that is not correct and curative.

CASE REPORT: A 31-year-old male patient referred to us with a chronically draining lesion on his chin. The lesion previously was misdiagnosed by medical doctors and had undergone two times surgery with a focus on the skin lesion and had received antibiotic therapy for a prolonged period of time. After clinical and radiologic examination the dental origin of the lesion was evident and proper endodontic and surgical treatment was performed. Three months later, after the treatment, the lesion showed total healing and reoccurrence occurred.

CONCLUSION: The key to successful treatment of cutaneous sinus tract of dental origin must be in appropriate communication between the dentist and the physician in order to achieve correct diagnosis and therapy in such cases.

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References

Marasco PV, Taylor RG, Marks MW. Dentocutaneous fistula. Ann Plast Surg. 1992;29:205-210. http://dx.doi.org/10.1097/00000637-199209000-00003 PMid:1524369

Karp MP, Bernat JE, Cooney DR. Dental diseases masquerading as suppurative lesions of the neck. J Pediatric Surg. 1982 ;17:532-536. http://dx.doi.org/10.1016/S0022-3468(82)80103-6

Stoll HL, Solomon HA. Cutaneous sinuses of dental origin. JAMA. 1963 ;184:120-138 http://dx.doi.org/10.1001/jama.1963.03700150074012

Endelman J. Oral and Dental Pathology. St.Lous, CV. Mosby Co., 1920.

Gurdin M, Pangman WJ. Dermal sinuses of dental origin with a report of three cases. Plastic. Reconstruction Surg. 1953 ;11:444-453. http://dx.doi.org/10.1097/00006534-195306000-00004

Cohen PR, Elezri YD. Cutaneous odontogenic sinus simulating a basal cell carcinoma. Plastic. Reconstruction Surg.1990;86:123-127. http://dx.doi.org/10.1097/00006534-199007000-00020 PMid:2193312

Fatouris PN. A cautionary tale: case report. Ausrt Dent J. 2000;45:53-54. http://dx.doi.org/10.1111/j.1834-7819.2000.tb00243.x

Kun H, Chung WK, Se L. Cutaneous sinus tract from remaining tooth fragment of edentulous maxillary. J Craniofac Surg. 2000;11 (3):254-257. http://dx.doi.org/10.1097/00001665-200011030-00010

Held JL, Junacov MJ, Barber RJ. Cutaneous sinus tract of dental origin:a diagnosis requiring clinical and radiological correlation. Cutis. 1989;43:22-24. PMid:2914462

Son TW, Chang BK, Yoo TV. Sinus tract of dental origin with pyogenic granuloma. Korean J Dermatol. 1980;18:253-258.

Koo Bg, Cha JS, Park JK. Two cases of cutaneous fistula of dental origin. Korean J Dermatol. 1983;21:703-705.

Johnson BR, Remeikis NA, Van Cura NA. Diagnosis and treatment of cutaneous facial sinus tracts of dental origin. J Am Dent Assoc. 1999;130:832-836. http://dx.doi.org/10.14219/jada.archive.1999.0307 PMid:10377641

Nestor C, Sunil K, Ilan R. Extraoral sinus tract misdiagnosed as an endodontic lesion. J Endod. 2003;29(12):841-843. http://dx.doi.org/10.1097/00004770-200312000-00015 PMid:14686820

Valderhaug J. A histologic study of experimentally produced intra-oral odontogenic fistula in monkeys. Int J Oral Surg. 1973;2:54-61. http://dx.doi.org/10.1016/S0300-9785(73)80003-1

McWalter GM, Alexander JB, del Rio CE, Knott JW. Cutaneous sinus tract of dental etiology. Oral Surg Oral Med Oral Path. 1988;66:608-614. http://dx.doi.org/10.1016/0030-4220(88)90384-2

Cioffi GA, Terezhalmy GT, Parlette HL. Cutaneous draining sinus tract:an odontogenic etiology. J Am Acad Dermatol. 1986;14:94-100. http://dx.doi.org/10.1016/S0190-9622(86)70012-1

Spear KL, Sheridan PJ, Parry HO. Sinus tract to the chin and jaw of dental origin. J Am Acad Dermatol. 1983;8:486-492. http://dx.doi.org/10.1016/S0190-9622(83)70053-8

Canatore JL, Klein PA, Lieblich LM. Cutaneous dental sinus tract, a common misdiagnosis: a case report and review of the literature. Cuts. 2002;70:264-267.

Foster KH, Primack PD, Kulid JC. Odontogenic cutaneous sinus tract. J Endodontics. 1992;18:304-306. http://dx.doi.org/10.1016/S0099-2399(06)80959-3

Yang ZP, Lai YL. Healing of a sinus tract of periodontal origin. J Endodontics. 1992;18:178-180. http://dx.doi.org/10.1016/S0099-2399(06)81414-7

Orlow SJ, Watsky KL, Bolognia JL. Skin Bones II. J Am Acad Dermatol. 1991;25:447-462. http://dx.doi.org/10.1016/0190-9622(91)70226-R

Tidwell E, Jenkins JD, Ellis CD. Cutaneous odontogenic sinus tract to the chin: a case report. Int Endodontic J. 1997; 352-355. PMid:9477827

Swift JQ, Gulden WS. Antibiotic therapy: managing odontogenic infections. Dent Clin N Am. 2002;46: 623-633. http://dx.doi.org/10.1016/S0011-8532(02)00031-9

Weiger R, Manncke B, Werner H. Microbial flora or sinus tracts and root canals of non-vital teeth. Endo Dent Traumatol. 1995;11:15-19. http://dx.doi.org/10.1111/j.1600-9657.1995.tb00673.x

Caliskan MK, Sen BH, Ozinel MA. Treatment of extraoral sinus tracts from traumatized teeth with apical peropdontitis. Endod Dent Traumatol. 1995;11:115-120. http://dx.doi.org/10.1111/j.1600-9657.1995.tb00471.x PMid:7641626

Grosman II. Endodontic Practice. 9th ed.Philadelphia: Lea&Fabriger Co., 1978:89-96.

Al-Kandari AM, Al-Quoud OA, Ben-Nadji A. Quintescence Int. 1993; 10:729-733.

Published

2016-09-06

How to Cite

1.
Janev E, Redzep E. Managing the Cutaneous Sinus Tract of Dental Origine. Open Access Maced J Med Sci [Internet]. 2016 Sep. 6 [cited 2022 Dec. 6];4(3):489-92. Available from: https://oamjms.eu/index.php/mjms/article/view/oamjms.2016.100

Issue

Section

D - Dental Sciences