Dergiler / Clinical Dentistry and Research / 2017 / Cilt: 41 - Sayı: 2

DIAGNOSIS AND TREATMENT OF EXTRAORAL SINUS TRACT OF ENDODONTIC ORIGIN: A CASE REPORT

ENDODONTİK KÖKENLİ BİR EKSTRAORAL FİSTÜLÜN TEŞHİS VE TEDAVİSİ: BİR OLGU SUNUMU

Sayfa
89–94
DOI
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

As a result, extraoral sinus tracts of endodontic origin can be conservatively healed with root canal treatment, whereas a delayed diagnosis or misdiagnosis may lead to more complicated cases.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:This case report presents the successful endodontic management of an odontogenic infection drained extraorally originated via a maxillary molar tooth.
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Temel Bulgular & Veri:An infection that led to mucosal swelling in the right maxillary region two months ago became acute once again because the necessary treatments could not be performed, and the patient was referred to an emergency room of a hospital as the infection was drained extraorally to buccal area.
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Sonuç & Katkı:As a result, extraoral sinus tracts of endodontic origin can be conservatively healed with root canal treatment, whereas a delayed diagnosis or misdiagnosis may lead to more complicated cases.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Özet

This case report presents the successful endodontic management of an odontogenic infection drained extraorally originated via a maxillary molar tooth. An infection that led to mucosal swelling in the right maxillary region two months ago became acute once again because the necessary treatments could not be performed, and the patient was referred to an emergency room of a hospital as the infection was drained extraorally to buccal area. Severe soft tissue injury was found due to the wound debridement, wound dressing, abscess, and haematoma drainage performed in fistula area. Root canal treatment of the right maxillary first molar tooth diagnosed as the source of infection was performed in our endodontic clinic, and the repair of the defective region was performed with a fullthickness skin graft via a plastic surgery operation. As a result, extraoral sinus tracts of endodontic origin can be conservatively healed with root canal treatment, whereas a delayed diagnosis or misdiagnosis may lead to more complicated cases.

Abstract

Bu olgu raporunda, bir üst çene büyükazı dişinden kaynaklı ekstraoral olarak drene olan bir odontojenik enfeksiyonun başarılı endodontik tedavisi sunulmuştur. İki ay önce bir enfeksiyon sağ üst çene bölgesinde mukozal şişliğe yol açmış ve gerekli tedaviler yapılmadığı için akutlaşmış ve hasta, apse bukkal alandan ekstraoral olarak drene olmaya başladığında bir hastanenin acil servisine başvurmuş. Fistül alanında gerçekleştirilen yara debridmanı, yara pansumanı, apse ve hematom drenajı nedeni ile aşırı yumuşak doku hasarı vardı. Enfeksiyon kaynağı olarak tanısı konulan sağ üst çene birinci büyükazı dişine endodonti kliniğimizde kök kanal tedavisi yapıldı ve yumuşak doku defekti bulunan yanak bölgesi plastik cerrahi operasyonu ile tam kalınlıklı deri grefti ile tamir edildi. Sonuç olarak, endodontik kökenli ekstra oral fistül vakaları konservatif olarak kök kanal tedavisi ile iyileşebilir. Ancak, gecikmiş veya yanlış tanılar daha komplike vakalara neden olabilir

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Bu Makaleye Atıf Yap

AYDIN, H., KUŞTARCI, A., ER, K. (2017). DIAGNOSIS AND TREATMENT OF EXTRAORAL SINUS TRACT OF ENDODONTIC ORIGIN: A CASE REPORT. Clinical Dentistry and Research, Cilt: 41 - Sayı: 2, 89–94. https://ajindex.com/articles/145898

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Kaynakça (10)

  1. 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; 18:88-89.
  2. Abdelmoumen E, Skhiri SZ, Boughzela A. Nonsurgical management of cutaneous sinus tract of odontogenic origin: a case report. J Dent Oral Hyg 2014; 6: 30-35. Winstock D. Four cases of external facial sinuses of dental origin. J R Soc Med 1959; 52: 749-751
  3. Obayashi N, Ariji Y, Goto M, Izumi M, Naitoh M, Kurita K et al. Spread of odontogenic infection originating in the maxillary teeth: computerized tomographic assessment. Oral Surg Oral Med Oral Pathol Oral Radiol 2004; 98: 223-231.
  4. Boffano P, Roccia F, Pittoni D, Di Dio D, Forni P, Gallesio C. Management of 112 hospitalized patients with spreading odontogenic infections: correlation with DMFT and oral health impact profile 14 indexes. Oral Surg Oral Med Oral Pathol Oral Radiol 2012; 113: 207-213. Jiménez Y, Bagán JV, Murillo J, Poveda R. Odontogenıc infections, complications. systemic manifestations. Med Oral Patol Oral Cır Bucal 2004; 9 Suppl: 139-147.
  5. Bai J, Ji AP, Huang MW. Submental cutaneous sinus tract of mandibular second molar origin. Int Endod J 2014; 47: 1185-1191
  6. Cohenca N, Karni S, Rotstein I. Extraoral sinus tract misdiagnosed as an endodontic lesion. J Endod 2003; 29: 841-843.
  7. Pasternak-Junior B, Teixeira CS, Silva-Sousa YT, Sousa-Neto MD. Diagnosis and treatment of odontogenic cutaneous sinus tracts of endodontic origin: three case studies. Int Endod J 2009; 42: 271- 276. Guevara-Gutierrez E, Riera-Leal L, Gomez-Martinez M, Amezcua- Rosas G, Chavez-Vaca CL, Tlacuilo-Parra A. Odontogenic cutaneous fistulas: clinical and epidemiologic characteristics of 75 cases. Int J Dermatol 2015; 54: 50-55
  8. Bodner L, Manor E, Joshua BZ, Barabas J, Szabo G. Cutaneous sinus tract of dental origin in children-a report of 28 new cases. Pediatric Dermatology 2012; 29: 421-425. Soares JA, de Carvalho FB, Pappen FG, Araujo GS, de Pontes Lima RK, Rodrigues VM et al. Conservative treatment of patients with periapical lesions associated with extraoral sinus tracts. Aust Endod J 2007; 33: 131-135
  9. Akpınar KE, Er K, Kuştarcı A, Özan Ü. Odontojenik fistüllerin prevalansı ve tedavi sonuçları. Cumhuriyet Üniversitesi Dişhekimliği Fakültesi Dergisi 2004; 7: 6-10.
  10. Gupta R, Hasselgren G. Prevalence of odontogenic sinus tracts in patients referred for endodontic therapy. J Endod 2003; 29: 798- 800. Unal GC, Ureyen Kaya B. Endodontic treatment of