.: OLGU SUNUMU
Non-Surgical Endodontic Treatment of Extraoral Sinus Tract of Endodontic Origin
Endodontik Kaynaklı Ekstraoral Fistülün ve Periapikal Lezyonun Cerrahi Olmayan Endodontik Tedavisi
Turkiye Klinikleri J Dental Sci. 2020;26(1):142-6
doi: 10.5336/dentalsci.2019-64897
Makale Dili: EN
Tam Metin
Ücretsiz Erişim
ABSTRACT
Cases with periapical lesions or extraoral sinus tracts have both aesthetic and functional problems. Non-surgical endodontic therapies to resolve these problems provide less traumatic solutions wıth higher cost-effectivity. A 14-year-old male patient was admitted to our clinic with complaints of swelling and skin lesion on the tip of his chin. Clinical and radiological examination revealed the cause of the extraoral sinus tract and periapical radiolucency as pulp necrosis associated with apical periodontitis in mandibular left incisors. Additionally, a radiopaque foreign object was detected in the middle third of the root canal of the mandibular left central incisor teeth. The foreign object was removed from the mandibular left central incisor and root canal fillings were performed for the mandibular left incisors teeth. Two weeks after the treatment, the extraoral sinus tract was completely healed and after 12 months the teeth were clinically asymptomatic and periapical tissue healing continued. The aim of this case report is to evaluate the success of the non-surgical endodontic treatment of the extraoral sinus tract and periapical lesion due to pulp necrosis and chronic apical periodontitis.
Keywords: Extraoral sinus tract; foreign bodies; periapical abscess
Cases with periapical lesions or extraoral sinus tracts have both aesthetic and functional problems. Non-surgical endodontic therapies to resolve these problems provide less traumatic solutions wıth higher cost-effectivity. A 14-year-old male patient was admitted to our clinic with complaints of swelling and skin lesion on the tip of his chin. Clinical and radiological examination revealed the cause of the extraoral sinus tract and periapical radiolucency as pulp necrosis associated with apical periodontitis in mandibular left incisors. Additionally, a radiopaque foreign object was detected in the middle third of the root canal of the mandibular left central incisor teeth. The foreign object was removed from the mandibular left central incisor and root canal fillings were performed for the mandibular left incisors teeth. Two weeks after the treatment, the extraoral sinus tract was completely healed and after 12 months the teeth were clinically asymptomatic and periapical tissue healing continued. The aim of this case report is to evaluate the success of the non-surgical endodontic treatment of the extraoral sinus tract and periapical lesion due to pulp necrosis and chronic apical periodontitis.
Keywords: Extraoral sinus tract; foreign bodies; periapical abscess
ÖZET
Periapikal lezyon ve ekstraoral sinüs yolu olan olgularda hem estetik hem de fonksiyonel problemler ortaya çıkabilmektedir. Bu problemleri çözmek için cerrahi olmayan endodontik tedavilerin kullanımı daha az travmatik ve düşük maliyetli bir çözüm sunmaktadır. On dört yaşında erkek hasta, çenesinin ucunda şişlik ve cilt lezyonu şikayeti ile kliniğimize başvurmuştur. Klinik ve radyolojik muayenede, ekstraoral fistülün ve periapikal radyolüsensin nedeninin, mandibular sol keser dişlerdeki pulpa nekrozu sonucu gelişen kronik apikal periodontitis kaynaklı olduğu belirlenmiştir. Ayrıca, mandibular sol santral keser dişin kök kanalının orta üçlüsünde radyoopak bir cisim gözlenmiştir. Mandibular sol santral keser dişteki yabancı cisim kök kanalından uzaklaştırılmış ve mandibular sol keser dişlerin kök kanal dolguları yapılmıştır. İki hafta içinde ekstraoral sinüs yolunun tamamen iyileştiği, 12 ay sonra dişlerin klinik olarak asemptomatik olduğu ve periapikal doku iyileşmesinin devam ettiği tespit edilmiştir. Bu olgu sunumunun amacı, pulpa nekrozu ve kronik apikal periodontitis sonucu gelişen ekstraoral sinüs yolunun ve periapikal lezyonun cerrahi olmayan endodontik tedavisinin başarısını değerlendirmektir.
Anahtar Kelimeler: Ekstraoral sinüs yolu; yabancı cisim; periapical apse
Periapikal lezyon ve ekstraoral sinüs yolu olan olgularda hem estetik hem de fonksiyonel problemler ortaya çıkabilmektedir. Bu problemleri çözmek için cerrahi olmayan endodontik tedavilerin kullanımı daha az travmatik ve düşük maliyetli bir çözüm sunmaktadır. On dört yaşında erkek hasta, çenesinin ucunda şişlik ve cilt lezyonu şikayeti ile kliniğimize başvurmuştur. Klinik ve radyolojik muayenede, ekstraoral fistülün ve periapikal radyolüsensin nedeninin, mandibular sol keser dişlerdeki pulpa nekrozu sonucu gelişen kronik apikal periodontitis kaynaklı olduğu belirlenmiştir. Ayrıca, mandibular sol santral keser dişin kök kanalının orta üçlüsünde radyoopak bir cisim gözlenmiştir. Mandibular sol santral keser dişteki yabancı cisim kök kanalından uzaklaştırılmış ve mandibular sol keser dişlerin kök kanal dolguları yapılmıştır. İki hafta içinde ekstraoral sinüs yolunun tamamen iyileştiği, 12 ay sonra dişlerin klinik olarak asemptomatik olduğu ve periapikal doku iyileşmesinin devam ettiği tespit edilmiştir. Bu olgu sunumunun amacı, pulpa nekrozu ve kronik apikal periodontitis sonucu gelişen ekstraoral sinüs yolunun ve periapikal lezyonun cerrahi olmayan endodontik tedavisinin başarısını değerlendirmektir.
Anahtar Kelimeler: Ekstraoral sinüs yolu; yabancı cisim; periapical apse
REFERANSLAR:
- Cohenca N, Karni S, Rotstein I. Extraoral sinus tract misdiagnosed as an endodontic lesion. J Endod. 2003;29(12):841-3. [Crossref] [PubMed]
- Assery M, Al Shamranit S. Cutaneous facial sinüs tract of dental origin: a clinical case report. Saudi Dent J. 2011;13(1):37-9.
- Sammut S, Malden N, Lopes V. Facial cutaneous sinuses of dental origin-a diagnostic challenge. Br Dent J. 2013;215(11):555-8. [Crossref] [PubMed]
- Brown RS, Jones R, Feimster T, Sam FE. Cutaneous sinus tracts (or emerging sinus tracts) of odontogenic origin: a report of 3 cases. Clin Cosmet Investig Dent. 2010;2:63-7. [Crossref] [PubMed] [PMC]
- Pasternak-Júnior 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(3):271-6. [Crossref] [PubMed]
- Dincol ME, Yilmaz B, Ersev H, Mert Gündüz V, Arslanoglu B, Yalcin TY, et al. Treatment of extraoral cutaneous sinus tracts with non-surgical endodontic intervention: report of six cases. J Istanbulb Univ Fac Dent. 2015;49(2):35-40. [Crossref] [PubMed] [PMC]
- Lee SH, Yun SJ. Odontogenic cutaneous sinus tract presenting as a growing cheek mass in the emergency department. Am J Emerg Med. 2016;35(5):808.e5-7. [Crossref] [PubMed]
- Rjeb Haifa B, Ines K, Walid L, Nabiha D. Treatment of odontogenic cutaneous sinus tract misdiagnosed for 6 years. Dental, Oral and Craniofacial Research. 2017;3(2):1-4. [Crossref]
- Varol A, Gülses A. An unusual odontogenic cutaneous sinus tract to the cervical region: a case report. OHDMBSC. 2009;8(3):43-5.
- Aydın H, Kustarcı A, Er K. Diagnosis and treatment of extraoral sinus tract of endodontic origin: a case report. Clinical Dentistry And Research. 2017;41(2):89-94.
- Akpınar KE, Kuştarçı A, Er K, Özan Ü. [Odontojenik fistüllerin prevalansı ve tedavi sonuçları]. Cumhuriyet Üniversitesi Diş Hekimliği Fakültesi Dergisi. 2004;7(2):6-10. Başlığın İngilizcesi verilmeli.
- Goomer P, Jain RL. Non-surgical endodontic treatment of extraoral sinus with triple antibiotic paste and mineral trioxide aggregate obturation. Indian J Oral Sci. 2013;4(2):95-8. [Crossref]
- Chand K, Joesph S, Varughese JM, Nair MG, Prasanth S. Endodontic management of an unusual foreign body in a maxillary central incisor. J Conserv Dent. 2013;16(5):474-6. [Crossref] [PubMed] [PMC]
- Rangeeth BN, Moses J, Reddy VN. Self-injurious behavior and foreign body entrapment in the root canal of a mandibular lateral incisor. J Indian Soc Pedod Prev Dent. 2011;29(6 Suppl 2):S95-8. [Crossref] [PubMed]
- Prabhakar AR, Namineni S, Subhadra HN. Foreign body in the apical portion of a root canal in a tooth with an immature apex: a case report. Int Endod J. 2008;41(10):920-7. [Crossref] [PubMed]
- 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(10):1343-9. [Crossref] [PubMed]
- Bogen G, Kuttler S. Mineral trioxide aggregate obturation: a review and case series. J Endod. 2009;35(6):777-90. [Crossref] [PubMed]
- Fu M, Zhang Z, Hou B. Removal of broken files from root canals by using ultrasonic techniques combined with dental microscope: a retrospective analysis of treatment outcome. J Endod. 2011;37(5):619-22. [Crossref] [PubMed]
- Bortoluzzi EA, Souza EM, Reis JM, Esberard RM, Tanomaru-Filho M. Fracture strength of bovine incisors after intra-radicular treatment with MTA in an experimental immature tooth model. Int Endod J. 2007;40(9):684-91. [Crossref] [PubMed]
- Özlek E, Ak B, Akkol E. Five year follow-up of a delayed reimplanted avulsed tooth: case report. East J Med. 2018;23(4):350-4. [Crossref]
- Purra AR, Ahangar FA, Chadgal S, Farooq R. Mineral trioxide aggregate apexification: a novel approach. J Conserv Dent. 2016;19(4):377-80. [Crossref] [PubMed] [PMC]
- Pace R, Giuliani V, Nieri M, Di Nasso L, Pagavino G. Mineral trioxide aggregate as apical plug in teeth with necrotic pulp and immature apices: a 10-year case series. J Endod. 2014;40(8):1250-4. [Crossref] [PubMed]
.: İşlem Listesi