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Odontogenous sinus tract to the chin--case report
Annales Academiae Medicae Stetinensis
|July 17, 2014
Summary
A rare odontogenic sinus tract to the chin was diagnosed and treated. Prompt endodontic treatment of affected incisors resolved a chronic facial skin lesion, highlighting the importance of dental evaluation for persistent facial suppuration.
Area of Science:
- Dentistry
- Oral Surgery
- Dermatology
Background:
- Odontogenic sinus tracts are rare infections originating from dental structures.
- Facial lesions of unknown origin can present diagnostic challenges.
- Persistent skin lesions may have underlying dental causes.
Observation:
- A patient presented with a chronic chin lesion unresponsive to seven years of dermatologic therapy.
- Radiographic examination revealed a bony lesion involving the lower central incisors, despite no caries or trauma.
- The patient's initial dental complaint was a toothache in a lower first molar.
Findings:
- The facial lesion was diagnosed as an odontogenic sinus tract originating from the lower central incisors.
- Endodontic treatment of the affected incisors was initiated.
- Histopathological examination confirmed the odontogenic origin of the lesion.
Implications:
- This case underscores the necessity of dental assessment for chronic facial lesions.
- Early diagnosis and endodontic intervention can resolve odontogenic sinus tracts.
- Radiological evaluation of dentition is crucial for identifying occult dental infections presenting as skin lesions.
