[Odontogenic cutaneous fistula: a diagnostic challenge]

Area of Science:

• Dentistry
• Dermatology
• Surgical Pathology

Background:

• Odontogenic cutaneous fistula (OCF) arises from chronic periapical dental infections.
• OCF presents diagnostic challenges, frequently mimicking dermatological conditions.
• Differential diagnosis includes pyogenic granuloma, tuberculosis, and congenital malformations.

Observation:

• A 46-year-old male presented with symptoms suggestive of OCF.
• Orthopantomography was utilized as a diagnostic tool.
• The patient exhibited a rapid improvement following treatment.

Findings:

• Successful diagnosis and management of OCF were achieved.
• Extraction of affected dental pieces and fistulectomy were performed.
• The patient demonstrated significant clinical improvement post-intervention.

Implications:

• Increased awareness of OCF is crucial for timely diagnosis.
• Early intervention can prevent diagnostic delays and ensure proper treatment.
• This case highlights the importance of considering dental origins for cutaneous fistulas.