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Related Experiment Videos

Cutaneous sinus tract caused by vertical root fracture

C P Chan1, S H Chang, C C Huang

  • 1Dental Department, Chang Gung Memorial Hospital, Taipei, Taiwan, R.O.C.

Journal of Endodontics
|May 20, 1998
PubMed
Summary

A rare odontogenic cutaneous sinus tract, caused by a vertical root fracture, repeatedly recurred despite medical and surgical treatments. Dental extraction of the fractured molar led to complete and uneventful healing.

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Area of Science:

  • Dentistry
  • Oral Surgery
  • Dermatology

Background:

  • Odontogenic cutaneous sinus tracts are uncommon presentations of dental infections.
  • Vertical root fractures can lead to persistent periapical inflammation and secondary infections.
  • Recurrent sinus tracts pose diagnostic and therapeutic challenges.

Observation:

  • A patient presented with a persistent, recurrent cutaneous sinus tract.
  • The sinus tract was unresponsive to prolonged medical and surgical interventions.
  • A history of dental trauma from a cow-related injury 3 years prior was noted.

Findings:

  • Diagnosis revealed the sinus tract originated from a vertically fractured molar.
  • Extraction of the fractured molar was performed by a dentist.

Related Experiment Videos

  • The cutaneous sinus tract resolved completely within one month post-extraction.

    • Implications:

    • This case highlights the importance of considering dental origins in recurrent cutaneous sinus tracts.
    • Early dental diagnosis and intervention are crucial for resolving such conditions.
    • Vertical root fractures, even from remote trauma, can have delayed and complex presentations.