Soft tissue calcifications in the oral cavity and maxillofacial region are most often detected as incidental findings on routine radiographic examination. But sometimes these soft tissue calcifications can be serious and may need treatment or follow-up of the underlying cause. Deposition of calcium salt as a result of chronic inflammation, necrosis or scarring in injured tissues despite normal phosphorous and calcium metabolism is called dystrophic calcification. A variety of systemic disorders can be associated with this type of calcification but, still, the pathophysiology is not clear. Here we present a case of dystrophic calcification in the floor of the mouth of an 18-year-old female patient associated with dysphagia which was excised by intraoral route.
Odontogenic sinus tracts in the face and neck region are relatively uncommon and may present a diagnostic problem. As specific dental symptoms usually are absent in these cases, patients generally visit physician first for the evaluation and treatment because of the absence of dental symptoms. These cutaneous sinus tracts are most commonly located on the chin, cheek or in the submandibular area and rarely in the nasal region. Diagnostic errors can result in multiple surgical excisions and biopsies, long-term antibiotic therapy and even radiation therapy or electrodessication.1 The primary odontogenic disorder that results in such cutaneous lesions is typically a chronic periapical abscess or an impacted tooth or a root piece. We report two cases of extraoral sinus tracts, which were diagnosed as cutaneous sinus tracts of dental origin only after the failure of initial misdirected therapy.
An 18-year-old male patient, student by occupation and residing in Kuppam district in Andhra Pradesh, came reported the Department of Oral and Maxillofacial Surgery with a chief complaint of swelling on the left half of face since childhood, which was slow in onset and gradually increased in size and developed to present size. It was not associated with any secondary changes like pain, fever or pus discharge.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.