Non-surgical endodontic treatment of extraoral sinus with triple antibiotic paste and mineral trioxide aggregate obturation

Goomer, Pallvi; Jain, R L

doi:10.4103/0976-6944.119934

Cited by 2 publications

(1 citation statement)

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“…Metronidazole was chosen as the first choice among the antibacterial drugs as obligate anaerobes are found in the deep layers of the infected dentine of the root canal wall. According to study, it has been demonstrated that metronidazole can penetrate the deep layers of carious lesions and disinfect the lesions in vivo and diffuse throughout the dentine 31 32. As the root canal with a periradicular lesion consists of complex nature of bacterial flora, metronidazole alone cannot kill all bacteria necessitating the need for other drugs to sterilise the infected root dentine.…”

Section: Discussionmentioning

confidence: 99%

Primary molar with chronic periapical abscess showing atypical presentation of simultaneous extraoral and intraoral sinus tract with multiple stomata

et al. 2019

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Chronic periapical abscess drains through a sinus tract either intraorally or extraorally. However, intraoral drainage is more common than extraoral in both dentitions. Nevertheless, the simultaneous presentation of extraoral and intraoral sinus tract is very rarely reported in primary dentition. This case report discussed the management of a girl aged 7 years with a chronic periapical abscess of tooth no. 85 with both non-healing extraoral and intraoral sinus tract having multiple stomata. Non-vital pulpectomy using calcium hydroxide paste intracanal dressing was performed initially until 2 weeks without remarkable healing; then antibiotic dressing consisting of a mixture of ciprofloxacin, metronidazole and clindamycin was placed as an intracanal medicament for 1 week, which shows uneventful healing of both intraoral and extraoral sinus tract. This case report clearly indicates about how history, correct diagnosis and appropriate treatment of endodontic infection associated with sinus tract can be conservatively healed with endodontic treatment alone.

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Section: Discussionmentioning

confidence: 99%

Primary molar with chronic periapical abscess showing atypical presentation of simultaneous extraoral and intraoral sinus tract with multiple stomata

et al. 2019

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Diagnosis and Endodontic Treatment of Odontogenic Extraoral Sinus Tracts Cases Mimicking Dermatological Lesion: Three Case Reports

Kurnaz

Kiraz

Emek

2021

Black Sea Journal of Health Science

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Odontojenik ekstraoral fistüller pulpa nekrozu sonucu oluşan ve klinik olarak farklı hastalıklarla karıştırılabilen patolojik oluşumlardır. Ekstraoral fistüllerin etkili tedavisinin yapılmasında enfeksiyon kaynağının doğru tanısının yapılması gerekmektedir. Yüz ve boyun bölgesinde görülen ekstraoral fistül varlığında dental muayene çok önemlidir. Odontojenik ekstraoral fistülleri kök kanal tedavisi uygulayarak veya gerekli durumlarda dişin çekimi ile iyileştirmek mümkündür. Bu olgu sunumu da üç farklı dişten kaynaklanan üç ayrı ekstraoral fistül vakasının tedavisini içermektedir. Ekstraoral fistüle neden olan dişlere kök kanal tedavisi uygulanmıştır. Seans aralarında kanal içi medikament olarak kalsiyum hidroksit kullanılmıştır. Vakaların uzun dönem takiplerinde ekstraoral fistüllerin tamamen iyileştiği görülmüştür. Ayrıca takip seanslarında yapılan radyografik incelemelerde periapikal dokularda iyileşme izlenmiştir.

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Non-surgical endodontic treatment of extraoral sinus with triple antibiotic paste and mineral trioxide aggregate obturation

Cited by 2 publications

References 0 publications

Primary molar with chronic periapical abscess showing atypical presentation of simultaneous extraoral and intraoral sinus tract with multiple stomata

Primary molar with chronic periapical abscess showing atypical presentation of simultaneous extraoral and intraoral sinus tract with multiple stomata

Diagnosis and Endodontic Treatment of Odontogenic Extraoral Sinus Tracts Cases Mimicking Dermatological Lesion: Three Case Reports

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