Unique Pericoronal Orocutaneous Fistula: Sequelae of Chronic Subclinical Inflammation

Cheung, Andrew; Hudson, John W.; Viehweg, Tate L.

doi:10.1016/j.joms.2005.07.014

Cited by 1 publication

(1 citation statement)

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“…Cutaneous fistula of dental origin usually develops as a sequel to carious lesion or trauma causing a breach in enamel, dentine and ultimately involving pulp tissues [3]. If treatment is not done at this stage, the pulp tissues become necrotic, and infection extends beyond the apex of the tooth into the periapical area leading to a periapical abscess that eventually traverses the track of least resistance and breaks out through the skin surface [4]. Apart from pulp pathology, pericoronal infections and malignancy can also cause an orocutaneous fistula, but it is rare.…”

Section: Introductionmentioning

confidence: 99%

A Linguoverted Impacted Tooth With Orocutaneous Fistula – A Rare Case Report

Gadicherla

Kamath

Kudva

et al. 2018

Medicine and Pharmacy Reports

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The orocutaneous fistulous tract of odontogenic origin is often a diagnostic challenge, due to its rare manifestation and absence of dental signs and symptoms. The odontogenic cutaneous fistula is often misdiagnosed as a superficial skin lesion of non-odontogenic origin delaying the treatment. The diagnosis and treatment must be precise and swift to improve the clinical outcome and minimize the complications.This article presents a rare case of odontogenic keratocyst involving a linguoverted impacted third molar presenting as orocutaneous fistula. The patient was initially treated with empirical antibiotic therapy with no resolution of the cutaneous fistula and thickening of the skin around the sinus opening resulting in cosmetic deformity. Once the fistula was attributed to the underlying odontogenic cyst, treatment was done by cyst enucleation along with the extraction of tooth and fistula excision. The purpose of the paper is to emphasize the importance of early and accurate diagnosis and prompt management of the orocutaneous fistula due to the odontogenic origin.

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Section: Introductionmentioning

confidence: 99%