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Cutaneous sinus tracts (or emerging sinus tracts) of odontogenic origin: a report of 3 cases

Authors Brown R, Jones R, Feimster T, Sam FE

Published 5 July 2010 Volume 2010:2 Pages 63—67


Review by Single anonymous peer review

Peer reviewer comments 3

Ronald S Brown1, Robert Jones2, Tawana Feimster3, Frances E Sam2

1Department of Oral Diagnostic Services, Howard University College of Dentistry, Washington, DC, USA; 2Department of Oral and Maxillofacial Surgery, Howard University College of Dentistry, Washington, DC, USA; 3Department of Endodontics, Howard University College of Dentistry, Washington, DC, USA

Abstract: Three cases are presented in which patients presented with either cutaneous swelling or cutaneous sinus tracts of odontogenic origin. A cutaneous sinus tract of odontogenic origin is a pathway through the alveolar bone that typically begins at the apex of an infected tooth or of an infected portion of the dental alveolus and empties infected material (pus) through the skin. Where as the more common finding of an oral fistula is a pathway from the apical periodontal area of a tooth to the surface of the oral mucous membrane, permitting the discharge of suppurative material. Diagnosis, etiology and treatment are discussed with reference to patient history, clinical examinations, imaging, and treatment perspectives.

Keywords: dental abscess, fistula, cutaneous sinus tract, odotogenic infection

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