Conservative treatment of patients with periapical lesions associated with extraoral sinus tracts.
This paper describes the clinical courses of three cases with extra-oral sinus tract formation, from diagnosis and treatment to short-term follow-up and evaluation. All teeth involved had periradicular radiolucent areas noted on radiographic examination and extra-oral sinus tracts appearing on the chin with exudation and unpleasant aesthetic appearance. The adopted treatment protocol included treating the sinus tract surface simultaneously with the root canal therapy. After root canal shaping using 5.25% sodium hypochlorite solution, calcium hydroxide-based pastes associated with different vehicles were inserted into the root canal for 4 months, and were changed monthly. All the sinus tracts healed in 7 to 10 days. The apical lesions were completely repaired in a maximum period of 24 months. The treatment adopted provided a complete healing of the periapical lesions in a short follow-up period. Surgical repair of the cutaneous sinus tract was therefore unnecessary.
Soares
Janir Alves
JA
Department of Endodontics, Diamantina School of Dentistry, Faculdades Federais Integradas de Diamantina, Minas Gerais, Brazil.
de Carvalho
Fabíola Bastos
FB
Pappen
Fernanda Geraldes
FG
Araújo
Gustavo Sivieri
GS
de Pontes Lima
Regina K
RK
Rodrigues
Vivian M Tellaroli
VM
de Toledo Leonardo
Renato
R
D000293:Adolescent; D000328:Adult; D002126:Calcium Hydroxide / Q000627:therapeutic use*; D017577:Cutaneous Fistula / Q000000981:diagnostic imaging / Q000188:drug therapy*; D003751:Dental Fistula / Q000000981:diagnostic imaging / Q000188:drug therapy*; D005260:Female; D006801:Humans; D008297:Male; D010482:Periapical Abscess / Q000000981:diagnostic imaging / Q000188:drug therapy*; D011859:Radiography; D012388:Root Canal Irrigants / Q000627:therapeutic use*; D012973:Sodium Hypochlorite / Q000627:therapeutic use*
D012388:Root Canal Irrigants; D012973:Sodium Hypochlorite; D002126:Calcium Hydroxide