Cutaneous Sinus Tract from Mandibular Second Molar with C-shaped Canal System and Improper Former Root Canal Treatment: A Case Report.
Here, we report the diagnosis and treatment of an extraoral cutaneous sinus tract originating in a mandibular second molar with a C-shaped root canal system. The patient was referred to our department by a dermatologist after a series of unsuccessful treatments, including antibiotics. Diffuse radiolucency on a preoperative radiograph revealed that earlier root canal treatment had been only partially successful. Consequently, we performed retreatment of the root canal comprising removal of the former restoration and gutta-percha, cleaning and shaping, and passive irrigation with sodium hypochlorite. The patient responded well, and the cutaneous lesion completely resolved uneventfully within 1 month postoperatively. Preoperative recognition and thorough knowledge of the root canal anatomy and conventional methods of obturation are necessary in performing successful endodontic treatment.
Department of Endodontics, Dental Research Center, School of Dentistry, Mashhad University of Medical Sciences.
Maryam
M
Gharechahi
Parisa
P
Dastmalchi
D000539:Alveolar Process / Q000473:pathology; D063405:Anatomic Variation; D001850:Bone Diseases, Infectious / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology* / Q000628:therapy*; D055113:Chronic Periodontitis / Q000150:complications* / Q000209:etiology*; D017577:Cutaneous Fistula / Q000175:diagnosis* / Q000209:etiology* / Q000473:pathology* / Q000628:therapy*; D003751:Dental Fistula / Q000175:diagnosis* / Q000209:etiology* / Q000473:pathology* / Q000628:therapy*; D003937:Diagnosis, Differential; D006171:Gutta-Percha / Q000627:therapeutic use; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D019300:Medical Errors / Q000009:adverse effects*; D008963:Molar / Q000000981:diagnostic imaging / Q000473:pathology; D010482:Periapical Abscess / Q000150:complications* / Q000209:etiology*; D011861:Radiography, Dental; D019233:Retreatment; D012388:Root Canal Irrigants / Q000627:therapeutic use; D012390:Root Canal Therapy / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods*; D012973:Sodium Hypochlorite / Q000627:therapeutic use; D014092:Tooth Root / Q000033:anatomy & histology* / Q000000981:diagnostic imaging; D017211:Treatment Failure; D055815:Young Adult
D012388:Root Canal Irrigants; D006171:Gutta-Percha; D012973:Sodium Hypochlorite