Cutaneous Sinus Tract of Dental Origin in an 8-Year-Old Child: A Case Report

摘要

Misdiagnosis of cutaneous sinus tract is not uncommon. Routine referral to dentists for complete oral examination to eliminate the possibility of dental sources or to give definitive diagnosis due to the dental origin is necessary during the differential diagnosis. This is a case report of a cutaneous sinus tract of dental origin of an 8-year-old girl who did not complain toothache throughout all 5 medical consultations. Repeated curettage caused unnecessary discomfort and finally led to un-cooperation. The last curettage was performed under general anaesthesia. Finally thorough extra- and intra-oral examination together with orthopantomogram (OPG) gave the definitive diagnosis. Root canal treatment or extraction was the treatment options of pulpal originated cutaneous tract. The tooth 36 was extracted under Monitored Anaesthetic Care in this case; the sinus tract recovered and the second orthopantomogram (OPG) showed the disappearance of radiolucency in the mandible during the review.