.: OLGU SUNUMU
Non-Surgical Endodontic Treatment of Extraoral Sinus Tract of Endodontic Origin
Endodontik Kaynaklı Ekstraoral Fistülün ve Periapikal Lezyonun Cerrahi Olmayan Endodontik Tedavisi
Turkiye Klinikleri J Dental Sci. 2020;26(1):142-6
doi: 10.5336/dentalsci.2019-64897
Makale Dili: EN
Tam Metin
ABSTRACT
Cases with periapical lesions or extraoral sinus tracts have both aesthetic and functional problems. Non-surgical endodontic therapies to resolve these problems provide less traumatic solutions wıth higher cost-effectivity. A 14-year-old male patient was admitted to our clinic with complaints of swelling and skin lesion on the tip of his chin. Clinical and radiological examination revealed the cause of the extraoral sinus tract and periapical radiolucency as pulp necrosis associated with apical periodontitis in mandibular left incisors. Additionally, a radiopaque foreign object was detected in the middle third of the root canal of the mandibular left central incisor teeth. The foreign object was removed from the mandibular left central incisor and root canal fillings were performed for the mandibular left incisors teeth. Two weeks after the treatment, the extraoral sinus tract was completely healed and after 12 months the teeth were clinically asymptomatic and periapical tissue healing continued. The aim of this case report is to evaluate the success of the non-surgical endodontic treatment of the extraoral sinus tract and periapical lesion due to pulp necrosis and chronic apical periodontitis.
Keywords: Extraoral sinus tract; foreign bodies; periapical abscess
Cases with periapical lesions or extraoral sinus tracts have both aesthetic and functional problems. Non-surgical endodontic therapies to resolve these problems provide less traumatic solutions wıth higher cost-effectivity. A 14-year-old male patient was admitted to our clinic with complaints of swelling and skin lesion on the tip of his chin. Clinical and radiological examination revealed the cause of the extraoral sinus tract and periapical radiolucency as pulp necrosis associated with apical periodontitis in mandibular left incisors. Additionally, a radiopaque foreign object was detected in the middle third of the root canal of the mandibular left central incisor teeth. The foreign object was removed from the mandibular left central incisor and root canal fillings were performed for the mandibular left incisors teeth. Two weeks after the treatment, the extraoral sinus tract was completely healed and after 12 months the teeth were clinically asymptomatic and periapical tissue healing continued. The aim of this case report is to evaluate the success of the non-surgical endodontic treatment of the extraoral sinus tract and periapical lesion due to pulp necrosis and chronic apical periodontitis.
Keywords: Extraoral sinus tract; foreign bodies; periapical abscess
ÖZET
Periapikal lezyon ve ekstraoral sinüs yolu olan olgularda hem estetik hem de fonksiyonel problemler ortaya çıkabilmektedir. Bu problemleri çözmek için cerrahi olmayan endodontik tedavilerin kullanımı daha az travmatik ve düşük maliyetli bir çözüm sunmaktadır. On dört yaşında erkek hasta, çenesinin ucunda şişlik ve cilt lezyonu şikayeti ile kliniğimize başvurmuştur. Klinik ve radyolojik muayenede, ekstraoral fistülün ve periapikal radyolüsensin nedeninin, mandibular sol keser dişlerdeki pulpa nekrozu sonucu gelişen kronik apikal periodontitis kaynaklı olduğu belirlenmiştir. Ayrıca, mandibular sol santral keser dişin kök kanalının orta üçlüsünde radyoopak bir cisim gözlenmiştir. Mandibular sol santral keser dişteki yabancı cisim kök kanalından uzaklaştırılmış ve mandibular sol keser dişlerin kök kanal dolguları yapılmıştır. İki hafta içinde ekstraoral sinüs yolunun tamamen iyileştiği, 12 ay sonra dişlerin klinik olarak asemptomatik olduğu ve periapikal doku iyileşmesinin devam ettiği tespit edilmiştir. Bu olgu sunumunun amacı, pulpa nekrozu ve kronik apikal periodontitis sonucu gelişen ekstraoral sinüs yolunun ve periapikal lezyonun cerrahi olmayan endodontik tedavisinin başarısını değerlendirmektir.
Anahtar Kelimeler: Ekstraoral sinüs yolu; yabancı cisim; periapical apse
Periapikal lezyon ve ekstraoral sinüs yolu olan olgularda hem estetik hem de fonksiyonel problemler ortaya çıkabilmektedir. Bu problemleri çözmek için cerrahi olmayan endodontik tedavilerin kullanımı daha az travmatik ve düşük maliyetli bir çözüm sunmaktadır. On dört yaşında erkek hasta, çenesinin ucunda şişlik ve cilt lezyonu şikayeti ile kliniğimize başvurmuştur. Klinik ve radyolojik muayenede, ekstraoral fistülün ve periapikal radyolüsensin nedeninin, mandibular sol keser dişlerdeki pulpa nekrozu sonucu gelişen kronik apikal periodontitis kaynaklı olduğu belirlenmiştir. Ayrıca, mandibular sol santral keser dişin kök kanalının orta üçlüsünde radyoopak bir cisim gözlenmiştir. Mandibular sol santral keser dişteki yabancı cisim kök kanalından uzaklaştırılmış ve mandibular sol keser dişlerin kök kanal dolguları yapılmıştır. İki hafta içinde ekstraoral sinüs yolunun tamamen iyileştiği, 12 ay sonra dişlerin klinik olarak asemptomatik olduğu ve periapikal doku iyileşmesinin devam ettiği tespit edilmiştir. Bu olgu sunumunun amacı, pulpa nekrozu ve kronik apikal periodontitis sonucu gelişen ekstraoral sinüs yolunun ve periapikal lezyonun cerrahi olmayan endodontik tedavisinin başarısını değerlendirmektir.
Anahtar Kelimeler: Ekstraoral sinüs yolu; yabancı cisim; periapical apse
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