Key Clinical Message: Dental clinicians and physicians should be careful in differential diagnosis of facial cutaneous nodules, since they might have an odontogenic origin.
Abstract: Odontogenic cutaneous sinus tracts are commonly misdiagnosed and mismanaged; thus, they are prone to recurrence. Herein, a 21-year-old female patient is reported with a red fluctuant nodule on her right cheek which had been misdiagnosed as an epidermoid cyst, cystic acne, and parotid gland fistula. The odontogenic origin of the lesion was first suspected when the patient presented to the Department of Endodontics, Faculty of Dentistry for a routine dental check-up. Multiple-visit non-surgical root canal retreatment of the maxillary right first molar, without any additional treatment, resulted in shrinkage of the lesion. After 1 year, the lesion was resolved completely, the respective tooth and the cheek were asymptomatic, and the patient had no complaint.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10577159 | PMC |
http://dx.doi.org/10.1002/ccr3.8049 | DOI Listing |
Pediatr Dermatol
November 2024
Department of Oral and Dental Pathology, Faculty of Odontology, Lithuanian University of Health Sciences, Kaunas, Lithuania.
An odontogenic cutaneous sinus tract is considered an uncommon skin lesion resulting from a dental infection. In most cases of periapical abscesses, the sinus tract emerges intraorally, but rarely may appear on the cutaneous surface. The nonspecific clinical symptoms and diverse appearance of such lesions can lead to misdiagnosis and mistreatment of patients.
View Article and Find Full Text PDFSemin Diagn Pathol
September 2024
Department of Oral & Maxillofacial Pathology and Oral Microbiology, King George's Medical University, Lucknow, India. Electronic address:
JAMA Dermatol
November 2024
Department of Dermatology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia.
Cureus
August 2024
Dentistry, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Extraoral sinus tracts of endodontic origin might be confused for a variety of dermatological conditions. Differential diagnosis of this clinical condition plays an essential role in providing appropriate clinical care because misdiagnosis is the most prevalent cause of prolonged therapy and healing failure. As a result, every cutaneous sinus structure affecting the face or neck should be investigated for dental issues.
View Article and Find Full Text PDFIndian J Dermatol Venereol Leprol
November 2024
Department of Dermatology, Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, China.
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