Dermatolojik Lezyonu Taklit Eden Odontojenik Ekstraoral Fistül Olgularının Tanısı ve Endodontik Tedavisi: Üç Olgu Sunumu

Odontojenik ekstraoral fistüller pulpa nekrozu sonucu oluşan ve klinik olarak farklı hastalıklarla karıştırılabilen patolojik oluşumlardır. Ekstraoral fistüllerin etkili tedavisinin yapılmasında enfeksiyon kaynağının doğru tanısının yapılması gerekmektedir. Yüz ve boyun bölgesinde görülen ekstraoral fistül varlığında dental muayene çok önemlidir. Odontojenik ekstraoral fistülleri kök kanal tedavisi uygulayarak veya gerekli durumlarda dişin çekimi ile iyileştirmek mümkündür. Bu olgu sunumu da üç farklı dişten kaynaklanan üç ayrı ekstraoral fistül vakasının tedavisini içermektedir. Ekstraoral fistüle neden olan dişlere kök kanal tedavisi uygulanmıştır. Seans aralarında kanal içi medikament olarak kalsiyum hidroksit kullanılmıştır. Vakaların uzun dönem takiplerinde ekstraoral fistüllerin tamamen iyileştiği görülmüştür. Ayrıca takip seanslarında yapılan radyografik incelemelerde periapikal dokularda iyileşme izlenmiştir.

Anahtar Kelimeler:

Ekstraoral fistül, Kalsiyum hidroksit, Kök kanal tedavisi, Kutanöz fistül, Periapikal apse

Diagnosis and Endodontic Treatment of Odontogenic Extraoral Sinus Tracts Cases Mimicking Dermatological Lesion: Three Case Reports

Odontogenic extraoral sinus tracts are pathological formations that occur as a result of pulp necrosis and can be clinically confused with different diseases. For the effective treatment of extraoral sinus tracts, the correct diagnosis of the source of infection should be performed. In the presence of extraoral sinus tracts in the face and neck, dental examination is very important. It is possible to heal odontogenic extraoral sinus tracts with root canal treatment or tooth extraction when necessary. This case report includes the treatment of three different cases of extraoral sinus tracts which originating from three different teeth. Root canal treatments were performed to the teeth that caused extraoral sinus tracts. Calcium hydroxide was used as an intracanal medication between appointments. In the long-term follow-up of the cases, it was observed that the extraoral sinus tracts were completely healed. In addition, healings were observed in the periapical tissues in the radiographic examinations performed during the follow-ups.

Keywords:

Extraoral sinus tracts, Calcium hydroxide, Root canal treatment, Cutaneous fistula, Periapical abscess,

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