Dental Kaynaklı Ekstraoral Fistülün Endodontik Tedavisi: Bir Olgu Sunumu

Pulpa kaynaklı enfeksiyonlar enfekte ve nekroze bir diş tedavi edilmediğinde, enfeksiyon intraoral ve ekstraoral yayılım gösterebilmektedir. Bu diş kaynaklı fistüller patolojik oluşumlardır. Bunların intraoral veya ekstraoral bölgeye yayılmaları dişin ve enflamasyon nedeniyle kortikal kemikte oluşan perforasyonun konumuna bağlıdır. Çoğunlukla ekstraoral fistüller deri lezyonları gibi farklı oluşumlarla karıştırılmakta ve bunun sonucunda hastalara yanlış tedaviler uygulanabilmektedir. Bu vaka sunumunda, mandibular molar dişten kaynaklanan ekstraoral fistüle uygulanan endodontik tedavi ile bu tedavinin 3 aylık takibi anlatılmaktadır.

The Endodontic Treatment of Extraoral Sinus Tract: A Case Report

If a tooth with infected pulp and necrosis is not treated, the infection may spread intraoral and extraoral regions. These tooth origin sinus tracts are pathological formations, which their opening to the intraoral or extraoral region depends on the region of the tooth and the localization of the perforation in the cortical bone caused by the inflammation. In particular, extraoral sinus tract and skin lesions are confused with different formations, and as a result, wrong treatments can be applied to the patients. This case report includes the 3-month follow-up of a case of extraoral sinus tract, which was found to originate from the mandibular tooth and drained from the cheek area, after root canal treatment.

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