Cutaneous dental sinus of submental region: An eight years follow-up

A 22-year-old female patient had a history of a 7-month recurrent pus discharge from her chin. She had been previously treated by physicians, dermatologist, and surgeons. The sinus kept re-occurring and she was referred to dental hospital for opinion.The patient had cutaneous opening of size 5mm × 6mm with purulent discharge in submental region. Patient had undergone three surgical excisions and multiple antibiotic regimens. Patient had a history of trauma due to fall six years back. A 30 number standard gutta-percha was used to trace the sinus tract and dental origin was confirmed radiographically. The tract led to in-between the root canal apices of both mandibular incisors. Treatment included non-surgical endodontic treatment with both mandibular central incisors and antibiotic coverage following bacterial culture of discharge. The pus culture showed Streptococcus anginosus which was found to be sensitive to penicillin. Patient was kept on 1-week course of oral amoxicillin-clavulanate along with root canal therapy.The cutaneous sinus healed following root canal treatment and antibiotic coverage. On an 8-year follow-up skin of sub-mental region appeared normal and peri-apical healing with both mandibular central incisors was evident radiographically. Cutaneous lesions on face may be of dental origin. A cross referral between dentists, physicians, surgeons, and dermatologists should be considered in such cases.

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Nonsurgical Endodontik Retreatment of Maxillary First Premolar

DENTA ◽

10.30649/denta.v11i1.133 ◽

2017 ◽

Vol 11 (1) ◽

pp. 88

Author(s):

Yongki Hadinata W ◽

Karlina Samadi

Keyword(s):

Root Canal ◽

Radiographic Examination ◽

Periapical Lesion ◽

First Choice ◽

Periapical Abscess ◽

Dental Hospital ◽

Conservative Dentistry ◽

Previously Treated ◽

Endodontic Retreatment

Background : There are some factors can cause endodontic failure such as inadequate in cleaning or shaping step, non hermetic obturation, or poor restoration, which can cause bacteria multiply. Purpose : To report the management of endodontic failure with nonsurgical treatment. Case : 46-year-old woman came to Airlangga Dental Hospital Conservative Dentistry Department to treat her upper right tooth which show symptomatic pain in the last 2 weeks. The tooth has been treated and crowned with porcelain fused to metal about 10 years ago. Clinical examination show the presence of fistula on premolar buccal gingiva, react to percussion. Radiographic examination show not hermetic obturation in one root canal and radiolucency in the periapical area. The diagnosis for maxillary first premolar is previously treated tooth with chronic periapical abscess.. Treatment : Crown and post was removed from the tooth, and endodontic retreatment was done. Follow up 6 months after the retreatment show no reaction to percussion, and radiographic examination show no enlargement periapical lesion. Conclusion : Nonsurgical endodontic retreatment always become the first choice to resolve endodontic failure for previously treated tooth.Keywords : endodontic failure, maxillary first premolar, nonsurgical endodontic retreatmentCorrespondence: Yongki Hadinata W., drg. PPDGS Ilmu Konservasi Gigi Fakultas Kedokteran Gigi Universitas Airlangga, Surabaya. Jl. Mayjen. Prof. Dr. Moestopo No. 47, Surabaya.

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Sarcoidosis presenting as facial and scalp ulceration with secondary bacterial infection of the skin

BMJ Case Reports ◽

10.1136/bcr-2019-231769 ◽

2019 ◽

Vol 12 (11) ◽

pp. e231769

Author(s):

Georgi Fram ◽

Smita Kohli ◽

Angela Jiang ◽

Scott Kaatz

Keyword(s):

Skin Lesions ◽

Cardiac Monitoring ◽

High Dose ◽

Severe Dehydration ◽

Intravenous Antibiotics ◽

History Of ◽

Facial Wounds ◽

Antibiotic Coverage ◽

Dose Prednisone

A 67-year-old man with a medical history of multiorgan sarcoidosis was admitted to the hospital with skin ulceration and a superimposed polymicrobial infection that had failed outpatient management. The patient’s outpatient regimen included doxycycline, ciprofloxacin and moderate-dose prednisone therapy for a coinfection with Pseudomonas aeruginosa and methicillin-susceptible Staphylococcus aureus. The patient presented after a syncopal episode initially thought to be due to severe dehydration. Owing to concern for cardiac sarcoidosis as well as worsening skin lesions, he was admitted to the hospital for cardiac monitoring and intravenous antibiotics. On admission, we broadened antibiotic coverage and initiated high-dose steroids at 1 mg/kg/day of prednisone. He was discharged on intravenous antibiotics and a slow steroid taper 3 days later. At the patient’s 1-month and 5-month follow-up clinic visits, he demonstrated remarkable improvement of his scalp and facial wounds.

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Ruptured Globe due to a Bird Attack

Case Reports in Ophthalmology ◽

10.1159/000444180 ◽

2016 ◽

Vol 7 (1) ◽

pp. 112-114 ◽

Cited By ~ 1

Author(s):

Haitham A. Abdulla ◽

Saad K. Alkhalifa

Keyword(s):

Posterior Chamber ◽

Rare Type ◽

Hand Motion ◽

Surgical Closure ◽

Eye Trauma ◽

Posterior Chamber Intraocular Lens ◽

History Of ◽

Antibiotic Coverage ◽

Corneal Laceration

Introduction: Bird attacks are in general an uncommon event. To our knowledge, this is the first reported case in Bahrain. There have been very few cases reported worldwide. Mainly, birds attack humans as retaliation to threats surrounding their environment. At certain occasions, bird attack frequency increases especially during mating season or in the presence of a threat toward their young. Methods: A 31-year-old male presented with a history of left-eye trauma, loss of vision, pain and tearing for 2 hours. A left corneal penetrating laceration and traumatic cataract were diagnosed. The corneal laceration was closed surgically, the lens was aspirated and anterior vitrectomy performed. Results: After 4 months of follow-up, penetrating keratoplasty and posterior chamber intraocular lens implantation were performed elsewhere. The patient's vision improved from hand motion in his left eye to 20/200 without correction. Conclusion: Corneal perforation secondary to a bird injury can be treated successfully with surgical closure and broad intravenous antibiotic coverage. This rare type of ocular trauma does not require any specific additional measures.

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Late endodontic treatment of a tooth with extrusive dislocation and invasive cervical resorption: a clinical case report

Research Society and Development ◽

10.33448/rsd-v10i12.20061 ◽

2021 ◽

Vol 10 (12) ◽

pp. e139101220061

Author(s):

Ana Paula Fernandes Ribeiro ◽

Julia Guerra de Andrade ◽

Heitor César Maia ◽

Caroline Loureiro ◽

Gladiston Willian Lobo Rodrigues ◽

...

Keyword(s):

Root Canal ◽

Clinical Case ◽

Glass Ionomer Cement ◽

Sinus Tract ◽

Endodontic Treatment ◽

Radiographic Examination ◽

Periapical Lesion ◽

Root Canal Filling ◽

Recurrent Sinus

This study aims to report the clinical case of a 16 years-old male patient, who attended a private office reporting that at an accident suffered at the age of 10 years-old, which caused extrusive dislocation in both teeth 11 and 21. At that time, the teeth were repositioned, without an adequate follow-up. Upon physical and radiographic examination, the following features were observed: presence of recurrent sinus tract on the vestibular surface, area of external cervical resorption, and a periapical lesion on tooth 21. Endodontic treatments (necropulpectomy) were performed on teeth 11 and 21, with the placement of a root canal dressing of calcium hydroxide and subsequent root canal filling. In addition, soft tissue flap folding was performed to treat the resorption area and to seal it with glass ionomer cement. A 7 months follow-up radiograph shows stabilization in the process of the tooth resorption and remission of the periapical lesion. In conclusion, the endodontic treatment with intracanal medication, and the sealing of the resorption area were successful to preserve the traumatized tooth. In addition, it is noteworthy that following up with the patient after the trauma episode is essential to monitor the pulp vitality of the tooth involved.

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Dermatological Aspects of Infections Caused By Endotoxins In Teeth With Necrotic Pulps and Apical Periodontitis

Dermatology and Dermatitis ◽

10.31579/2578-8949/076 ◽

2021 ◽

Vol 6 (1) ◽

pp. 01-05

Author(s):

Daniel Jiménez Zaragoza ◽

Jorge Paredes Vieyra ◽

Francisco Javier Jiménez Enríquez

Keyword(s):

Case Report ◽

Skin Lesions ◽

Sinus Tract ◽

Purulent Discharge ◽

Radiographic Examination ◽

Odontogenic Infections ◽

Facial Region ◽

Dental Origin ◽

The Face ◽

Uncommon Case

Aim: To report an uncommon case of an extraoral sinus tract of the facial region caused by a tooth with an acute apical abscess in the mandible. Case report: Established on oral examination and radiographic examination, an Acute Apical Abscess (cellulitis/phlegmon) of tooth 47 was diagnosed, which had resulted in a cutaneous sinus tract. The continuous purulent discharge of the sinus tract in the facial right region ceased after drainage and extraction of tooth 47. Conclusion: It is challenging to diagnose and identify a cutaneous draining sinus tract of dental origin. Thus, treatment of skin lesions of the face (impetigo), and neck odontogenic infections should always be considered. Clinical and radiographic dental examinations can identify the tooth involved.

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Apical Surgery: Therapeutic Option for Endodontic Failure

Journal of Health Sciences ◽

10.17921/2447-8938.2018v20n3p185-189 ◽

2018 ◽

Vol 20 (3) ◽

pp. 185

Author(s):

Paulo Otávio Carmo Souza ◽

Carolina Ferrari Piloni de Oliveira ◽

Iussif Mamede-Neto ◽

Amin De Macedo Mamede Sulaimen ◽

Pedro Luís Alves de Lima ◽

...

Keyword(s):

Root Canal ◽

Therapeutic Option ◽

Treatment Plan ◽

Tomographic Images ◽

Apical Surgery ◽

Root Canal Retreatment ◽

Periapical Granuloma ◽

History Of ◽

Endodontic Retreatment

AbstractThe aim of this study is present a surgical solution of the case of endodontic root canal failure caused by overfilling, with a history of endodontic retreatment and aesthetic rehabilitation with porcelain veneers. Patient C.F.P.L, 50 years old, female, was looking for treatment complaining of pain. Previous endodontic treatment was reported on tooth 11, and root canal retreatment after 6 months due to the persistence of painful symptomatology. Later, the patient carried out aesthetic rehabilitation with porcelain veneers, and approximately 6 months later the vitro pain related to the tooth 11 occurred again. Radiographic and tomographic images showed obturation of the root canal of the tooth 11 associated with diffuse hypodense area in the periapical region, with overextended endodontic material. The probable clinical diagnosis was symptomatic traumatic apical periodontitis, and apical surgery was proposed as treatment plan. After infiltrative anesthesia, a Newmann incision and split flap were performed, followed by osteotomy with micro-chisel and curettage of the lesion. An apicectomy was performed with Zecrya drill, followed by retro cavity with diamond ultrasonic tip and retrograde obturation with white MTA. After 2 years of follow-up bone neoformation and absence of symptomatology were observed, tooth in function and preservation of aesthetic rehabilitation harmony. Apical surgery is a therapeutic alternative with favorable prognosis for the treatment of endodontic failure, provided that it is correctly indicated and with a wellexecuted surgical protocol.Keywords: Apicectomy. Periapical Periodontitis. Periapical Granuloma. ResumoO objetivo deste estudo é apresentar a resolução cirúrgica de um caso de insucesso endodôntico ocasionado pela sobre obturação do canal radicular, com histórico de retratamento endodôntico e reabilitação estética com facetas cerâmicas. Paciente C.F.P.L, 50 anos, gênero feminino, procurou atendimento odontológico queixando-se de dor. Foi relatado tratamento endodôntico prévio no dente 11, e retratamento do canal radicular após 6 meses devido à persistência de sintomatologia dolorosa. Posteriormente, a paciente passou por reabilitação estética com facetas cerâmicas e, aproximadamente 6 meses após, houve o reaparecimento de dor espontânea relacionada ao dente 11. As imagens radiográficas e tomográficas revelaram obturação do canal radicular do dente 11 associado à área hipodensa difusa na região periapical, com extravasamento de material obturador. O diagnóstico clínico provável foi de periodontite apical sintomática traumática, e plano de tratamento proposto uma cirurgia parendodôntica. Posterior a anestesia infiltrativa, realizou-se incisão do tipo Newmann e retalho dividido, seguido de osteotomia com micro cinzel e curetagen da lesão. A apicectomia foi realizada com broca Zecrya, seguida da confecção da retrocavidade com ponta ultrassônica diamantada e obturação retrógrada com MTA branco. Após 2 anos de proservação foi observada neoformação óssea e ausência de sintomatologia, dente em função e preservação da harmonia da reabilitação estética. A cirurgia parendodôntica é uma alternativa terapêutica com prognóstico favorável para o tratamento do insucesso endodôntico, desde que corretamente indicada e com protocolo cirúrgico bem executado.Palavras-chave: Apicectomia. Periodontite Periapical. Granuloma Periapical.

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A Case of Inconspicuous Recurrent Herpes Labialis Mimicking Unilateral Angular Cheilitis Unilateral Angular Cheilitis

Journal of Dentistry Indonesia ◽

10.14693/jdi.v25i3.1255 ◽

2018 ◽

Vol 25 (3) ◽

Author(s):

Masita Mandasari ◽

◽

Ambar Kusuma Astuti ◽

Febrina Rahmayanti ◽

◽

...

Keyword(s):

Correct Diagnosis ◽

Inflammatory Lesion ◽

Herpes Labialis ◽

Dental Hospital ◽

Recurrent Herpes ◽

Mouth Corner ◽

History Of ◽

Simplex Virus ◽

Topical Acyclovir

Recurrent herpes labialis (RHL) is a common manifestation of herpes simplex virus (HSV) reactivation in immunocompetent individuals, whereas angular cheilitis is an inflammatory lesion occurring on one or both lip commissures and is induced by local and/or systemic conditions. We describe a case of RHL eruption on the corner of the mouth, easily mistaken as angular cheilitis. Case Report: A 21-year-old male presented to our dental hospital with a 3 day history of a painful, unilateral lesion on the left corner of his mouth. The lesion featured an erythematous base with a yellowish crust that extended outward. We diagnosed the lesion as RHL. We prescribed chlorhexidine solution and topical acyclovir to be applied onto the lesion. At 2 weeks follow-up, the lesion was resolved. An RHL lesion that erupts on the corner of the mouth may initially resemble angular cheilitis. However, the typical clinical presentation, history of recurrence, and the absence of predisposing factors for other lesions suggested an infection caused by HSV. Conclusion: RHL which occurred at one side of the mouth corner can be similar with unilateral AC. But, detailed history taking and clinical observation led to correct diagnosis and management.

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Odontogenic cutaneous sinus tract - misdiagnosis and follow-up in a seven-year-old boy

IIUM Journal of Orofacial and Health Sciences ◽

10.31436/ijohs.v1i2.28 ◽

2020 ◽

Vol 1 (2) ◽

pp. 84-90

Author(s):

Deng Qianyi ◽

Mustapha Rammal ◽

Zhang Huini ◽

He Hongwen ◽

Huang Fang

Keyword(s):

Cutaneous Lesion ◽

Sinus Tract ◽

Submandibular Region ◽

Periapical Lesions ◽

Dental Examination ◽

Dental Origin ◽

Suppurative Lymphadenitis ◽

Systemic Antibiotics ◽

Cutaneous Sinus

Cutaneous sinus tracts of dental origin are relatively rare, but frequently misdiagnosed. In this case report, we present a seven-year-old patient with a cutaneous lesion in the left submandibular region misdiagnosed by a physician as an abscess secondary to suppurative lymphadenitis, and thus incorrectly treated with surgery and systemic antibiotics. Following a detailed dental examination, the patient was correctly diagnosed with an odontogenic sinus tract from a periapical abscess of tooth 36. Treatment of the immature tooth was initiated with apexification combined with nonsurgical endodontic treatment. The cutaneous and the periapical lesions were all resolved after the treatment and there has been no recurrence during an eight-year follow-up.

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Clinical characteristics and evolution of syphilis in 24 HIV+ individuals in Rio de Janeiro, Brazil

Revista do Instituto de Medicina Tropical de São Paulo ◽

10.1590/s0036-46652005000300007 ◽

2005 ◽

Vol 47 (3) ◽

pp. 153-157 ◽

Cited By ~ 12

Author(s):

Maria Clara Gutierrez-Galhardo ◽

Gláucia Francesconi do Valle ◽

Fernanda Cabral de Silva Sá ◽

Armando de Oliveira Schubach ◽

Antonio Carlos Francesconi do Valle

Keyword(s):

Hiv Infection ◽

Outpatient Clinic ◽

Rio De Janeiro ◽

Clinical Characteristics ◽

Secondary Syphilis ◽

Benzathine Penicillin ◽

Cutaneous Lesions ◽

Tertiary Syphilis ◽

History Of

A total of 24 patients with syphilis and HIV infection were treated from January 1997 to March 2003 at the Infectious Dermatology Outpatient Clinic of the Evandro Chagas Clinical Research Institute, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil. The caseload consisted of 20 males (83.3%) and four females (16.7%), with a mean age of 38.04 years and mean T CD4+ count of 389.5 cells/mL. Syphilis was diagnosed as secondary in 16 (62.5%) patients, late latent in eight (33.3%), and tertiary in one (4.2%). Manifestations of secondary syphilis were palmar and plantar erythematopapulous cutaneous lesions in nine (37.5%), papulous exanthema in four (16.7%), patchy alopecia in 3 (12.5%) and osteochondritis in one patient (4.2%). Tertiary syphilis was characterized by verrucous lesions. Neurosyphilis was diagnosed in four patients (16.7%), with headache as the only manifestation in two patients. Drugs used in treatment included benzathine penicillin, ceftriaxone, erythromycin, and crystalline penicillin. Cure was achieved in 18 patients (75%). Five patients (20.8%) were retreated, three of whom presented a history of re-exposure. This study confirms the importance of establishing the diagnosis of neurosyphilis in patients with HIV infection, in addition to performing follow-up on treatment for syphilis.

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Does Apical Papilla Survive and Develop in Apical Periodontitis Presence after Regenerative Endodontic Procedures?

Applied Sciences ◽

10.3390/app9193942 ◽

2019 ◽

Vol 9 (19) ◽

pp. 3942 ◽

Cited By ~ 5

Author(s):

Paulo J. Palma ◽

João Martins ◽

Patrícia Diogo ◽

Diana Sequeira ◽

João Carlos Ramos ◽

...

Keyword(s):

Root Development ◽

Root Canal ◽

Case Reports ◽

Sinus Tract ◽

Apical Periodontitis ◽

Endodontic Treatment ◽

Spontaneous Pain ◽

Endodontic Infection ◽

Apical Papilla

Regenerative endodontic procedures (REPs) have emerged as a treatment option for immature necrotic teeth to allow the reestablishment of a newly formed vital tissue and enable continued root development. The apical papilla stem cells (SCAPs) play an important role in physiologic root development and may also contribute to further root development during REPs. The goal of these case reports is to show evidence of the apical papilla survival and development, in human teeth with apical periodontitis, after REPs, with 5-year clinical and radiographic follow-up. In the first case, an 11-year-old girl with acute apical abscess of tooth 15 was referred for a REP. Treatment was performed with an intracanal medication followed by induction of a blood clot and a Mineral Trioxide Aggregate (MTA) cervical barrier. The 5-year follow-up showed an appreciable increase in root length as well as root canal thickness. In case 2, a 16-year-old girl was referred for endodontic treatment of tooth 21. The parents of the patient recalled a previous dental trauma (no specified on the patient records) on tooth 21 at age 7. The dental history reports a previous endodontic treatment failure and presence of a long-standing sinus tract. A mineralized tissue beyond the root apical portion could be seen at the preoperative X-ray. Nonsurgical root canal retreatment with an apical barrier was suggested as the treatment plan and accepted by the patient. After 2 weeks, the patient was recalled for a follow-up appointment presenting spontaneous pain, swelling, and sinus tract. Apical surgery was performed. Histopathological assessment of the apical root fragment collected showed the presence of dentin, cementum and pulp tissue, including odontoblasts. The 5-year follow-up depicted complete apical healing. The present case reports support survival and continued potential differentiation of the apical papilla after endodontic infection.

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