Odontogenic Cutaneous Fistula with Geminated Right Mandibular Second Molar: A Case Report

Lu Chen,Zao Chen

doi:10.51441/biomedica/5-161

Abstract

Odontogenic Cutaneous Fistula with Geminated Right Mandibular Second Molar: A Case Report

Highlights

Odontogenic cutaneous fistula is a pathological communication between the cutaneous surface of the face and the oral cavity causing esthetic problems as a result of continuous leakage of saliva.[1]
Certain other lesions such as epidermal cysts, furuncle, subcutaneous mycosis, squamous cell carcinoma, basal cell carcinoma, osteomyelitis, pyogenic granuloma and foreign body granuloma closely resemble to odontogenic cutaneous fistula
We present a case of 20 years male with an odontogenic cutaneous fistula on right side in association with geminated second right mandibular molar

Summary

INTRODUCTION

Odontogenic cutaneous fistula is a pathological communication between the cutaneous surface of the face and the oral cavity causing esthetic problems as a result of continuous leakage of saliva.[1]. Clinical examination showed red and swollen lesion measuring 1 cm in diameter, on the cheek on right side just opposite to the body of the mandible It was firm with no surface ulceration.Intraoral examination showed the unusual morphology of right mandibular second molar (#47) resembling. Treatment plan for the patient included extraction of non-functional crowns of geminated tooth, periodontal and root canal treatment of #47 followed by restoration with porcelain-fused-to-metal (PFM) crowns. Condition of mesiolingual gingival margin around#47 was assessed and there was no redness and swelling It was followed by root canal treatment, tooth was isolated by using rubber dam and pulp chambers were accessed. The patient reported back 1 week later without discomfort, and tooth was prepared for porcelain-fused-to-metal (PFM) crowns. The fistula disappeared completely after 3 months with no recurrence after more than 1 year of follow-up (Fig.3& 4)

DISCUSSION

CONCLUSION