Fistula, odontogenic K09.0

Author: Prof. Dr. med. Peter Altmeyer

All authors of this article

Last updated on: 29.10.2020

Dieser Artikel auf Deutsch

Synonym(s)

dental sinus; Fistula; Odontogenic facial fistula; Odontogenic fistula

History
This section has been translated automatically.

Brown, 1839

Definition
This section has been translated automatically.

Fistula originating from periodontal infections and root tip granulomas, mostly localized in the lower jaw area (80%), especially in children and adolescents.

Etiopathogenesis
This section has been translated automatically.

Periapical abscesses of the root tip (mostly of teeth with deep carious lesions, extensive fillings) or chronic granular inflammation in caries, with pulpitis and infestation of the root tip area. Jaw growth that has not yet been completed and tooth roots that are very deep in the bone base favour the breakthrough to the outside.

Manifestation
This section has been translated automatically.

Almost exclusively occurring in children and adolescents up to the age of 20.

Localization
This section has been translated automatically.

Especially lower jaw: areas distal and medial to the muscle loop of the masseter muscle, chin, floor of the mouth; more rarely upper jaw (nasolabial fold).

Clinical features
This section has been translated automatically.

Initially diffuse, later described redness and swelling, fluctuation, pressure and spontaneous pain. Finally perforation with diminishing or disappearing symptoms. Persistence of a small opening surrounded by reddish granulation tissue.

Diagnosis
This section has been translated automatically.

Display of the fistula tract (X-ray contrast).

Differential diagnosis
This section has been translated automatically.

Therapy
This section has been translated automatically.

Restoration of the tooth (if necessary extraction) usually with root tip extraction by the dentist. Excision or curettage of the fistula and the tissue scarred by the chronic inflammation. Resulting scarred retractions on the facial skin can be corrected plastically and surgically after healing.

Progression/forecast
This section has been translated automatically.

Adequate therapy almost always leads to rapid healing without complications.

Literature
This section has been translated automatically.

  1. Brown AM (1839) Review of Burdell and Burdell's Observations on the structure, physiology, anatomy and diseases of the teeth. On J Dent Sc 1: 19-24
  2. Chan CP et al (1998) Cutaneous sinus tracts of dental origin: clinical review of 37 cases. J Formos Med Assoc 97: 633-637
  3. Ferrera PC et al (1996) Uncommon complications of odontogenic infections. On J Emerg Med 14: 317-322
  4. Nakamura Y (1999) A case of an odontogenic cutaneous sinus tract. Int Endod J 32: 328-331
  5. Sack U et al (1992) Skin symptoms of chronic inflammation of a tooth root apex. dermatologist 43:230-232
  6. Urbani CE et al (1996) Patent odontogenic sinus tract draining to the midline of the submental region: report of a case. J Dermatol 23: 284-286
  7. Witherow H et al (2003) Midline odontogenic infections: a continuing diagnostic problem. Br J Plast Surgery 56: 173-175

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

Authors

Last updated on: 29.10.2020