Cutaneous Fistula of Dental Origin: How to Identify it to Better Treat It
A Kikly, F Ajili and N Douki
Published: March 07, 2022
Abstract
Cutaneous fistulas of dental origin are rare and often remain unrecognized by practitioners and confused with dermatological lesions, they lead the patient to consult various specialists; and undergoing inadequate drug or surgical treatment, leaving permanent scars. So how can we circumvent all these ambiguities in order to ensure better care? The purpose of this work is to clarify certain Gray areas through a clinical case. Chronic endodontic complications are the most frequent causes of cutaneous fistulas of the face and neck. Diagnosis is often delayed because of the weak symptomatology. A meticulous clinical and radiological examination is revealing of the causal tooth and confirms the diagnosis. The etiological treatment allows in the majority of cases alone the disappearance of the cutaneous fistula, but sometimes for old fistulas with significant adhesions and scar tissue an intervention cosmetic surgery is required.