ABSTRACT
Common dental causes of odontogenic sinus tracts include endodontic or periodontal infections, trauma, retained roots and residual chronic infection of the jaws. They are uncommon, and often misdiagnosed. The sinus tracts are most frequently associated with mandibular teeth, which have been documented in 80 to 87% of the reported cases. Extraoral fistulas typically present as erythematous, symmetrical, crusting, smooth and non-tender nodules with periodic drainage. Cutaneous sinus tracts of odontogenic origin represents one among the many types of sinus tracts that may form on the face and neck region. They are usually present on the chin and cheek region. The cutaneous sinus resolves rapidly if the lesion is recognized early and diagnosed properly followed by surgical excision of sinus tract, removal of offending tooth and cutaneous closure is performed.