Cold abscess of dental origin in a 7-year-old child

Abscess related to an infected tooth is mostly associated with pyogenic infection, but sometimes, it can be asymptomatic and indicate a chronic condition. This case report shows cold abscess with a draining sinus due to dental origin. A 7-year-old female patient complained of pain with respect to grossly decayed tooth and recurrent swelling with no response to medications. After investigations and management of the lesion, it was concluded as abscess due to chronic granulomatous infection. Cold abscess is a classical manifestation of tuberculosis with no signs of inflammation. More than 60% of cases of this pathology occur in patients below 15 years old. It needs various clinical, histopathological, and laboratory investigations. Although rare, it should be considered as a differential diagnosis when no improvement occurs postroutine therapy to prevent serious complications. Furthermore, various precautions should be taken by the clinicians to prevent cross-infection.

Maxillary sinusitis of dental origin: a case report and literature review / Sinusitis maxilar de origen dentario, reporte de un caso y revisión de la literatura

The inflammatory lesions that affect the paranasal sinuses receive the generic denomination sinusitis; the maxillary sinus is the most commonly affected. This inflammation can have various origins, including the tooth. We describe a case of maxillary sinusitis in a 56-year-old patient who experienced pain on the left-side maxilla, referred to atooth and performed a partial review of the literature.

Las lesiones inflamatorias que afectan los senos paranasales reciben la denominación genérica de sinusitis, siendo el seno maxilar el más comúnmente afectado. Esta inflamación puede tener diversos orígenes, entre ellos el dentario. Se describe un caso de sinusitis del seno maxilar de origen dentario de un paciente de 56 años que consultó por dolor en la zona maxilar del lado izquierdo referido a una pieza dentaria y se realiza una revisión parcial de la literatura.

Infective endocarditis of dental origin: a case report

Four Cases of Cutaneous Sinus Tract of Dental Origin / 대한피부과학회지

The most common cause of chronic cutaneous sinus tract in the face and neck is chronically draining dental infection. The diagnosis is easily confirmed by dental examination and dental roentgenogram of the involved area, but this disease is frequently misdiagnosed and incorrectly treated in dermatologic department. We report four cases of cutaneous sinus tract of dental origin. First patient had a painful nodule with chronically draining pus and a dimple on the left cheek. Second patient had a dimple with draining bloody fluid on the right chin. Third patient had a pea-sized papule with draining serous fluid on the left chin. Fourth patient had a fluctuant erythematous plaque with draining pus and a dimple on the left buccal area. In all four patients radiologic examination of the maxillary and mandibular regions demonstrated radioluency at the apex of tooth consistent with periapical abscess.

Four Cases of Cutaneous Fistula of Dental Origin / 대한피부과학회지

Cutaneous fistula of dental origin is the most common type of cutaneous fistula that is formed on the face and neck. This lesion can be a diagnostic challenge to clinicians who are not familiar with cutaneous fistula since many patients with cutaneous fistula of dental origin do not have any complaints such as toothache. Diagnostic errors may result in multiple excisions, biopsies, and ineffective long-term antibiotic therapy. However, if the lesion could be suspected of being of dental origin, the diagnosis can be easily confirmed by radiologic examinations. We report four cases of cutaneous fistula of dental origin. All four patients had a characteristic cutaneous findings with chronically draining, fixed, erythematous papule on their nasolabial fold or submental region. Ultrasonography, fistulography or plain roentgenography were needed to confirm the diagnosis of cutaneous fistula originating from dental problems.