Prevalence of odontogenic sinus tracts in patients referred for endodontic therapy

Year 2013, Volume: 16 Issue: 4, 282 - 288, 03.01.2013

Elif Soğur Hakan Sen Güniz Baksı Ali Mert

https://doi.org/10.7126/cdj.2013.1912

Cited By: 1

Abstract

Objectives: The primary aim of this study was to assess the prevalence, location and distribution of odontogenic sinus tracts in a population of Turkish adult patients referred for endodontic therapy. The second aim was to investigate the influence of the factors such as sex, age, systemic disease, existence and diameter of periapical radioluceny on the prevalence of the clinically detected sinus tracts among Turkish population.

Materials and Methods: A total of 499 patients’ records according to the demographic data and the presence of periapical radiolucency and of sinus tract were included to the present study. The location of the sinus tracts was recorded as well. Data were analyzed using Pearson chi-square and Fisher’s Exact Tests (p=0.05).

Results: The number of the teeth who had sinus tracts was 37 (7.4%). Sixteen of 37 teeth with sinus tracts were associated with posterior teeth (43%). No significant differences were found in the prevalence of sinus tracts between two genders (p>0.05). 40-50 year age group showed the highest prevalence of sinus tracts.

Conclusions: Approximately one in thirteen teeth referred for root canal treatment had a sinus tract. Fourty-three percent of sinus tracts were associated with posterior teeth with high prevalence of openings in buccal aspects of the gingiva. Therefore, practitioners should be careful while examining posterior teeth referred for endodontic treatment.

Keywords

Odontogenic, sinus tract, prevalence.

References

• 1. Held JL, Yunakov MJ, Barber RJ. Cutaneous sinus of dental origin: a diagnosis requiring clinical and radiologic correlation. Cutis 1989;43:22–24.
• 2. Gülec AT, Seckin D, Bulut S, Sarfakoğlu E. Cutaneous sinus tract of dental origin. Int J Dermatol. 2001;40:650–652.
• 3. Cioffi GA, Terezhalmy GT, Parlette HL. Cutaneous draining sinus tract: an odontogenic etiology. J Am Acad Dermatol 1986;14:94-100.
• 4. Slutzky-Goldberg I, Tsesis I, Slutzky H, Heling I. Odontogenic sinus tracts: a cohort study. Quintessence Int 2009;40:13-18.
• 5. Johnson BR, Remeikis NA, Van Cura JE. Diagnosis and treatment of cutaneous facial sinus tracts of dental origin. J Am Dent Assoc 1999;130:832-836.
• 6. Gupta M, Das D, Kapur R, Sibal N. A clinical predicament diagnosis and differential diagnosis of cutaneous facial sinus tracts of dental origin: a series of case reports. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011;112:132-136.
• 7. Soares JA, de Carvalho FB, Pappen FG, Araújo GS, de Pontes Lima RK, Rodrigues VM, et al. Conservative treatment of patients with periapical lesions associated with extraoral sinus tracts. Aust Endod J 2007;33:131-135.
• 8. Spear KL, Sheridan PJ, Perry HO. Sinus tracts to the chin and jaw of dental origin. J Am Acad Dermatol. 1983;8:486-492.
• 9. Pasternak-Júnior B, Teixeira CS, Silva-Sousa YT, Sousa-Neto MD. Diagnosis and treatment of odontogenic cutaneous sinus tracts of endodontic origin: three case studies. Int Endod J 2009;42:271-276.
• 10. Cantore JL, Klein PA, Lieblich LM. Cutaneous dental sinus tract, a common misdiagnosis: a case report and review of the literature. Cutis 2002;70:264–267.
• 11. Gupta R, Hasselgren G. Prevalence of odontogenic sinus tract in patients referred for endodontic therapy. J Endod 2003;29:798–800.
• 12. Cohenca N, Karni S, Rotstein I. Extraoral sinus tract misdiagnosed as an endodontic lesion. J Endod 2003;29:841–843.
• 13. Yasui H, Yamagushi M, Ichimiya M, Yoshikawa Y, Hamamoto Y, Muto M. A case of cutaneous odontogenic sinus. J Dermatol 2005;32:852–855. 14. Magliocca KR, Minehart SJ, Brown DL, Ward BB. Odontogenic sinus tract to the chin: a diagnostic dilemma. Cutis 2010;86:36-38.
• 15. Sadeghi S, Dibaei M. Prevalence of odontogenic sinus tracts in 728 endodontically treated teeth. Med Oral Patol Oral Cir Bucal 2011;16:296-299.
• 16. Zadik Y, Sandler V, Bechor R, Salehrabi R. Analysis of factors related to extraction of endodontically treated teeth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008;106:31-35.
• 17. Akpınar KE, ER K, Kuştarcı A, Özan Ü. Odontojenik fistüllerin prevalansı ve tedavi sonuçları. CÜ Diş Hek Fak Derg 2004;7:6-10.
• 18. Govindarajan M, Reddy VN, Ramalingam K, Durai KS, Rao PA, Prabhu A. Prevalence of traumatic dental injuries to the anterior teeth among three to thirteen-year-old school children of Tamilnadu. Contemp Clin Dent 2012;3:164-167.
• 19. Kumar A, Bansal V, Veeresha KL, Sogi GM. Prevalence of traumatic dental injuries among 12- to 15-year- old schoolchildren in Ambala district, Haryana, India. Oral Health Prev Dent 2011;9:301-305.
• 20. Noori AJ, Al-Obaidi WA. Traumatic dental injuries among primary school children in Sulaimani city, Iraq. Dent Traumatol. 2009;25:442-446.
• 21. Mortensen H, Winther JE, Birn H. Periapical granulomas and cysts. An investigation of 1,600 cases. Scand J Dent Res. 1970;78:241-250.
• 22. Huang TJ, Roan RT, Lin HT. Sinus tracts of dental origin. A clinical study. Part I. Gaoxiong Yi Xue Ke Xue Za Zhi 1990;6:653-660.
• 23. Mittal N, Gupta P. Management of extra oral sinus cases: a clinical dilemma. J Endod. 2004;30:541-547.
• 24. Uysal A, Sezer B, Akay MC, Ertürk S. Odontogenic sinus tracts. Ege Tıp Dergisi 2004;43:121-125.