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All Journal Interdental Jurnal Kedokteran Gigi (IJKG)
Prestiyanti, Ni Made Ista
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Biochemistry, Genetics & Molecular Biology Dentistry Medicine & Pharmacology Public Health

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Management of Odontogenic Cutaneous Fistula Secondary to Dental Abscess: Report on Two Cases Rupayasa, Ni Putu Natasha Ayu; Anggayanti, Nyoman Ayu; Prestiyanti, Ni Made Ista
Interdental Jurnal Kedokteran Gigi (IJKG) Vol. 22 No. 1 (2026): Interdental Jurnal Kedokteran Gigi (IJKG)
Publisher : Fakultas Kedokteran Gigi, Universitas Mahasaraswati Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46862/interdental.v22i1.13462

Abstract

Introduction: Odontogenic cutaneous fistula is an abnormal pathway that causes pathologic communication between the cutaneous surface of the face skin and the oral cavity that occurs due to a chronic dental infection. Case:  A 37-year-old male presented with frequent throbbing pain in all four wisdom teeth and a sunken scar on the lower left cheek, resulting from a carious lesion in the lower left molar. A 56-year-old female presented with a sunken scar on her cheek following the extraction of an infected upper molar. Case Management: Both odontogenic cutaneous fistulas were treated by addressing causative tooth infection, when present, in combination with fistulectomy. On follow-up, the first patient exhibited delayed wound closure, whereas the second achieved complete closure through a combined subcutaneous and cutaneous suturing technique. The extraoral fistula may present in various forms, with dimpling or retraction resulting from adherence to underlying tissues. Accurate diagnosis of odontogenic cutaneous fistulas that are often misdiagnosed require careful history taking, clinical evaluation, and radiographic examination. Definitive management typically involves fistulectomy to resolve the extraoral lesion. Conclusion: Odontogenic cutaneous fistulas are managed by eliminating dental infection and performing fistulectomy, with combined closure optimizing healing and aesthetic outcomes.
Co-Authors Nyoman Ayu Anggayanti Rupayasa, Ni Putu Natasha Ayu