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Ramlan, Nurul Ain
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Dentistry

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The Successful Management of Non-healing Extraoral Draining Sinus of Odontogenic Origin: A Report of Two Cases Soo, Eason; Ramlan, Nurul Ain; Khairulzan, Sarah Husna; Nordin, Rifqah; Rosli, Muhammad Syafiq Asyraf
Journal of Dentistry Indonesia Vol. 30, No. 2
Publisher : UI Scholars Hub

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Extraoral draining sinus of odontogenic origin usually lacks intraoral symptoms, thus it may be diagnosed as a cutaneous lesion. It is rare and may be confused with a wide variety of diseases for example furuncle, pericoronitis in relation to the mandibular third molars, parotid fistula, preauricular sinuses, periapical and periodontal pathology, and many more. Patients might seek treatment from their physician as they are not aware of its odontogenic origin and these cases usually are misdiagnosed and leading to inappropriate treatment. Objective: To discuss the detailed management of two cases of extraoral draining sinus that were successfully treated. Case Reports: The first case was referred by the Department of Oral and Maxillofacial Surgery, for management of extraoral draining sinus originating from tooth 36. In the second case, the extraoral draining sinus is caused by pulpal necrosis of several mandibular anterior teeth. Intra-radicular microorganisms in infected root canals primarily obligate anaerobes have been the aetiologic cause of apical periodontitis if left untreated may cause these types of symptoms. Conclusion: As it is uncommon and the absence of any dental symptoms, thus, it’s paramount important to diagnose these types of cases to treat the disease and to avoid unnecessary treatments such as prolonged prescription of antibiotics. Therefore, the dental cause should be ruled out for any cutaneous sinus tract so that a correct diagnosis can be ascertained, and proper management can be delivered to the patient.
A Case Series of Successful Root Amputations and Hemisection: Retaining Compromised Teeth with Perio-Endodontic Lesion Isa, Mohd Nazrin; Ramlan, Nurul Ain; Ayoub, Afzan Adilah; Zainal Ariffin, Muhammad Hilmi
Journal of Dentistry Indonesia Vol. 31, No. 3
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Case report: This case report presents three successful approaches for preserving a tooth through root amputation or hemisection. Patients were referred to the Periodontic Department due to mobility of teeth and swelling of the upper left first molar, upper right first molar and lower right first molar with considerably good oral hygiene. Patients were diagnosed with generalized severe periodontitis associated with perio-endodontic lesions. Therefore, non-surgical root canal treatment (NSRCT) was carried out prior to periodontal treatment, followed by surgical root resection (RR) of the distobuccal (DB) root of the upper left first molar, root resection of the distobuccal (DB) root of the upper right first molar, while hemisection and amputation of the distal (D) root was performed on the lower right first molar. Upon 6-month and 1-year review, the teeth were asymptomatic and remained in function. Conclusion: This paper aims to portray the successful management of the period-endodontic lesion in the context of root resection and crown resection as a conservative method for retaining compromised teeth. The ability of RR to prolong the lifespan of compromised teeth and delay the need for more invasive interventions makes it an essential therapeutic option in contemporary dentistry.
Co-Authors Ayoub, Afzan Adilah Isa, Mohd Nazrin Khairulzan, Sarah Husna Nordin, Rifqah Rosli, Muhammad Syafiq Asyraf Soo, Eason Zainal Ariffin, Muhammad Hilmi