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GAZZETTA MEDICA ITALIANA ARCHIVIO PER LE SCIENZE MEDICHE

A Journal on Internal Medicine and Pharmacology


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Gazzetta Medica Italiana Archivio per le Scienze Mediche 2002 April;161(2):91-6

language: English

Cutaneous si­nus ­tract ­from an im­pact­ed ­tooth: a ­case re­port ­with one ­step sur­gi­cal treat­ment

Pippi R.

Department of Special Odontostomatological Surgery, Institute of Dentistry, “La Sapienza” University, Rome


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Cutaneous si­nus­es of den­tal or­i­gin are ­well rec­og­nized path­o­log­i­cal con­di­tions ­whose path­o­gen­e­sis is re­lat­ed to per­i­ap­i­cal or per­i­cor­o­nal ­acute in­flam­ma­to­ry pro­cess­es; nev­er­the­less ­they ­have to be dif­fer­en­tiat­ed ­from sev­er­al ­skin le­sions of the ­face and ­neck. The ­case of an eden­tu­lous pa­tient ­with a ­skin si­nus in the ­left sub­man­dib­u­lar re­gion ­from an im­pact­ed low­er ­first mo­lar is pre­sent­ed. Clinical and ra­dio­graph­ic fea­tures of ­this ­case are re­port­ed, path­o­gen­e­sis and dif­fe­ren­tial di­ag­no­sis are an­a­lysed and one-­step sur­gi­cal treat­ment is de­scribed and dis­cussed. Correlation ­with ­teeth has al­ways to be ­made, al­so in eden­tu­lous pa­tients, in ­which im­pact­ed ­teeth can be oc­ca­sion­al­ly ­found. If ­these pa­tients ­wear to­tal den­tures, a one-­step sur­gi­cal inter­ven­tion can be per­formed to al­low at the ­same ­time the ­best aes­thet­i­cal re­sults and the im­me­di­ate func­tion­al re­ha­bil­i­ta­tion.

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