RENOVO NOW OFFERING DERMATOLOGICAL TREATMENTS!
This case is a highly unusual example of a mandibular odontogenic lesion causing an extraoral sinus tract. This patient had already been to see his dermatologist for two biopsies with inconclusive results. After the area continued to bleed for several months, he found our office. A necrotic #27 was noted with lesion expanding to tooth #28 which had an untreated lingual canal with a separated lentulo spiral at the apex. RCT of #27 with adjunctive apicoectomy was completed. During surgery, the chin sinus tract was bleeding as we removed the granulomatous lesion. At his post-surgical follow up, the sinus tract had completely resolved and he is now on his way to complete healing.