Key Clinical message:
This case report examines a rare instance of bilateral sinus tracts of dental origin in a 32-year-old female. The rarity of bilateral sinus tracts without vertical root fractures emphasizes the need for accurate diagnostic evaluation. This case highlights the importance of considering dental origins in atypical sinus tract presentations.
Keywords: Infection, Maxillary sinus Tracts, Endodontic treatment
Introduction
A longstanding odontogenic infection can lead to pus \RL formation, which drains intra-orally or extra-orally through sinus tracts. Sinus tracts can appear in various anatomical regions and have sometimes been mistaken for epidermoid cysts, cystic acne, or salivary gland fistulas (1). There have been reports of cutaneous fistulas (both unilateral and bilateral) caused by dental origins (2, 3). Additionally, many nasal sinus tracts have been documented (4-6).
Lesions in atypical locations can lead to misdiagnosis, unnecessary treatments, and persistent symptoms or complications (7). Given the limited literature on this topic, each case report adds valuable insight. This report describes a case of bilateral sinus tracts in a young female and reviews the relevant literature to provide a better understanding of their causes and management. To our knowledge, this is the first reported case of an alveolar bilateral sinus tract linked to a maxillary first molar.
Case Presentation
This case report study is documented based on PRICE 2020 guidelines (8). Also, according to the Declarations of Helsinki, all ethical considerations have been observed. An endodontic specialist with 5 years of experience, performed all treatment protocols in the endodontics department of Mashhad Dental Faculty. Written and verbal informed consent was obtained from the patient The patient also consented to report the treatment results as a present study.
Case History/examination
A 32-year-old female presented with complaints of recurrent infections and discharge from both sides of teeth, at the Endodontics Clinic of Mashhad Dental School, Iran. The patient had been referred by a general dentist who visited her two weeks before. She had been referred by a general dentist who examined her two weeks prior. In the referral report, the dentist noted signs of infection and a history of pus drainage through the fistula in the past two months. Pre-operative radiographs and clinical photographs of the initial condition and treatment were provided by the referring dentist, as shown in Figure 1 <Figure 1>.