Research Information System
28. Congress of The Balkan Stomatological Society-BaSS, Budva, Montenegro, 25 - 27 April 2024, pp.41-42
Clinical Differentiation and Management of Apical Abscesses with and without Sinus
Tracts: A Case Series
Melikşah Gündüz, Zeynep Yağmur Özdemir, Salihanur Sari, Safa Kurnaz
Kutahya Health Sciences University, Faculty of Dentistry, Department of Endodontics,
Kutahya, Türkiye
Objective: This case series describes the diagnostic and treatment approaches for
dental abscesses manifesting in various clinical presentations, including acute and
chronic apical abscesses.
Case-1: A 58-year-old male patient presented with pain and swelling in the upper jaw.
Clinical and radiographic examinations revealed significant swelling of the left cheek,
percussion pain, and a radiolucency associated with tooth number 23. Management
involved abscess incision, root canal treatment (RCT), and antibiotic therapy.
Case-2: A 25-year-old female patient presented with pain and swelling in the right
infraorbital region. Clinical and radiographic examinations revealed swelling of tooth
number 11, an intraoral sinus tract associated with tooth number 22, and radiolucencies
involving both teeth and tooth number 21. Management consisted of abscess incision and
drainage via the root canal, followed by RCT and antibiotic therapy.
Case-3: A 16-year-old girl patient presented with a 3-month history of an extraoral
sinus tract in the lower right cheek. The patient was referred by a dermatologist for
further evaluation. Clinical and radiographic examinations localized the source of
infection to tooth number 46. A diagnosis of chronic apical abscess was established, and
RCT was performed. At the 2-month follow-up, complete resolution of the cutaneous
lesion was observed.
Results: At follow-up appointments, the teeth were found to be completely
asymptomatic and functional.
Conclusions: Accurate diagnosis and implementation of effective treatment interventions,
including both pharmacological and surgical modalities when indicated, are paramount
for optimal prognosis in patients presenting with apical abscesses.
Keywords: Endodontic treatment, Dental abscess