Case Study: Management of Extra Oral Sinus

A classic example of why sinus tract tracing should never be skipped. A young patient reported with a persistent facial sinus. No intraoral swelling or pain, yet the culprit was a necrotic lower right first molar with a chronic periapical abscess.

A simple GP point tracing and pulp testing confirmed the diagnosis. A well-executed non-surgical root canal treatment resolved the infection at its source. The images speak for themselves — 1 month vs. 6 months follow-up show complete healing.

When you remove the source, the sinus heals itself. Conservative, predictable, and satisfying.