Healing of Odontogenic Extraoral Cutaneous sinus tracts with Conservative Endodontic Therapy: Two Case Reports

Introduction: Extraoral sinus tracts of endodontic origin are often clinically mistaken for a variety of other conditions. A misdiagnosis can lead to inappropriate treatment, resulting in treatment failure or delayed healing. Case Presentation: This report details the clinical management of two cases involving mandibular first molars presenting with extraoral sinus tracts and purulent discharge—one associated with an open apex and the other with a closed apex. Each case was treated with a specific disinfecting protocol and individualized treatment plan altered to the condition of the root apex. Both patients were followed for one year, and showed resolving of sinus. Conclusion: Managing extraoral sinus tracts in paediatric patients poses unique challenges. However, accurate diagnosis and a well-structured treatment plan are essential to ensure effective resolution and rapid healing, as demonstrated in both cases.