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瘘窦型慢性尖周炎是口腔内科门诊的常见病、多发病。其瘘窦主要为龈窦。而皮窦则很少见。现报告1例皮窦型慢性尖周炎。患者,女性。45岁。主诉:右下颌下缘皮肤间歇性流脓半年。患者近1年右下牙有疼痛、咬合痛。伴牙龈肿胀史。症状严重时颌下缘皮肤会出现流脓。右下颌下缘皮肤相对右下颌前磨牙4的位置有一瘘口,探有少量淡黄色分泌物,3、4牙体完好,暗褐色,叩(++),松动Ⅰ~0。根尖区龈粘膜轻度红肿,无明显波动感,龈沟底无隆起,压痛不明显。X线示:3、4牙根尖黄豆大小阴影,阴影边缘
Fistula sinus chronic periapical clinic is a common disease, frequently-occurring disease. The fistula is mainly for the gingival sinus. The sinus is very rare. Now report a case of chronic sinusitis pericardium. Patient, female. 45 years old. Chief Complaint: Right lower extremity skin intermittent pus six months. Patients with pain, biting pain in the right lower quadrant in nearly 1 year. With gingival swelling history. Severe symptoms of submandibular margin of the skin will appear emptiness. The lower right mandibular margin of the skin relative to the position of the right lower mandibular premolar 4 has a fistula, exploration of a small amount of pale yellow secretions, 3, 4 teeth intact, dark brown, knocking (++), loosening Ⅰ ~ Apical gingival mucosa mild swelling, no significant fluctuations in the gingival sulcus without swelling, tenderness is not obvious. X-ray shows: 3,4 root tip soybean size shadow, shadow edge