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Case Reports in Dentistry
Volume 2015, Article ID 495206, 6 pages
Case Report

Conservative, Surgical, and Prosthetic Treatment of a Patient with a Periapical Lesion Associated with an Atypical Intraoral Sinus Tract

1Centre for Operative Dentistry and Periodontology, University of Dental Medicine and Oral Health, Danube Private University (DPU), Steiner Landstrasse 124, 3500 Krems an der Donau, Austria
2Zahn & Mensch, Private Practice for Interdisciplinary Dentistry, Innrain 6, 6020 Innsbruck, Austria

Received 6 February 2015; Accepted 24 April 2015

Academic Editor: Jiiang H. Jeng

Copyright © 2015 Michael Wolgin et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


This report describes a clinical case with an atypical intraoral sinus tract formation from diagnosis and treatment to short-term outcome and definitive prosthetic rehabilitation. In detail, the patient underwent conservative nonsurgical root canal treatment followed by guided bone augmentation of the regions involved in periapical inflammation and sinus tract formation. The removal of the inflammatory source of the lesion as well as the affected tissue clearly led to a healing of the surrounding bone tissues. Subsequently, the tooth was reconstructed using a fibreglass post and a metal-ceramic crown; an implant was successfully placed in the previously inflamed bone region.