Intraoral dental sinus

Intraoral dental sinus (also termed a parulis and commonly, a gumboil) is an oral lesion characterized by a soft erythematous papule (red spot) that develops on the alveolar process in association with a non-vital tooth and accompanying dental abscess.^[1] A parulis is made up of inflamed granulation tissue.

Less commonly, dental infections drain onto the surface of the skin, forming a cutaneous sinus of dental origin.

This condition is often resolved by endodontic treatment and does not have indication for antibiotic use. This is a common mistake among health professionals.^[2]

References

↑ Rapini, Ronald P.; Bolognia, Jean L.; Jorizzo, Joseph L. (2007). Dermatology: 2-Volume Set. St. Louis: Mosby. ISBN 1-4160-2999-0.
↑ Delgado, António HS; Codorniz, Maria Carolina; Almiro, Matilde; Pinheiro de Melo, Teresa; Caixinha, Mariana (2016). Why You Should Not Prescribe Antibiotics for Dental Sinus Tracts. Journal of Dental Sciences. http://www.rroij.com/open-access/why-you-should-not-prescribe-antibiotics-for-dental-sinus-tracts-a-short-overview-.pdf

Oral and maxillofacial pathology (K00–K06, K11–K14, 520–525, 527–529)

Lips
Cheilitis Actinic Angular Plasma cell Cleft lip Congenital lip pit Eclabium Herpes labialis Macrocheilia Microcheilia Nasolabial cyst Sun poisoning Trumpeter's wart

Tongue
Ankyloglossia Black hairy tongue Caviar tongue Crenated tongue Cunnilingus tongue Fissured tongue Foliate papillitis Glossitis Geographic tongue Median rhomboid glossitis Transient lingual papillitis Glossoptosis Hypoglossia Lingual thyroid Macroglossia Microglossia Rhabdomyoma

Palate
Bednar's aphthae Cleft palate High-arched palate Palatal cysts of the newborn Inflammatory papillary hyperplasia Stomatitis nicotina Torus palatinus

Oral mucosa – Lining of mouth

Teeth (pulp, dentin, enamel)

Periodontium (gingiva, periodontal ligament, cementum, alveolus) – Gums and tooth-supporting structures

Periapaical, mandibular and maxillary hard tissues – Bones of jaws

Temporomandibular joints, muscles of mastication and malocclusions – Jaw joints, chewing muscles and bite abnormalities
Bruxism Condylar resorption Mandibular dislocation Malocclusion Crossbite Open bite Overbite Overeruption Overjet Prognathia Retrognathia Scissor bite Maxillary hypoplasia Temporomandibular joint dysfunction

Salivary glands

Orofacial soft tissues – Soft tissues around the mouth
Actinomycosis Angioedema Basal cell carcinoma Cutaneous sinus of dental origin Cystic hygroma Gnathophyma Ludwig's angina Macrostomia Melkersson–Rosenthal syndrome Microstomia Noma Oral Crohn's disease Orofacial granulomatosis Perioral dermatitis Pyostomatitis vegetans

Other
Eagle syndrome Hemifacial hypertrophy Facial hemiatrophy Oral manifestations of systemic disease Salivary microbiome

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