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Unusual lesion caused by food displacement into the oral mucosa, mimicking a sinus tract.

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This article reports an unusual case of foreign-body lesion on the oral mucosa. A 61-yr-old man, with no previous traumatic episode, presented with a small swelling resembling a sinus-tract on… Click to show full abstract

This article reports an unusual case of foreign-body lesion on the oral mucosa. A 61-yr-old man, with no previous traumatic episode, presented with a small swelling resembling a sinus-tract on the mucosa in the anterior mandible, adjacent to the left central and lateral incisors. Because of a discrete drainage of serous/purulent exudate, the clinician initially suspected of endodontic involvement. However, the adjacent teeth were caries-free, responded positively to pulp tests, and the periapical tissues were radiographically normal. Exploration of the lesion opening under an operating microscope revealed a small seed associated with a dark filamentous structure; both were removed and processed for histologic examination. The seed was from a fig, and was germinating under the mucosa conditions. Bacterial colonization of the vegetable structures and polymorphonuclear leukocyte accumulations were histologically observed. The mucosa healed completely and uneventfully over the following weeks.

Keywords: oral mucosa; unusual lesion; mucosa; sinus tract; seed

Journal Title: Journal of endodontics
Year Published: 2022

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