Waiting for sinus tract closure before obturation
Doctor, should we wait for the sinus tract to close before filling?
Translated version of the Turkish original
It is not essential, but waiting is the more cautious approach. I used to treat more such cases in one visit; now I generally apply CaOH2 and wait at least three weeks, completing treatment after seeing the fistula heal. If in some cases it remains open despite several medication sessions, I fill the tooth with MTA and follow it again. If it still does not close, I prefer apical surgery.
