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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.

Author of the original answer: Doç. Dr. İsmail Davut Çapar

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Turkish answer published on this website:

Translation published:

The review date refers to the Turkish original; it does not indicate a separate medical review of the translation.