Rapid Communication| Volume 14, ISSUE 11, P1367-1376, November 1961

The oral fistula: Its diagnosis and treatment

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      • 1.
        1. A method of tracing a fistulous tract by means of a fine orthodontic wire is described.
      • 2.
        2. A differential diagnosis can be made, whether the fistula is of periapical, periodontal, periosteal, or bone involvement.
      • 3.
        3. The diagnostic importance of determining the derivation of the fistula in order that proper treatment may be instituted is stressed.
      • 4.
        4. Histologic examinations of fistulous tracts do not reveal the presence of epithelial tissue. Only granulation tissue is present.
      • 5.
        5. Clinical observations reveal that fistulas close spontaneously after the first or second treatment in an interval of one to two weeks.
      • 6.
        6. Surgical intervention is not necessary to eradicate a fistula.
      • 7.
        7. Because of the natural drainage created by a fistula, fewer complications (pain or swelling) follow treatment in cases of fistulization.
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