none 10.31254/dentistry.2024.9103 BioMed Research Publishers BioMed Research Publishers 16195 179269120 314763 20250713121558940 10.31254 2025-07-13T12:16:02Z 2025-07-13T12:16:01Z 0 International Journal of Dentistry Research Int J Dentistry Res 25813218 10.31254/dentistry https://www.dentistryscience.com/ 4 30 2024 9 1 C Nagarathna https://orcid.org/0000-0002-0678-8850 Dhanya N B Berin https://orcid.org/0000-0002-6279-4083 This case report discusses the management of a girl aged 11 years with a chronic periapical abscess irt 46 with both non-healing extraoral and intraoral sinus tract having multiple stomata. An 11 years old girl reported with the chief complaint of non-healing extraoral draining sinus on lower right cheek for 2 months. Endodontic treatment was initiated followed by Calcium hydroxide intracanal medicament was given for 14 days. In the subsequent appointment after 1 week, healing of intraoral and extraoral sinus tract was evident with no symptoms. At this appointment, the intracanal medicament was washed out from the canals followed by obturation. This case report strengthens the importance of proper diagnosis and conservative management and the follow up of non-healing sinus tract that promoted good healing and better prognosis and showed satisfactory outcome. Conservative treatment should be taken into consideration whenever possible in children. 4 30 2024 7 10 1 10.31254/biomed-crossmark-policy www.biomedresearch.org false 10.31254/dentistry.2024.9103 https://www.dentistryscience.com/IJDR_202491_03.pdf