Chronic alveolar abscess, as a sequelae of pulpal necrosis, can drain through a sinus tract, which may be intra-oral or extra-oral, though the intra-oral drainage is much more common. The extra oral sinus tract can be often misdiagnosed as an exclusive cutaneous lesion and get maltreated by systemic antibiotics. This case report demonstrates that if the general health of the patient allows, such ill-treated conditions can be managed by performing single visit endodontic therapy of the involved tooth followed by surgical excision of sinus tract so as to minimize the residual scar formation and therefore, aesthetically more acceptable for the patient.

Keywords: Chronic Alveolar Abscess; Pulpal Necrosis; Cutaneous Sinus Tract.