Background:Oro cutaneous fistula (OCF) (of dental origin) is a rare but well-documented disease in the medical literature.A fistula is an aberrant route that connects dual anatomical compartments or connects an internal cavity or organ to the body's exterior.The most prevalent cause is pulpal odontogenic infection. In most situations, a simple diagnosis may be made, and specialized therapy can be initiated, eventually leading to a cure. The diagnosis got more challenging because the impacted third molar was completely concealed by tissue (soft). oral cutaneous fistula (OCF) is an infrequent condition in which there is a pathologic communication between the oral cavity and the skin. Chronic dental infections, trauma, dental implant complications, salivary gland lesions, and neoplasms are the most common causes of oral cutaneousfistulas. presentation of case A 19 years old female was admitted in rural hospital wardha with chief complaints of ulcer over the right side of the cheek, difficulty in mouth opening, pus discharge from the ulcer,and pain over the right side of the cheek. after physical examination and investigation, the present case was diagnosed as anoral cutaneous fistula.The patient had a previous history of a dental check-ups. The patient was treated with analgesic drugs, antipyretic, antacid, and antibiotic drugs for reduces the symptoms of Orocutaneousfistula.Discussion To avoid misdiagnosis, all patients with Oral cutaneous fistula should undergo a dental examination.It also emphasizes the significance of periodontal examination to rule out an aetiological aspect if a final odontogenic etiology cannot be found.The use of contrast-enhanced CT in the diagnosis of OCF and the selection of an action plan was crucial.

Angiogenesis inhibitors, Antineoplastic agent, Odontogenic Keratocyst, Oro cutaneous fistula, tooth.