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[Oroantral communication and its treatment].
R Vanclooster1, H Schautteet, F Bourgois
1Kliniek voor tand-, mond- en kaakziekten afd. Orale en maxillofaciale heelkunde, Gent.
Revue Belge De Medecine Dentaire
|January 1, 1991
Summary
Oroantral perforations, often caused by upper molar extraction, require careful diagnosis and treatment consideration. While some perforations close spontaneously, surgical techniques differ for simple perforations versus persistent fistulas.
Area of Science:
- Dentistry
- Oral Surgery
Background:
- Oroantral perforations (OAPs) are a common complication following upper molar extractions.
- These perforations can lead to significant patient discomfort and further complications if not managed properly.
Purpose of the Study:
- To provide a comprehensive overview of OAPs for dental practitioners.
- To discuss the etiopathology, diagnosis, and management options for OAPs.
Main Methods:
- Review of the literature on oroantral perforations.
- Discussion of clinical and roentgenological diagnostic methods.
- Description of various surgical techniques for OAP closure.
Main Results:
- Extraction of upper molars is the most frequent cause of OAPs.
- Approximately 6.5% of OAPs may close spontaneously.
- Distinguishing between a simple perforation and a oroantral fistula is crucial for treatment planning.
Conclusions:
- Management decisions for OAPs should consider spontaneous closure rates versus surgical intervention.
- Appropriate surgical techniques are essential for effectively treating OAPs and oroantral fistulas.