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Buccal fat pad lift: A technical note.

C Debortoli1, F Afota1, B Lerhe1

  • 1Department of Oral and Maxillofacial Surgery, Head and Neck Institute, University Hospital of Nice, 30 Avenue Valombrose, Nice 06100, France.

Journal of Stomatology, Oral and Maxillofacial Surgery
|December 2, 2024
PubMed
Summary

This study presents a reliable surgical technique using the buccal fat pad to reconstruct the maxillary posterior area after oro-antral communication (OAC). This method facilitates dental implant placement by addressing bone loss challenges.

Keywords:
Bone graftBuccal fat padOro-antral communicationSinus lift

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Dental Implantology
  • Reconstructive Surgery

Background:

  • Oro-antral communication (OAC) presents a significant challenge for dental implant rehabilitation in the posterior maxilla.
  • Reconstruction is complicated by the frequent absence of lateral and crestal bone walls.

Purpose of the Study:

  • To describe and validate a surgical technique for rehabilitating the posterior maxillary area following OAC.
  • To enable dental implant placement in challenging anatomical situations.

Main Methods:

  • A buccal fat pad lift procedure was performed under general anesthesia.
  • The technique involved lifting the buccal fat pad and sinus mucosa, fusing them, and filling the defect with a biomaterial.
  • The biomaterial's osteogenic properties were leveraged for osseointegration.

Main Results:

  • The described technique offers a viable solution for complex OAC cases.
  • Successful osseointegration of the biomaterial is anticipated due to the osteogenic environment.

Conclusions:

  • The buccal fat pad lift is a reliable and valid surgical solution for posterior maxillary reconstruction after OAC.
  • This technique requires significant surgical expertise but enables successful dental implant placement.