Interventions for treating oro-antral communications and fistulae due to dental procedures

Krishanappa, Salian Kiran Kumar; Eachempati, Prashanti; Nagraj, Sumanth Kumbargere; Shetty, Neeta; Moe, Soe; Aggarwal, Himanshi; Mathew, Rebecca

doi:10.1002/14651858.cd011784.pub3

Cited by 20 publications

(22 citation statements)

References 38 publications

(16 reference statements)

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“…Finally, according to the literature, the management of OAC depends on the size of defect, time of diagnosis and presence of OMS. 63 Cases of OAC, if are present for more than 3 weeks, should be surgically closed and ESS is required to eliminate granulation tissue and to keep osteomeatal complex patent 64 ; absence of sinus disease is extremely important to achieve OAC closure. 58 If OAC is smaller than 3 mm and without epithelization it generally closes spontaneously in the absence of infection.…”

Section: Discussionmentioning

confidence: 99%

“… 58 If OAC is smaller than 3 mm and without epithelization it generally closes spontaneously in the absence of infection. 63 , 64 When OAC is larger than 3 mm surgical closure is indicated with buccal advancement flaps; palatal flaps are recommended for large bony defects. 65 Autogenous grafts derived from chin, retromolar area or iliac crest can be used when the soft tissue flaps fail or a chronic OAF exists.…”

Section: Discussionmentioning

confidence: 99%

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Odontogenic maxillary sinusitis: A comprehensive review

Psillas

Papaioannou

Petsali

et al. 2021

Journal of Dental Sciences

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Odontogenic maxillary sinusitis (OMS) is a well-recognized condition in both the dental and otolaryngology communities. Close to 30% of cases of unilateral maxillary sinusitis may have an underlying dental pathology. Failure to identify a dental cause usually lead to cases recalcitrant sinusitis often associated with serious complications. The aim of this study is to describe the literature findings on odontogenic maxillary sinusitis that discuss anatomy, epidemiology, etiology, bacteriology, diagnosis and treatment. The present review is based on a current search using bibliographic database and academic search engine. All the articles on odontogenic maxillary sinusitis published after 2000 were included. This study seeks to provide clinicians with evidence that motivates a comprehensive approach to the evaluation and management of OMS. Controversies on diagnosis and management have been addressed and data from different treatment plans were collected by exploring relevant publications. The surgical treatment of OMS is based essentially on the dental surgery, combined with endoscopic sinus surgery, in order to completely remove the infection, restore the physiological drainage of the sinus and prevent recurrences of sinusitis. A multidisciplinary otolaryngology and dental team is mandatory to successfully manage the dental pathology and the complications resulting from the dental treatments.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Odontogenic maxillary sinusitis: A comprehensive review

Psillas

Papaioannou

Petsali

et al. 2021

Journal of Dental Sciences

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“…Considering autogenous bone grafts as the technique of choice for closure large OAF, donor site morbidity, anatomic and structural problems, and increased level of bone resorption during healing should be borne in mind [22]. However, bone grafts are recommended for the closure of chronic OAF when soft tissue flap closure fails [33].…”

Section: Operative Proceduresmentioning

confidence: 99%

Decision-making in closure of oroantral communication and fistula

et al. 2019

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After removal of a dental implant or extraction of a tooth in the upper jaw, the closure of an oroantral fistula (OAF) or oroantral communication (OAC) can be a difficult problem confronting the dentist and surgeon working in the oral and maxillofacial region. Oroantral communication (OAC) acts as a pathological pathway for bacteria and can cause infection of the antrum, which further obstructs the healing process as it is an unnatural communication between the oral cavity and the maxillary sinus. There are different ways to perform the surgical closure of the OAC. The decision-making in closure of oroantral communication and fistula is influenced by many factors. Consequently, it requires a combination of knowledge, experience, and information gathering. Previous narrative research has focused on assessments and comparisons of various surgical techniques for the closure of OAC/OAF. Thus, the decision-making process has not yet been described comprehensively. The present study aims to illustrate all the factors that have to be considered in the management of OACs and OAFs that determine optimal treatment.

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“…The interest within otology complications in this article is undeviatingly relevant to the location of the sinus to the oral cavity. The thin floor of the main sinus can be found directly above the roots of the teeth towards the rear end of the oral cavity 62. Damage to the sinus cavity can result in damage roots of the oral cavity as they are so closely located.…”

Section: Potential Complicationsmentioning

confidence: 99%

Clinical utility of hyperbaric oxygen therapy in dentistry

Patel

Gandhi

et al. 2019

Med Gas Res

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This fuller impact of the use of hyperbaric oxygen therapy within dentistry is taking greater notice with newer research findings. There are new advancements in research regarding postradiotherapy cases, osteonecrosis of the jaw, osteomyelitis, periodontal disease, and dental implants. Hyperbaric oxygen therapy can even be used in conjunction with other procedures such as bone grafting. Although the research and clinical utility has come a long way, there are several complications to be mindful of during the application of hyperbaric oxygen therapy.

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Interventions for treating oro-antral communications and fistulae due to dental procedures

Cited by 20 publications

References 38 publications

Odontogenic maxillary sinusitis: A comprehensive review

Odontogenic maxillary sinusitis: A comprehensive review

Decision-making in closure of oroantral communication and fistula

Clinical utility of hyperbaric oxygen therapy in dentistry

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