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Decision-making in closure of oroantral communication and fistula

  • 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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Author:Puria ParviniGND, Karina Anne-Marie ObrejaORCiDGND, Amira BegićGND, Frank SchwarzORCiDGND, Jürgen Becker, Robert Alexander SaderORCiDGND, Loutfi Salti
URN:urn:nbn:de:hebis:30:3-488367
DOI:https://doi.org/10.1186/s40729-019-0165-7
ISSN:2198-4034
Pubmed Id:https://pubmed.ncbi.nlm.nih.gov/30931487
Parent Title (English):International journal of implant dentistry
Publisher:Springer
Place of publication:Berlin ; Heidelberg
Document Type:Article
Language:English
Year of Completion:2019
Date of first Publication:2019/04/01
Publishing Institution:Universitätsbibliothek Johann Christian Senckenberg
Release Date:2019/04/04
Tag:Complication management; Decision; Fistula; Flaps; Grafts; Maxillary sinus; Oral surgery; Oroantral; Oroantral communication
Volume:5
Issue:1, Art. 13
Page Number:11
First Page:1
Last Page:11
Note:
Open Access: This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
HeBIS-PPN:450809110
Institutes:Medizin / Medizin
Dewey Decimal Classification:6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit
Sammlungen:Universitätspublikationen
Licence (German):License LogoCreative Commons - Namensnennung 4.0