Abstract
Purpose: Oroantral communications (OACs) may close
spontaneously, especially when the defect has a size smaller than 2-3 mm,
whereas larger openings require surgical closure. The aim of this retrospective study was to present our experince with
non surgical closure of small and large OACs with occlusal splints.
Materials and
Methods: Clinical and
radiographic data of twenty patients who had used occlusal splints after the
occurance of an acute OAC were included in this study. Two groups were created
according to the size of the defects: Group A: defects smaller (<) than 5 mm;
and Group B: 5 mm and wider (≥). In all patients, a well fitted soft occlusal
splint was placed for hermetic closure of the opening. All patients were followed up weekly and the
splint use was stopped when complete epithelization of the OAC was observed
clinically. The
relationship between the size of OACs, treatment outcome, and healing time was
compared statistically.
Results: OAC was healed
spontaneously in all patients, except one. The healing time was found to be
significantly higher in goup B than in group A. No significant difference was
found between the groups with respect to the success of the treatment.
Conclusion: The use of
occlusal splints seems to improve the spontaneus healing of the OACs.
References
- 1. Neuschl M, Kluba S, Krimmel M, Reinert S. Iatrogenic transposition of the parotid duct into the maxillary sinus after tooth extraction and closure of an oroantral fistula. A case report. J Craniomaxillofac Surg. 2010 Oct;38(7):538-540.
- 2. von Wowern N: Correlation between the development of an oroantral fistula and the size of the corresponding bony defect. J Oral Surg. 1973; 31(2):98-102
- 3. Guven O: A clinical study on oroantral fistulae. J Craniomaxillofac Surg. 1998; 26:267-271.
- 4. Anavi Y, Gal G, Silfen R, Calderon S. Palatal rotation-advancement flap for delayed repair of oroantral fistula: a retrospective evaluation of 63 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003 Nov;96(5):527-534.
- 5. Abuabara A, Cortez AL, Passeri LA, de Moraes M, Moreira RW. Evaluation of different treatments for oroantral/oronasal communications: experience of 112 cases. Int J Oral Maxillofac Surg. 2006 Feb;35(2):155-158.
- 6. Lazow SK. Surgical management of the oroantral fistula: flap procedures. Operative Techniques in Otolaryngology-Head and Neck Surgery. 1999;10(2):148-152.
- 7. Ashley RE. LIII A Method of Closing Antro-Alveolar Fistulae. Annals of Otology, Rhinology & Laryngology. 1939;48(3):632-642.
- 8. Meirelles RC, Neves-Pinto RM. Oroantral fistula and genian mucosal flap: a review of 25 cases. Braz J Otorhinolaryngol. 2008 Jan-Feb;74(1):85-90.
- 9. Obradovic O, Todorovic L, Pesic V. Investigations of the buccal sulcus depth after the use of certain methods of oro-antral communication closure. Bull Group Int Rech Sci Stomatol Odontol. 1981 Sep;24(3):209-214.
- 10. Gacic B, Todorovic L, Kokovic V, Danilovic V, Stojcev-Stajcic L, Drazic R, Markovic A. The closure of oroantral communications with resorbable PLGA-coated beta-TCP root analogs, hemostatic gauze, or buccal flaps: a prospective study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009 Dec;108(6):844-850
- 11. Visscher SH, Van Minnen B, Bos RR. Feasibility of conical biodegradable polyurethane foam for closure of oroantral communications. J Oral Maxillofac Surg. 2011 Feb;69(2):390-395.
- 12. Thoma K, Pajarola GF, Grätz KW, Schmidlin PR. Bioabsorbable root analogue for closure of oroantral communications after tooth extraction: a prospective case-cohort study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006 May;101(5):558-564.
- 13. Herbert DC. Closure of a palatal fistula using a mucoperiosteal island flap. Br J Plast Surg. 1974 Oct;27(4):332-336.
- 14. Hanazawa Y, Itoh K, Mabashi T, Sato K. Closure of oroantral communications using a pedicled buccal fat pad graft. J Oral Maxillofac Surg. 1995 Jul;53(7):771-775
- 15. Keresztesi K. Conservative therapy of oroantral fistula. Osterr Z Stomatol. 1954 Jun;51(6):317-323.
- 16. van Minnen B, Stegenga B, van Leeuwen MB, van Kooten TG, Bos RR. Nonsurgical closure of oroantral communications with a biodegradable polyurethane foam: A pilot study in rabbits. J Oral Maxillofac Surg. 2007 Feb;65(2):218-222.
- 17. Visscher SH, van Minnen B, Bos RR. Closure of oroantral communications: a review of the literature. J Oral Maxillofac Surg. 2010 Jun;68(6):1384-1391.
- 18. Sokler K, Vuksan V, Lauc T. Treatment of oroantral fistula. Acta Stomat Croat. 2002; 36:135–140.
- 19. Logan RM, Coates EA. Non-surgical management of an oro-antral fistula in a patient with HIV infection. Aust Dent J. 2003 Dec;48(4):255-258.
Abstract
Amaç: Defekt boyutu 2-3 mm olan oroantral
açıklıklar spontan olarak iyileşebilirken büyük açıklıklarda cerrahi müdahale
gereklidir. Bu çalışmanın amacı, küçük
ve büyük oroantral açıklıkların, okluzal splintler ile cerrahisiz tedavisi
hakkında bilgi sunmaktır.
Gereç ve Yöntem: Bu çalışmaya akut
oroantral açıklık gelişen 12 hasta dahil edildi. Defektin boyutuna göre 2 grup
oluşturuldu. Grup A: defektin 5 mm'den küçük olduğu; Grup B: defektin 5 mm ve
daha fazla olduğu hastalardan oluşmaktaydı. Bütün hastalara açıklığın
kapatılması için yumuşak okluzal plak yapıldı. Hastalar haftalık olarak takip
edildi ve klinik olarak tam epitelizasyon sağlandığında splint kullanımı
bırakıldı. Açıklıkların boyutu ile iyileşme süresi ve tedavi sonuçları
arasındaki ilişki istatistiksel olarak karşılaştırıldı.
Sonuçlar: Bir hasta dışında,
tüm hastalarda oroantral açıklıklar spontan olarak iyileşti. Grup B'nin
iyileşme süresinin Grup A'dan belirgin olarak fazla olduğu görüldü. Tedavinin
başarısı ile ilgili gruplar arasında herhangi bir fark bulunamadı.
Sonuç: Oklüzal splintlerin kullanımı,
oroantral açıklıkların spontan olarak iyileşmesinde faydalı olabilir.
References
- 1. Neuschl M, Kluba S, Krimmel M, Reinert S. Iatrogenic transposition of the parotid duct into the maxillary sinus after tooth extraction and closure of an oroantral fistula. A case report. J Craniomaxillofac Surg. 2010 Oct;38(7):538-540.
- 2. von Wowern N: Correlation between the development of an oroantral fistula and the size of the corresponding bony defect. J Oral Surg. 1973; 31(2):98-102
- 3. Guven O: A clinical study on oroantral fistulae. J Craniomaxillofac Surg. 1998; 26:267-271.
- 4. Anavi Y, Gal G, Silfen R, Calderon S. Palatal rotation-advancement flap for delayed repair of oroantral fistula: a retrospective evaluation of 63 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003 Nov;96(5):527-534.
- 5. Abuabara A, Cortez AL, Passeri LA, de Moraes M, Moreira RW. Evaluation of different treatments for oroantral/oronasal communications: experience of 112 cases. Int J Oral Maxillofac Surg. 2006 Feb;35(2):155-158.
- 6. Lazow SK. Surgical management of the oroantral fistula: flap procedures. Operative Techniques in Otolaryngology-Head and Neck Surgery. 1999;10(2):148-152.
- 7. Ashley RE. LIII A Method of Closing Antro-Alveolar Fistulae. Annals of Otology, Rhinology & Laryngology. 1939;48(3):632-642.
- 8. Meirelles RC, Neves-Pinto RM. Oroantral fistula and genian mucosal flap: a review of 25 cases. Braz J Otorhinolaryngol. 2008 Jan-Feb;74(1):85-90.
- 9. Obradovic O, Todorovic L, Pesic V. Investigations of the buccal sulcus depth after the use of certain methods of oro-antral communication closure. Bull Group Int Rech Sci Stomatol Odontol. 1981 Sep;24(3):209-214.
- 10. Gacic B, Todorovic L, Kokovic V, Danilovic V, Stojcev-Stajcic L, Drazic R, Markovic A. The closure of oroantral communications with resorbable PLGA-coated beta-TCP root analogs, hemostatic gauze, or buccal flaps: a prospective study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009 Dec;108(6):844-850
- 11. Visscher SH, Van Minnen B, Bos RR. Feasibility of conical biodegradable polyurethane foam for closure of oroantral communications. J Oral Maxillofac Surg. 2011 Feb;69(2):390-395.
- 12. Thoma K, Pajarola GF, Grätz KW, Schmidlin PR. Bioabsorbable root analogue for closure of oroantral communications after tooth extraction: a prospective case-cohort study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006 May;101(5):558-564.
- 13. Herbert DC. Closure of a palatal fistula using a mucoperiosteal island flap. Br J Plast Surg. 1974 Oct;27(4):332-336.
- 14. Hanazawa Y, Itoh K, Mabashi T, Sato K. Closure of oroantral communications using a pedicled buccal fat pad graft. J Oral Maxillofac Surg. 1995 Jul;53(7):771-775
- 15. Keresztesi K. Conservative therapy of oroantral fistula. Osterr Z Stomatol. 1954 Jun;51(6):317-323.
- 16. van Minnen B, Stegenga B, van Leeuwen MB, van Kooten TG, Bos RR. Nonsurgical closure of oroantral communications with a biodegradable polyurethane foam: A pilot study in rabbits. J Oral Maxillofac Surg. 2007 Feb;65(2):218-222.
- 17. Visscher SH, van Minnen B, Bos RR. Closure of oroantral communications: a review of the literature. J Oral Maxillofac Surg. 2010 Jun;68(6):1384-1391.
- 18. Sokler K, Vuksan V, Lauc T. Treatment of oroantral fistula. Acta Stomat Croat. 2002; 36:135–140.
- 19. Logan RM, Coates EA. Non-surgical management of an oro-antral fistula in a patient with HIV infection. Aust Dent J. 2003 Dec;48(4):255-258.
Details
| Subjects | Health Care Administration |
|---|---|
| Journal Section | Original Research Articles |
| Authors | |
| Publication Date | December 22, 2017 |
| Submission Date | September 19, 2016 |
| Published in Issue | Year 2017Volume: 20 Issue: 3 |
Cited By
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https://doi.org/10.1016/j.joms.2023.09.006
Oro-Antral Fistulas and their Management: Our Experience
Indian Journal of Otolaryngology and Head & Neck Surgery
Ravneet Ravinder Verma
https://doi.org/10.1007/s12070-021-02739-x
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