Premium
A new technique for closure of an immediate oroantral communication following tooth extraction by free buccal fat pad graft: Case report
Author(s) -
Younes ali Mohammad,
Heshmeh Omar,
Alsabek Laith
Publication year - 2022
Publication title -
oral surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.156
H-Index - 11
eISSN - 1752-248X
pISSN - 1752-2471
DOI - 10.1111/ors.12671
Subject(s) - medicine , buccal fat pad , buccal administration , maxillary sinus , surgery , dentistry , sinus (botany) , antrum , stomach , botany , gastroenterology , biology , genus
Abstract Aim Oroantral communication (OAC) is an abnormal connection between the oral cavity and the maxillary sinus. So many techniques have been described for closure of the communications, such as buccal flaps, palatal flap and pedicled buccal fat pad. The aim of this report is to present a new technique not found in the medical literature was used for closure of the OACs with free buccal fat pad graft (FBFPG). Material and methods Two cases of oroantral communication following posterior upper tooth extraction underwent surgical closure with (FBFPG). The diameter of the communications was 6 mm in the first case and 5 mm in the second case. The follow‐up period lasted for 3 months after the surgery to evaluate the success of the FBFPG in the closure of OACs and to evaluate the degree of the pain and the oedema resulting from the use of this technique. Results The closure was achieved successfully in the two cases without any signs of inflammation in the maxillary sinus. Only mild pain and oedema were noted after the surgery. The complete epithelialization of the fat graft was observed after 5–6 weeks. Conclusions Within the limits of this report, the use of FBFPG in the immediate closure of small‐ to medium‐oroantral communication is a simple procedure with low complication after the surgery, it can be used without elevating any flaps and without causing any change in the depth of the buccal sulcus and the symmetry of the face.