Akademik Veri Yönetim Sistemi
17th AÇBID International Congress, Antalya, Türkiye, 10-14 May 2024, Antalya, Türkiye, 10 - 14 Mayıs 2024, ss.175-176, (Özet Bildiri)
Oroantral communication (OAC) is a common complication that occurs between the maxillary sinus and the oral cavity after maxillary molar extraction whose root tips are associated with the maxillary sinus. Untreated OAC can act as a pathological pathway for bacteria. This often leads to infection of the maxillary sinus and non-healing of the extraction site. Immediate closure of OACs, preferably within 24 to 48 hours, is recommended to minimize the risk of maxillary sinusitis and fistula development. The size of the opening is important for OAC management decision. Although openings smaller than 2 mm tend to heal spontaneously, openings between 2 and 6 mm can be treated with simple surgical methods such as; gauze suturing, bleeding stopper placement or grafting procedures. Surgical treatment methods like local flaps and buccal fat pad are preferred for OACs larger than 6 mm. Surgical methods have disadvantages such as difficulty in application, need for technical team and equipment for PRF production, morbidities such as pain and edema. Therefore, the search for new methods that are easy to apply and less cost still continues. In the current literature, minimally invasive alternative methods such as platelet-rich fibrin, collagen sponges, occlusal splints are described for oroantral communication closure. In this presentation, the effectiveness of current alternative treatment methods of OAC will be discussed.