Abstract
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.
Highlights
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
Previous narrative research has focused on assessments and comparisons of various surgical techniques for closure of OAC/oroantral fistula (OAF) [2]
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
Summary
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. The oroantral fistula (OAF) develops if the OAC remains open and becomes epithelialized. The oroantral fistula has its origin either from iatrogenic complications or from dental infections, trauma, radiation therapy, or osteomyelitis [1]. Clinical decision-making determines the optimal strategy in a particular clinical situation. It requires a combination of knowledge, experience, and information gathering. Previous narrative research has focused on assessments and comparisons of various surgical techniques for closure of OAC/OAF [2]. The decision-making process has not yet been described comprehensively
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