Cases reported "Oroantral Fistula"

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1/11. Use of third molar transplantation for closure of the oroantral communication after tooth extraction: a report of 2 cases.

    OBJECTIVE: This clinical report introduces a promising and unique method for the immediate closure of the oroantral communication (OAC) after tooth extraction: the use of the transplanted third molar with closed apices. STUDY DESIGN: In 2 adult patients, OAC caused by the extraction of an upper molar was immediately closed by using a transplanted third molar with complete root formation. After tooth extraction at the recipient site, OAC with perforated mucosa of the sinus floor was confirmed and the donor third molar was transferred to the prepared recipient socket. Endodontic therapy of the transplanted third molar began at 3 weeks after surgery, and prosthetic treatment was completed at 5 months after the operation. These 2 patients were carefully observed both clinically and radiographically. RESULTS: Closure of the OAC was successfully performed, and the transplanted teeth became fixed with the passage of time in these 2 patients. root resorption did not occur, and good functional results were obtained without any complications. CONCLUSIONS: Tooth transplantation of a mature third molar for closure of the OAC is a simple and excellent method because the transplanted tooth not only closes the communication to the maxillary sinus, but it also satisfactorily functions at the recipient site during mastication, even in adult patients.
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ranking = 1
keywords = extraction
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2/11. Non-surgical management of an oro-antral fistula in a patient with hiv infection.

    BACKGROUND: The risk of post-extraction complications is higher in patients who are immunosuppressed compared to other patients with normal immune function. In addition, invasive dental procedures are more likely to have serious complications in these patients. This case report demonstrates an effective non-surgical procedure to treat an oro-antral fistula in an hiv-infected man. methods: The oro-antral fistula was de-epithelialized under local anaesthesia and the patient wore a surgical splint continuously, removing it only for cleaning, for an eight week period. chlorhexidine gel was regularly applied to the fitting surface of the splint and the oro-antral communication. The patient was reviewed on a regular basis. RESULTS: This procedure resulted in resolution of the patient's symptoms within two weeks. Complete healing of the oro-antral fistula was evident following eight weeks of wearing the surgical splint. CONCLUSIONS: This procedure provided an effective method of treating an oro-antral fistula in an immunocompromised patient without causing any detrimental effects to the patient's overall health. Adequate pre-surgical assessment of patients prior to extractions is important in all patients to help prevent the occurrence of such complications.
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ranking = 0.28571428571429
keywords = extraction
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3/11. An iatrogenic foreign body (dental bur) in the maxillary antrum: a report of two cases.

    Two cases of foreign bodies of the antrum are reported. One was a turbine bur which presumably entered through an oro-antral fistula after a tooth extraction. The other was also a turbine bur where the mode of entry was not clear (lack of oro-antral fistula), but it presumably entered through the socket of the extracted tooth. The mucosa of the antrum appeared normal in spite of the lengthy presence of the foreign body.
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ranking = 0.14285714285714
keywords = extraction
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4/11. Dental implant therapy in the treatment of an oroantral communication after exodontia.

    A new technique in which a dental implant was the ultimate therapy for the treatment of an oroantral communication (OAC) that was created subsequent to the extraction of a maxillary first molar is described. A search of the English-speaking literature has not revealed implant therapy as part of documented modalities for the treatment of an OAC created following dental extraction. The OAC was closed by a sandwich technique that uses two resorbable membrane materials (Bio-Gide, Osteohealth, Shirley, NY) that surround a bone substitute (Bio-Oss, Osteohealth). This procedure, together with additional onlay grafting with the same bone substitute, was used also to regenerate subantral bone to enable the subsequent placement of an endosseous implant after 12 months. An 8-month postoperative radiograph showed creation of a new maxillary sinus bony floor and subantral bone of good quality, and height that can permit the placement of an endosseous dental implant.
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ranking = 0.28571428571429
keywords = extraction
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5/11. Orbital abscess: visual loss following extraction of a tooth--case report.

    OBJECTIVE: It is the purpose of this article to alert the general practitioner to the severe consequences that may result from a tooth extraction, including the loss of vision, despite the use of antibiotics. CONCLUSIONS: Early and aggressive treatment is critical in obstructing the spread of infection toward the orbits, the eyes, and eventually the brain.
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ranking = 0.71428571428571
keywords = extraction
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6/11. Oro-antral fistula: an unusual complication of hiv-associated periodontal disease.

    Oral lesions have been reported frequently in patients seropositive for human immunodeficiency virus. A case is reported of hiv-associated periodontitis complicated by necrotising stomatitis and the development of an oro-antral fistula; the role of extractions in the management of this condition is highlighted.
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ranking = 0.14285714285714
keywords = extraction
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7/11. Herniation of the antral membrane through an extraction site. Report of a case.

    A case of herniation of the antral membrane through a recent extraction site is presented. The lesion was initially diagnosed as a tumor by the referring dentist. Oroantral fistulas are not an uncommon finding after dental extractions. It is rare, however, to see herniation of the antral membrane with large polyps extending through the fistula into the oral cavity. A search of the literature revealed only two other such cases. Surgical removal of the polyps and closure of the oroantral fistula by means of a buccal sliding flap technique is discussed.
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ranking = 0.85714285714286
keywords = extraction
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8/11. Inverted papilloma of the maxillary sinus: an unusual cause of a non-healing extraction socket. Case report.

    Although the healing of extraction sites is generally a rapid and uncomplicated process, delayed healing or overt infection of recent extraction sockets may involve a variety of causes and the clinician must be aware pre-operatively of both local and systemic influences. Retarded or non-healing extraction sites always require investigation. This paper looks broadly at the subject of non-healing extraction sites and reports an unusual case involving an inverted papilloma of the maxillary antrum. To the authors' knowledge this is the first reported case of an antral papilloma causing delayed extraction wound healing.
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ranking = 1.2857142857143
keywords = extraction
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9/11. Sinus obliteration for chronic oro-antral fistula: a case report.

    This report describes a patient with chronic oro-antral fistula resulting from tooth extraction. Several local flap procedures failed to close the fistula, which was complicated by chronic sinusitis. Ultimately, cure was achieved via antral obliteration using vascularised temporoparietal fascia, sparing remaining maxillary alveolar bone. Total, trans-buccal maxillary sinus obliteration with fascia should be considered for the treatment of oro-antral communications refractory to treatment with intraoral tissues.
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ranking = 0.14285714285714
keywords = extraction
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10/11. Technical note: oroantral fistula: improved imaging with a dental computed tomography software program.

    oroantral fistula (OAF) is an uncommon complication in oral surgery. About 5% of all extractions of maxillary premolars or molars may result in communication to the antrum. Small fistulae, 1-5 mm in diameter may close spontaneously, but larger fistulae usually require surgical closure. Pre-operative determination of the size of the fistula is often unreliable leading to difficulties in planning subsequent clinical management. We report a method for the precise determination of the size of the OAF using a dental computed tomography (CT) software program.
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ranking = 0.14285714285714
keywords = extraction
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