Review Article
Volume 19 Issue 4 - 2020
Surgical Management of Oro-Antral Communication (Updated Review)
Ahmed Wallan Alahmary1, Afnan Abdulrahman Al-dosari2, Jehan Muneer Al-mutairi2, Rehab Fayez Al-enazi2, Sarah Faihan Al-otaibi2, Waad Majed Al-mutairi2 and Ahmed M Elmarakby3,4*
1Assistant Professor, Department of Oral and Maxillofacial Surgery, AlFarabi Colleges for Dentistry and Nursing, Riyadh, Saudi Arabia
2BDS, AlFarabi College for Dentistry and Nursing, Riyadh, Saudi Arabia
3Assistant Professor, Department of Restorative Dental Science, AlFarabi Colleges for Dentistry and Nursing, Riyadh, Saudi Arabia
4Lecturer, Department of Operative Dentistry, Faculty of Dental Medicine, Al-Azhar University, Assiute Branch, Egypt
*Corresponding Author: Ahmed M Elmarakby, Assistant Professor in the Department of Restorative Dental Sciences, Al-Farabi Colleges for Dentistry and Nursing, Riyadh, Saudi Arabia and Lecturer of Operative Dentistry Department, Faculty of Dental Medicine, Al-Azhar University, Assiute Branch, Egypt.
Received: March 09, 2020; Published: March 26, 2020




Abstract

Background: Oro-antral communication is one of the most common complications during the oral surgical procedure. It can be caused by several conditions like the presence of upper molars with long divergent roots, cyst, periapical infections, also can be caused by maxillary tuberosity fracture. This complication should be managed quickly to prevent the epithelial growth and fistula formation. Factors like site contamination, time of perforation and diameter of defect are critical in treatment plan of this communication. It can be managed by several techniques like the use of platelet rich fibrin, buccal pad of fat, through several types of surgical flaps like buccal advancement flap, palatal rotation flap, transposition flap, or by tongue flap. This review is aimed to give a comprehensive view about the etiologies, diagnosis and the variable surgical management of oro-antral communication.

Methodology: In this review, online researchers will be used to get articles to current subject using scientific databases such as PubMed, google scholar and dental medical books (with English language) about surgical management of oro-antral communication.

Keywords: Oro-Antral; Fistula; Communication; Oral Surgery; Complications

References

  1. James R Hupp., et al. “Contemporary Oral and Maxillofacial Surgery”. 7th Edition.
  2. Khandelwal P and Hajira N. “Management of Oro-antral Communication and Fistula: Various Surgical Options”. World Journal of Plastic Surgery 6.1 (2017): 3-8.
  3. Procacci P., et al. “Surgical Treatment of Oroantral Communications”. Journal of Craniofacial Surgery 27.5 (2016): 1190-1196.
  4. Kiran Kumar Krishanappa S., et al. “Interventions for treating oro-antral communications and fistulae due to dental procedures”. Cochrane Database of Systematic Reviews 5 (2018): CD011784.
  5. Cankaya AB., et al. “Reliability of Two Surgical Methods for Oroantral Communication Closure A Clinical Study of 20 Patients”. Otolaryngology 2 (2012): 2.
  6. Dym H., et al. “Oroantral communication”. Oral and Maxillofacial Surgery Clinics of North America 24.2 (2012): 239-247, viii-ix. 
  7. Chinches Iv., et al. “Oral Communication Repair Using Platelet-Rich Fibrin”. IOSR Journal of Dental and Medical Sciences 15.10 (2016): 100-104. 
  8. Kapustecki M., et al. “Alternative method to treat oroantral communication and fistula with autogenous bone graft and platelet rich fibrin”. Medicina Oral Patologia Oral y Cirugia Bucal 21 (2016): e608-e613.
  9. Candamourty R., et al. “Double-layered closure of oroantral fistula using buccal fat pad and buccal advancement flap”. Journal of Natural Science, Biology and Medicine 3.2 (2012): 203-205. 
  10. Kim MK., et al. “The use of the buccal fat pad flap for oral reconstruction”. Maxillofacial Plastic and Reconstructive Surgery 39.1 (2017): 5. 
  11. G Sandhya and P Bal Reddy. “Surgical Management of Oro-Antral Communications Using Resorbable GTR Membrane and FDMB Sandwich Technique: A Clinical Study”. Journal of Maxillofacial and Oral Surgery 12.3 (2013): 254-259. 
  12. Visscher SH., et al. “Closure of oroantral communications: a review of the literature”. Journal of Oral and Maxillofacial Surgery 68.6 (2010): 1384-1391. 
  13. Bilginaylar K. “The Use of Platelet-Rich Fibrin for Immediate Closure of Acute Oroantral Communications: An Alternative Approach”. Journal of Maxillofacial and Oral Surgery 76.2 (2018): 278-286. 
  14. Borgonovo AE and Berardinelli FV. “Surgical options in oroantral fistula treatment”. Open Dentistry Journal 6 (2012): 94-98. 
  15. Al-Juboori MJ and Al-Attas MA. “Treatment of oroantral fistula with platelet-rich fibrin clot and collagen membrane: a case report”. Clinical, Cosmetic and Investigational Dentistry 10 (2018): 245-249.
  16. Mohammed Moumine and Lahcen Khalf. “Uses of tongue flaps in oroantral communication”. Journal of Oral Medicine and Oral Surgery 24 (2018): 63-66. 
  17. Andrea Enrico Borgonovo., et al. “Surgical Options in Oroantral Fistula Treatment”. Open Dentistry Journal 6 (2012): 94-98. 
  18. Wael Mohamed Said Ahmed. “Closure of Oroantral Fistula Using Titanium Plate with Transalveolar Wiring”. Journal of Maxillofacial and Oral Surgery 14.1 (2015): 121-125.
  19. Assad M., et al. “Evaluation of a New Surgical Technique for Closing Oroantral Fistula Using Auto transplanted Upper Third Molar: A 1-Year Follow-Up Study”. Journal of Maxillofacial and Oral Surgery 17.1 (2018): 84-88.
  20. Merlini A., et al. “Modified double-layered flap technique for closure of an oroantral fistula: Surgical procedure and case report”. British Journal of Oral and Maxillofacial Surgery 54.8 (2016): 959-961.
  21. Yang S., et al. “Reconstruction of large oroantral defects using a pedicled buccal fat pad”. Maxillofacial Plastic and Reconstructive Surgery 40.1 (2018): 7.
  22. Denes., et al. “The Buccal Fat Pad for Closure of Oroantral Communication”. Journal of Craniofacial Surgery 27.3 (2016): e327-e330.
  23. Agrawal A., et al. “Treatment of Oroantral Fistula in Pediatric Patient using Buccal Fat Pad”. International Journal of Clinical Pediatric Dentistry 8.2 (2015): 138-140. 
  24. Saleh EA., et al. “Closure of Large Oroantral Fistulas Using Septal Cartilage”. Otolaryngology-Head and Neck Surgery 148.6 (2013): 1048-1050. 
  25. Sler SC., et al. “Closure of oroantral fistula using auricular cartilage: a new method to repair an oroantral fistula”. British Journal of Oral and Maxillofacial Surgery 49.8 (2011): e86-e87. 
  26. Scattarella A., et al. “Treatment of oroantral fistula with autologous bone graft and application of a non-reabsorbable membrane”. International Journal of Medical Sciences 7.5 (2010): 267-271.
  27. Lee CYS. “Use of a Non-Resorbable DPTFE Membrane to Close an Oroantral Communication of the Posterior Maxilla after Tooth Ex- traction: A Case Report”. Annals of Otolaryngology and Rhinology 3.9 (2016): 1133. 
  28. Noel JE., et al. “Use of Pedicled Nasoseptal Flap for Pathologic Oroantral Fistula Closure”. Journal of Oral and Maxillofacial Surgery 74.4 (2016): 704.e1-6. 
  29. Visscher SH., et al. “Feasibility of conical biodegradable polyurethane foam for closure of oroantral communications”. Journal of Oral and Maxillofacial Surgery 69.2 (2011): 390-395.
  30. Beech AN., et al. “Novel approach in the treatment of a persistent oroantral fistula using an acellular dermal graft: technical note”. British Journal of Oral and Maxillofacial Surgery 55.3 (2017): 343. 
  31. Aladag Gunhan and Songu M. “Endoscopic Repair of Persistent Oroantral Communications Using the Caldwell-Luc Approach”. Journal of Craniofacial Surgery 29.3 (2018): 703-705. 
  32. Er N., et al. “Treatment of oroantral fistulas using bony press-fit technique”. Journal of Oral and Maxillofacial Surgery 71.4 (2013): 659-666. 
  33. Ahmed MS., et al. “Combined bony closure of oroantral fistula and sinus lift with mandibular bone grafts for subsequent dental implant placement”. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics 111.4 (2011): e8-e14.
Citation: Ahmed M Elmarakby., et al. “Surgical Management of Oro-Antral Communication (Updated Review)”. EC Dental Science 19.4 (2020): 162-168.

PubMed Indexed Article


EC Pharmacology and Toxicology
LC-UV-MS and MS/MS Characterize Glutathione Reactivity with Different Isomers (2,2' and 2,4' vs. 4,4') of Methylene Diphenyl-Diisocyanate.

PMID: 31143884 [PubMed]

PMCID: PMC6536005


EC Pharmacology and Toxicology
Alzheimer's Pathogenesis, Metal-Mediated Redox Stress, and Potential Nanotheranostics.

PMID: 31565701 [PubMed]

PMCID: PMC6764777


EC Neurology
Differences in Rate of Cognitive Decline and Caregiver Burden between Alzheimer's Disease and Vascular Dementia: a Retrospective Study.

PMID: 27747317 [PubMed]

PMCID: PMC5065347


EC Pharmacology and Toxicology
Will Blockchain Technology Transform Healthcare and Biomedical Sciences?

PMID: 31460519 [PubMed]

PMCID: PMC6711478


EC Pharmacology and Toxicology
Is it a Prime Time for AI-powered Virtual Drug Screening?

PMID: 30215059 [PubMed]

PMCID: PMC6133253


EC Psychology and Psychiatry
Analysis of Evidence for the Combination of Pro-dopamine Regulator (KB220PAM) and Naltrexone to Prevent Opioid Use Disorder Relapse.

PMID: 30417173 [PubMed]

PMCID: PMC6226033


EC Anaesthesia
Arrest Under Anesthesia - What was the Culprit? A Case Report.

PMID: 30264037 [PubMed]

PMCID: PMC6155992


EC Orthopaedics
Distraction Implantation. A New Technique in Total Joint Arthroplasty and Direct Skeletal Attachment.

PMID: 30198026 [PubMed]

PMCID: PMC6124505


EC Pulmonology and Respiratory Medicine
Prevalence and factors associated with self-reported chronic obstructive pulmonary disease among adults aged 40-79: the National Health and Nutrition Examination Survey (NHANES) 2007-2012.

PMID: 30294723 [PubMed]

PMCID: PMC6169793


EC Dental Science
Important Dental Fiber-Reinforced Composite Molding Compound Breakthroughs

PMID: 29285526 [PubMed]

PMCID: PMC5743211


EC Microbiology
Prevalence of Intestinal Parasites Among HIV Infected and HIV Uninfected Patients Treated at the 1o De Maio Health Centre in Maputo, Mozambique

PMID: 29911204 [PubMed]

PMCID: PMC5999047


EC Microbiology
Macrophages and the Viral Dissemination Super Highway

PMID: 26949751 [PubMed]

PMCID: PMC4774560


EC Microbiology
The Microbiome, Antibiotics, and Health of the Pediatric Population.

PMID: 27390782 [PubMed]

PMCID: PMC4933318


EC Microbiology
Reactive Oxygen Species in HIV Infection

PMID: 28580453 [PubMed]

PMCID: PMC5450819


EC Microbiology
A Review of the CD4 T Cell Contribution to Lung Infection, Inflammation and Repair with a Focus on Wheeze and Asthma in the Pediatric Population

PMID: 26280024 [PubMed]

PMCID: PMC4533840


EC Neurology
Identifying Key Symptoms Differentiating Myalgic Encephalomyelitis and Chronic Fatigue Syndrome from Multiple Sclerosis

PMID: 28066845 [PubMed]

PMCID: PMC5214344


EC Pharmacology and Toxicology
Paradigm Shift is the Normal State of Pharmacology

PMID: 28936490 [PubMed]

PMCID: PMC5604476


EC Neurology
Examining those Meeting IOM Criteria Versus IOM Plus Fibromyalgia

PMID: 28713879 [PubMed]

PMCID: PMC5510658


EC Neurology
Unilateral Frontosphenoid Craniosynostosis: Case Report and a Review of the Literature

PMID: 28133641 [PubMed]

PMCID: PMC5267489


EC Ophthalmology
OCT-Angiography for Non-Invasive Monitoring of Neuronal and Vascular Structure in Mouse Retina: Implication for Characterization of Retinal Neurovascular Coupling

PMID: 29333536 [PubMed]

PMCID: PMC5766278


EC Neurology
Longer Duration of Downslope Treadmill Walking Induces Depression of H-Reflexes Measured during Standing and Walking.

PMID: 31032493 [PubMed]

PMCID: PMC6483108


EC Microbiology
Onchocerciasis in Mozambique: An Unknown Condition for Health Professionals.

PMID: 30957099 [PubMed]

PMCID: PMC6448571


EC Nutrition
Food Insecurity among Households with and without Podoconiosis in East and West Gojjam, Ethiopia.

PMID: 30101228 [PubMed]

PMCID: PMC6086333


EC Ophthalmology
REVIEW. +2 to +3 D. Reading Glasses to Prevent Myopia.

PMID: 31080964 [PubMed]

PMCID: PMC6508883


EC Gynaecology
Biomechanical Mapping of the Female Pelvic Floor: Uterine Prolapse Versus Normal Conditions.

PMID: 31093608 [PubMed]

PMCID: PMC6513001


EC Dental Science
Fiber-Reinforced Composites: A Breakthrough in Practical Clinical Applications with Advanced Wear Resistance for Dental Materials.

PMID: 31552397 [PubMed]

PMCID: PMC6758937


EC Microbiology
Neurocysticercosis in Child Bearing Women: An Overlooked Condition in Mozambique and a Potentially Missed Diagnosis in Women Presenting with Eclampsia.

PMID: 31681909 [PubMed]

PMCID: PMC6824723


EC Microbiology
Molecular Detection of Leptospira spp. in Rodents Trapped in the Mozambique Island City, Nampula Province, Mozambique.

PMID: 31681910 [PubMed]

PMCID: PMC6824726


EC Neurology
Endoplasmic Reticulum-Mitochondrial Cross-Talk in Neurodegenerative and Eye Diseases.

PMID: 31528859 [PubMed]

PMCID: PMC6746603


EC Psychology and Psychiatry
Can Chronic Consumption of Caffeine by Increasing D2/D3 Receptors Offer Benefit to Carriers of the DRD2 A1 Allele in Cocaine Abuse?

PMID: 31276119 [PubMed]

PMCID: PMC6604646


EC Anaesthesia
Real Time Locating Systems and sustainability of Perioperative Efficiency of Anesthesiologists.

PMID: 31406965 [PubMed]

PMCID: PMC6690616


EC Pharmacology and Toxicology
A Pilot STEM Curriculum Designed to Teach High School Students Concepts in Biochemical Engineering and Pharmacology.

PMID: 31517314 [PubMed]

PMCID: PMC6741290


EC Pharmacology and Toxicology
Toxic Mechanisms Underlying Motor Activity Changes Induced by a Mixture of Lead, Arsenic and Manganese.

PMID: 31633124 [PubMed]

PMCID: PMC6800226


EC Neurology
Research Volunteers' Attitudes Toward Chronic Fatigue Syndrome and Myalgic Encephalomyelitis.

PMID: 29662969 [PubMed]

PMCID: PMC5898812


EC Pharmacology and Toxicology
Hyperbaric Oxygen Therapy for Alzheimer's Disease.

PMID: 30215058 [PubMed]

PMCID: PMC6133268


News and Events


November Issue Release

We always feel pleasure to share our updates with you all. Here, notifying you that we have successfully released the November issue of respective journals and can be viewed in the current issue pages.

Submission Deadline for January Issue

Ecronicon delightfully welcomes all the authors around the globe for effective collaboration with an article submission for the January issue of respective journals. Submissions are accepted on/before December 03, 2020.

Certificate of Publication

Ecronicon honors with a "Publication Certificate" to the corresponding author by including the names of co-authors as a token of appreciation for publishing the work with our respective journals.

Best Article of the Issue

Editors of respective journals will always be very much interested in electing one Best Article after each issue release. The authors of the selected article will be honored with a "Best Article of the Issue" certificate.

Certifying for Review

Ecronicon certifies the Editors for their first review done towards the assigned article of the respective journals.

Latest Articles

The latest articles will be updated immediately on the articles in press page of the respective journals.

Immediate Assistance

The prime motto of this team is to clarify all the queries without any delay or hesitation to avoid the inconvenience. For immediate assistance on your queries please don't hesitate to drop an email to editor@ecronicon.uk