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Detail Article

Dental Journal (Majalah Kedokteran Gigi)

ISSN 1978-3728

Vol. 41 / No. 3 / Published : 2008-07

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Original Article :

The role of proper treatment of maxillary sinusitis in the healing of persistent oroantral fistula

Author :

  1. David B. Kamadjaja*1
  1. Department of Oral and Maxillofacial Surgery
    Faculty of Dentistry Airlangga University
    Surabaya – Indonesia

Abstract :

Background: Oroantral communication (OAC) is one of the possible complications after extraction of the upper teeth. If not identified and treated properly, a large OAC may develop into oroantral fistula (OAF) which means that there is a permanent epithelium-lined communication between antrum and oral cavity. Such fistulas may cause ingress of microorganism from oral cavity into the antrum leading to maxillary sinusitis. Oroantral fistula usually persists if the infection in the maxillary antrum is not eliminated. Therefore, treatment of oroantral fistula should include management of maxillary sinusitis in which surgical closure of oroantral fistula should be done only when the sinusitis has been cured. Purpose: This case report emphasizes on the importance of proper management of maxillary sinusitis in the healing of oroantral fistula. Case: A case of an oroantral fistula following removal of upper left third molar is presented. As the maxillary sinusitis was not identified pre-operatively, two surgical procedures to close the fistula had ended up in dehiscence. Case management: The diagnosis of maxillary sinusitis was finally made and the sinusitis subsequently treated with combination of trans-alveolar sinus wash out, insertion of an acrylic splint, and two series of nasal and sinus physiotherapy procedures. The size of the defect decreased gradually during the treatment of the sinusitis and finally closed up without any further surgical intervention. Conclusion: This case report points out that it is important to detect intraoperatively an antral perforation after any surgery of the maxillary teeth and to close any oroantral communication as early as possible and that it is important to treat properly any pre-existing maxillary sinusitis before any surgical method is done to close the fistula.

Keyword :

persistent oroantral fistula, treatment of maxillary sinusitis,

References :


    Archive Article

    Cover Media Content

    Volume : 41 / No. : 3 / Pub. : 2009-09
    1. Cytotoxicity Test Of 40, 50 And 60% Citric Acid As Dentin Conditioner By Using Mtt Assay On Culture Cell Line
    2. Cytotoxicity Of 5% Tamarindus Indica Extract And 3% Hydrogen Peroxide As Root Canal Irrigation
    3. The Effectiveness Of 0.5–0.7% Tetracycline Gel To Reduced Subgingival Plaque Bacteria
    4. The Profile Of Upper Integument Lip Of Baduy And The Nearby Living Sundanese In South Banten, West Java, Indonesia
    5. Isolation And Identification Of Java Race Amniotic Membrane Secretory Leukocyte Protease Inhibitor Gene
    6. The Role Of Proper Treatment Of Maxillary Sinusitis In The Healing Of Persistent Oroantral Fistula
    7. The Management Of Oral Candidosis In Diabetic Patient With Maxillary Herpes Zoster
    8. Non-invasive Endodontic Treatment Of Large Periapical Lesions
    9. Potential Role Of Odontoblasts In The Innate Immune Response Of The Dental Pulp
    10. The Use Of Bay Leaf (eugenia Polyantha Wight) In Dentistry
    11. Effect Of Various Temperature And Storage Duration On Setting Time Of Orega Sealer