Oroantral communication (OAC) is the opening between the maxillary sinus and oral cavity. It may cause oroantral fistula or maxillary sinusitis if left untreated. The surgical closure of the OAC within 48 hours was recommended to avoid the complications like sinus infections. The aim of this study is to evaluate the treatment of OACs with plasma-rich fibrin (PRF) which is safe and easy to implement in the OACs.This study was conducted with the patients, who required the treatment of the OAC, which was developed after the posterior maxillary tooth extraction in the Dental and Maxillofacial Department of the Faculty of Dentistry in Adnan Menderes University.Plasma-rich fibrin membranes were inserted in layers into the tooth socket so that they covered the OAC. Then these membranes were fixated with the sutures to the surrounding gingiva. Antibiotic (amoxicillin/clavulanic acid 1000 mg), analgesic (dexketoprofen trometamol and/or paracetamol), and oral rinse (0.2% chlorhexidine digluconate) agents were prescribed to all patients. The patients were examined in the 3rd and 7th days and 2 months after the operation.All patients tolerated PRF perfectly, and the soft tissue recovery was completed without any problem. Full epithelization was observed in the defect area in all patients. The OAC did not relapse in any patient.Plasma-rich fibrin technique is a simple and effective method, which can be used in the treatment of OACs with a diameter of 5 mm or less with a low risk of complications.

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Numerous grafting materials have been used to augment the maxillary sinus floor for long-term stability and success for implant-supported prosthesis. To enhance bone formation, adjunctive blood-born growth factor sources have gained popularity during the recent years. The present study compared the use of platelet-rich fibrin (PRF) and bovine-autogenous bone mixture for maxillary sinus floor elevation. A split-face model was used to apply 2 different filling materials for maxillary sinus floor elevation in 22 healthy adult sheep. In group 1, bovine and autogenous bone mixture; and in group 2, PRF was used. The animals were killed at 3, 6, and 9 months. Histologic and histomorphologic examinations revealed new bone formation in group 1 at the third and sixth months. In group 2, new bone formation was observed only at the sixth month, and residual PRF remnants were identified. At the ninth month, host bone and new bone could not be distinguished from each other in group 1, and bone formation was found to be proceeding in group 2. PRF remnants still existed at the ninth month. In conclusion, bovine bone and autogenous bone mixture is superior to PRF as a grafting material in sinus-lifting procedures.

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Asterion is the junction of lambdoid, parietomastoid and occipitomastoid sutures and it corresponds to the location of the posterolateral fontanelle. It is close related to the location of junction of transverse and sigmoid sinuses. Mastoid process, posterior end of zygomatic arch, external occipital protuberance and lambda are bony features in close proximity of asterion. In the present study we measured the distance between asterion and each of aforementioned bony points. Twenty human dry skulls were included in this study. Distance between asterion and mastoid process was 43.65 ± 6.75 mm on the left side and 45.01± 6.04mm on the right side. Distance between asterion and posterior end of zygomatic arch was 43.97 ± 7.37 mm on the left side and 43.95± 7.02 mm on the right side. Distance between asterion and external occipital protuberance was 62.59 ± 8.83 mm on the left side and 54.75 ±5.57mm on the right side. Distance between asterion and lambda was 81.40 ± 7.36 mm on the left side and 82 ± 4.96 mm on the right side. In 84 % of the cases asterion was at the junction of transverse and sigmoid sinuses. In 12% of the cases asterion was below the junction of transverse and sigmoid sinuses. In 4 % of the cases asterion was above the junction of transverse and sigmoid sinuses. Asterion is the essential point to indicate safety zone for surgical approach and to determine sex and age. It is of great interest of anatomists, anthropologists, forensic experts, radiologists and neurosurgeons