A Clinical Investigation of Oro-Maxillary Sinus Perforation due to Tooth Extraction.

Hirata, Yasushi; Kino, Koji; Nagaoka, Syunya; Miyamoto, Ryozo; Yoshimasu, Hidemi; Amagasa, Teruo

doi:10.5357/koubyou.68.249

Cited by 33 publications

(24 citation statements)

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“…Punwutikorn et al (9) reported 87 OACs overall 27.984 teeth extractions (0.31%). However, Hirata et al (11) observed rates of 5%. Four upper last maxillary teeth are the main cause of OAC but the tooth most often related varies depending on sample consulted (1-4, 11).…”

Section: Discussionmentioning

confidence: 94%

“…The flap may also result in a very shallow vestibular sulcus, which can interfere with prosthodontic rehabilitation and maintenance of oral hygiene. Although lauded for their ease of performance and good blood supply, buccal flaps require careful manipulation (4,(11)(12)(13). Palatal rotation-advancement flap was successfully used in 4 patients.…”

Section: Discussionmentioning

confidence: 99%

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Oroantral communications. A retrospective analysis

Hernando¹,

Gallego²,

Junquera³

et al. 2010

Med Oral

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Objetive. To analyze characteristics, clinical evolution and surgical techniques of oroantral communication (OAC). Study Design. We included all patients operated at the University Central Hospital (Oviedo, Spain) between 1996 and 2007. The variables assessed were age, sex, medical history, OAC size, sinus disease, surgical technique, duration of hospitalization and post-surgical evolution. Results. We analyzed 12 patients (7 men and 5 women) with an average age of 47.5 years. The most frequent cause of oroantral communication was the extraction of the first upper molar. The average size of fistula was 0.9 cm. Buccal flap repair was used in 7 patients, palatal rotation-advancement flap in 4 patients and buccal fat pad in only one patient. Suture dehiscence was observed in one patient treated with a palatal flap, but no additional surgery was required. Three OAC recurred; all of them following a buccal flap procedure. All recurrences spontaneously closed between one and four months following the procedure. Conclusion. OACs are rare complications and treatment should be individualized to avoid further complications.

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Oroantral communications. A retrospective analysis

Hernando¹,

Gallego²,

Junquera³

et al. 2010

Med Oral

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“…Premolars have traditionally not attracted the same attention compared with molars regarding their proximity to the floor of the sinus. That may be explained by the fact that teeth most frequently associated with oroantral communication in exodontia are first or second molars (1,20). However, several studies have documented the mesial extension of the maxillary sinus above or even beyond the first premolar, highlighting the possibility of a close relationship also between premolars and the floor of the antrum (21,22).…”

Section: Discussionmentioning

confidence: 99%

Proximity of Premolar Roots to Maxillary Sinus: A Radiographic Survey Using Cone-beam Computed Tomography

Arx

Fodich

Bornstein

2014

Journal of Endodontics

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Introduction: The proximity of the roots of the posterior maxillary teeth to the maxillary sinus is a constant challenge to the dental practitioner. Because the majority of studies have assessed the relationship regarding molars, the present study focused on premolars. Methods: Cone-beam computed tomographic images of 192 patients were reconstructed in sagittal, coronal, and axial planes to quantify the distances between the root apices of the maxillary premolars and the adjacent maxillary sinus. Measurements were taken for each root, and data were correlated with age, sex, side, and presence of both or absence of 1 of the 2 premolars. Results: A total of 296 teeth (177 first and 119 second premolars) were evaluated. The mean distances from buccal roots of the first premolars to the border of the maxillary sinus in the sagittal, coronal, and axial planes ranged from 5.15 AE 2.99 to 8.28 AE 6.27 mm. From palatal roots, the mean distances ranged from 4.20 AE 3.69 to 7.17 AE 6.14 mm. The mean distances of second premolars were markedly shorter in buccal roots between 2.32 AE 2.19 and 3.28 AE 3.17 mm and in palatal roots between 2.68 AE 3.58 and 3.80 AE 3.71 mm, respectively. The frequency of a premolar root protrusion into the maxillary sinus was very low in first premolars (0%-7.2%) but higher in second premolars (2.5%-13.6%). Sex, age, side, and presence/absence of premolars failed to significantly influence the mean distances between premolar roots and the maxillary sinus. Conclusions: Based on the calculated mean distances of the present study, only few premolars (and if so second premolars) would present a risk of violating the border of the maxillary sinus during conventional or surgical endodontic treatment or in case of tooth extraction. (J Endod 2014;40:1541-1548

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“…OACs are usually caused by the extraction of the maxillary posterior teeth [1][2][3]. The incidence rates are 0.31 and 4.7% after the extraction of upper teeth [1,4].…”

Section: Introductionmentioning

confidence: 99%

Assessment of the Effects of Curacel and Bone Wax on the Acute Oroantral Opening Site by means of Computer Tomography and Histopathology

Muğlalı

Özak

Yarım

et al. 2011

J. Maxillofac. Oral Surg.

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Purpose In this study, the effects of Curacel TM oxidized regenerated cellulose and bone wax on the healing bone were compared to each other by means of CT based bone density measurement and histopathological evaluation. Methods The bone density measurements of the control group were significantly higher than those of both Curacel and bone wax groups. Results There was no significant difference between Curacel and bone wax. Histopathologically, the bone wax group showed more osteoblastic activation than Curacel group. For all measurement parameters (osteoblastic activation, osteoclastic activation, fibrous connective tissue, osseous trabeculae), Curacel and bone wax groups had worse results than control group. It is concluded that Curacel has no superiority over bone wax in terms of osseous healing in the oroantral region. There is no need to use oxidized regenerated cellulose or bone wax for small oroantral openings since the healing is better without any intervention. In addition, bone density measurement and histopathological evaluation were consistent in terms of osseous healing of the oroantral opening.

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A Clinical Investigation of Oro-Maxillary Sinus Perforation due to Tooth Extraction.

Cited by 33 publications

References 0 publications

Oroantral communications. A retrospective analysis

Oroantral communications. A retrospective analysis

Proximity of Premolar Roots to Maxillary Sinus: A Radiographic Survey Using Cone-beam Computed Tomography

Assessment of the Effects of Curacel and Bone Wax on the Acute Oroantral Opening Site by means of Computer Tomography and Histopathology

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