Closure of an oroantral fistula with a bone fragment during surgical extraction of an impacted maxillary second premolar: A case report
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Maxillary sinus membrane perforation commonly occurs during extraction, mostly during an impacted tooth extraction. If left untreated, maxillary sinus perforation can cause several complications. Here, we describe a closure technique of an oroantral fistula using a bone fragment. During the extraction of an impacted maxillary second premolar, the tooth fell into the maxillary sinus. The tooth was removed from the sinus using a transantral approach. A bone fragment of the tooth was obtained and placed in the extraction socket via the transantral entrance and fixed with fibrin glue (Greenplast; Green Cross, Yongin, Korea) to close the oroantral fistula. After 5 months, an immature bone was formed in the sealed area where the bone graft was placed, without any complications.
Abstract
Maxillary sinus membrane perforation commonly occurs during extraction, mostly during an impacted tooth extraction. If left untreated, maxillary sinus perforation can cause several complications. Here, we describe a closure technique of an oroantral fistula using a bone fragment. During the extraction of an impacted maxillary second premolar, the tooth fell into the maxillary sinus. The tooth was removed from the sinus using a transantral approach. A bone fragment of the tooth was obtained and placed in the extraction socket via the transantral entrance and fixed with fibrin glue (Greenplast; Green Cross, Yongin, Korea) to close the oroantral fistula. After 5 months, an immature bone was formed in the sealed area where the bone graft was placed, without any complications.
참고문헌 (21)
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