Closure of an oroantral fistula by bone autograft: a case report

Introduction: The management of the oroantral fistula is mainly focused on th closure of the mucosa. The surgical management restoring the underlying bone defect are seldom. Maintaining this defect may compromise implant rehabilitation in this sector. The purpose of this article was to show, through...

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Main Authors: Amroun Samy, Zouari Yassine, Bouattour Ayman
Format: Article
Language:English
Published: EDP Sciences 2018-10-01
Series:Journal of Oral Medicine and Oral Surgery
Subjects:
Online Access:https://www.jomos.org/articles/mbcb/full_html/2018/03/mbcb180005/mbcb180005.html
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author Amroun Samy
Zouari Yassine
Bouattour Ayman
author_facet Amroun Samy
Zouari Yassine
Bouattour Ayman
author_sort Amroun Samy
collection DOAJ
description Introduction: The management of the oroantral fistula is mainly focused on th closure of the mucosa. The surgical management restoring the underlying bone defect are seldom. Maintaining this defect may compromise implant rehabilitation in this sector. The purpose of this article was to show, through a clinical case, an alternative way to manage an oroantral fistula and the bone tissue defect in the same time. Observation: After a rigourous clinical and radiological observation of a 2-year oroantral fistula, an impacted autologous bone graft of the maxillary tuberosity followed by a water tight closure of the mucosa, were realized in a 50-year old patient. Commentary: Using this surgical technique was successful for the closure of the mucosa as for the bone defect reconstruction. A consolidation was noticed and an pre-implant management and a dental implant placement could be realized. Conclusion: The choice of this surgical technique for the management of an oroantral fistua had a direct influence on the future prosthetic rehabilitation. The surgical technique presented for this case could be an interesting approach because the fixed or removable prosthetic treatment will be more effective if the maxillary bone tissue is reconstructed.
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spelling doaj.art-4ea7c45471934d90b41b37f7c9f3a2982022-12-21T22:10:26ZengEDP SciencesJournal of Oral Medicine and Oral Surgery2608-13262018-10-0124314314810.1051/mbcb/2018006mbcb180005Closure of an oroantral fistula by bone autograft: a case reportAmroun SamyZouari Yassine0Bouattour Ayman1Service de Chirurgie Orale, CHI André GrégoireService de Chirurgie Orale, CHI André GrégoireIntroduction: The management of the oroantral fistula is mainly focused on th closure of the mucosa. The surgical management restoring the underlying bone defect are seldom. Maintaining this defect may compromise implant rehabilitation in this sector. The purpose of this article was to show, through a clinical case, an alternative way to manage an oroantral fistula and the bone tissue defect in the same time. Observation: After a rigourous clinical and radiological observation of a 2-year oroantral fistula, an impacted autologous bone graft of the maxillary tuberosity followed by a water tight closure of the mucosa, were realized in a 50-year old patient. Commentary: Using this surgical technique was successful for the closure of the mucosa as for the bone defect reconstruction. A consolidation was noticed and an pre-implant management and a dental implant placement could be realized. Conclusion: The choice of this surgical technique for the management of an oroantral fistua had a direct influence on the future prosthetic rehabilitation. The surgical technique presented for this case could be an interesting approach because the fixed or removable prosthetic treatment will be more effective if the maxillary bone tissue is reconstructed.https://www.jomos.org/articles/mbcb/full_html/2018/03/mbcb180005/mbcb180005.htmloroantral fistulabone autografttooth extractiondental implant
spellingShingle Amroun Samy
Zouari Yassine
Bouattour Ayman
Closure of an oroantral fistula by bone autograft: a case report
Journal of Oral Medicine and Oral Surgery
oroantral fistula
bone autograft
tooth extraction
dental implant
title Closure of an oroantral fistula by bone autograft: a case report
title_full Closure of an oroantral fistula by bone autograft: a case report
title_fullStr Closure of an oroantral fistula by bone autograft: a case report
title_full_unstemmed Closure of an oroantral fistula by bone autograft: a case report
title_short Closure of an oroantral fistula by bone autograft: a case report
title_sort closure of an oroantral fistula by bone autograft a case report
topic oroantral fistula
bone autograft
tooth extraction
dental implant
url https://www.jomos.org/articles/mbcb/full_html/2018/03/mbcb180005/mbcb180005.html
work_keys_str_mv AT amrounsamy closureofanoroantralfistulabyboneautograftacasereport
AT zouariyassine closureofanoroantralfistulabyboneautograftacasereport
AT bouattourayman closureofanoroantralfistulabyboneautograftacasereport