Retrieval of Displaced Root in the Maxillary Sinus and Surgical Closure of Oro-antral Communication: a Case Report

Main Article Content

Karp Jittanoon

Abstract

          Oro-antral communication (OAC) is a common complication of dental extraction of maxillary permanent molars and premolars. Closure of OAC is recommended to minimize the risk of maxillary sinusitis and the development of a fistula. Surgical closure still seems to be the treatment of choice to close OAC.
          So the displaced root into maxillary sinus was retrieved and the OAC was closed. In this case report, 54-year-old thai female referred for retrieval of a displaced root of maxillary first permanent molar in maxillary sinus. Treatment was planned to retrieval the displaced root by Caldwell-Luc operation and closure of OAC using buccal advancement flap. When the patient was reviewed after 2-week and 3-month periods, there was good healing without maxillary sinusitis or recurrent.
          Caldwell-Luc operation and buccal advancement flap are still the treatments of choices for retrieval of displaced root in maxillary sinus and closure of OAC in the most cases.

Article Details

How to Cite
1.
Jittanoon K. Retrieval of Displaced Root in the Maxillary Sinus and Surgical Closure of Oro-antral Communication: a Case Report. Kb. Med. J. [Internet]. 2021 Mar. 8 [cited 2024 Dec. 26];1(1):45-54. Available from: https://he01.tci-thaijo.org/index.php/KBJ/article/view/247978
Section
Case Report

References

1. ลีพงษ์ น. เอกสารประกอบการสอน The maxillary antrum and Oro-antrum fistula.

2. หังสสูต ช. ศัลยศาสตร์ช่องปากและแม็กซิลโลเฟเชียล: เยียร์บุ๊ค; 2536.

3. Skoglund LA, Pedersen SS, Holst E. Surgical management of 85 perforations to the maxillary sinus. Int J Oral Surg. 1983 Feb;12(1):1-5.

4. Bodner L, Gatot A, Bar-Ziv J. Technical note: oroantral fistula: improved imaging with a dental computed tomography software program. Br J Radiol. 1995 Nov;68(815):1249-50.

5. Rud J, Rud V. Surgical endodontics of upper molars: relation to the maxillary sinus and operation in acute state of infection. J Endod. 1998 Apr;24(4):260-1.

6. Guven O. A clinical study on oroantral fistulae. J Craniomaxillofac Surg. 1998 Aug;26(4):267-71.

7. von Wowern N. Correlation between the development of an oroantral fistula and the size of the corresponding bony defect. J Oral Surg. 1973 Feb;31(2):98-102.

8. von Wowern N. Frequency of oro-antral fistulae after perforation to the maxillary sinus. Scand J Dent Res. 1970;78(5):394-6.

9. Visscher SH, van Minnen B, Bos RR. Closure of oroantral communications: a review of the literature. J Oral Maxillofac Surg. 2010 Jun;68(6):1384-91.

10. Awang MN. Closure of oroantral fistula. Int J Oral Maxillofac Surg. 1988 Apr;17(2):110-5.

11. Punwutikorn J, Waikakul A, Pairuchvej V. Clinically significant oroantral communications--a study of incidence and site. Int J Oral Maxillofac Surg. 1994 Feb;23(1):19-21.

12. Rothamel D, Wahl G, d'Hoedt B, Nentwig GH, Schwarz F, Becker J. Incidence and predictive factors for perforation of the maxillary antrum in operations to remove upper wisdom teeth: prospective multicentre study. Br J Oral Maxillofac Surg. 2007 Jul;45(5):387-91.

13. Muslim Khan BM, Jawad Ahmad Kundi. Pattern and management of iatrogenic displacement of teeth in maxillofacial anatomical spaces. Pakistan Oral & Dental. 2015;35(2):186-9.

14. Chongruk C. [Radiographs and tooth roots in maxillary sinus]. J Dent Assoc Thai. 1989 May-Jun;39(3):88-95.

15. Huang IY, Chen CM, Chuang FH. Caldwell-Luc procedure for retrieval of displaced root in the maxillary sinus. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011 Dec;112(6):e59-63.

16. Lindorf HH. Osteoplastic surgery of the sinus maxillaris--the "bone lid"-method. J Maxillofac Surg. 1984 Dec;12(6):271-6.

17. Feldmann H. [Osteoplastic operation of maxillary sinus (author's transl)]. Laryngol Rhinol Otol (Stuttg). 1978 May;57(5):373-8.

18. Chandrasena F, Singh A, Visavadia BG. Removal of a root from the maxillary sinus using functional endoscopic sinus surgery. Br J Oral Maxillofac Surg. 2010 Oct;48(7):558-9.

19. Abuabara A, Cortez AL, Passeri LA, de Moraes M, Moreira RW. Evaluation of different treatments for oroantral/oronasal communications: experience of 112 cases. Int J Oral Maxillofac Surg. 2006 Feb;35(2):155-8.

20. von Wowern N. Closure of oroantral fistula with buccal flap: Rehrmann versus Moczar. Int J Oral Surg. 1982 Jun;11(3):156-65.

21. Eneroth CM, Martensson G. Closure of antro-alveolar fistulae. Acta Otolaryngol. 1961 May-Jun;53:477-85.

22. Killey HC, Kay LW. Observations based on the surgical closure of 362 oro-antral fistulas. Int Surg. 1972 Jul;57(7):545-9.

23. Qureshi Zia-ur-Rahmann KM, Din Qian ud. Buccal advancement flap vs Palatal rotation flap in the management of oroantral fistula. JKCD. 2012;2:54-7.

24. Nashar Ahmad Al GH, Ahmad Bashas. Closure of oroantral fistula by using buccal fat pad or buccal advancement flap:comparative study. IOSR-JDMS. 2016;15:67-71.

25. Nezafati S, Vafaii A, Ghojazadeh M. Comparison of pedicled buccal fat pad flap with buccal flap for closure of oro-antral communication. Int J Oral Maxillofac Surg. 2012 May;41(5):624-8.