Management of oroantral communications in the field of general dentistry
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Published:
Nov 22, 2024
Keywords:
Oroantral septal defect, extraction, maxillary sinus, oroantral fistula, sinus closure, oral surgery, clinical diagnosis
Main Article Content
Abstract
Introduction. Oroantral communication (OAC), a connection between the oral cavity and the SM, is a common surgical complication in exodontia. If not treated in time, it can cause sinusitis and oroantral fistulas (OAF). Diagnosis includes radiographic testing and, in advanced cases, surgical intervention, such as the buccal advancement flap, is required. Objective. The purpose of this research project is to establish the management of oroantral communications in the field of general dentistry. It was conducted through an exhaustive review of scientific literature, based on the PRISMA (Preferred Reporting Items for Systemic Reviews and Meta-Analysis) indications. Methodology. A variety of scientific articles from journals indexed through databases such as PubMed, Science Direct and Google Scholar over a period of 10 years, i.e., from 2013 to 2023, were used for the review process, where 41 publications of excellence were selected. Results. The management of oroantral communications (OAC) in general dentistry depends on the size of the defect. Defects smaller than 2 mm can be closed spontaneously, while larger ones require immediate surgical closure, ideally within 24-48 hours to avoid complications such as chronic sinusitis. The most recommended surgical technique for closures is the buccal advancement flap, due to its high success rate. The tooth most associated with COA is the upper first molar, and the prevalence is higher in men, although women are more prone to develop complications. Conclusion. After analyzing the information, it was concluded that the management of oroantral communication is based on an accurate and effective diagnosis during the general consultation, supported by clinical maneuvers recommended by the literature and diagnostic tests such as CT, thus avoiding major complications that make it difficult to approach in the general dental setting. General area of study: Dentistry. Specific area of study: Oral and Maxillofacial Surgery. Type of study: Original articles.
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Aynaguano Aynaguano, J. B., Guzmán Carrasco, C. D., Cushpa Pilco, C. X., & Ajitimbay Caiza, E. A. (2024). Management of oroantral communications in the field of general dentistry. Anatomía Digital, 7(4), 133-153. https://doi.org/10.33262/anatomiadigital.v7i4.3242
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Articulos de revisión bibliográfica
References
Arce K. Buccal fat pad in maxillary reconstruction. Atlas of the Oral and Maxillofacial Surgery Clinics of North America [Internet]. 2007 [citado 09 octubre 2024]; 15(1): 23–32. https://doi.org/10.1016/j.cxom.2006.11.003. Disponible en: https://pubmed.ncbi.nlm.nih.gov/17434059/
Nelke K, Morawska A, Błaszczyk B, Janeczek M, Pasicka E, Łukaszewski M, Żak K, Dobrzyński M. Anatomical and surgical implications of the usage of bichat fat pad in oroantral communication, maxillary, palatal, and related surgeries—narrative review. Journal of Clinical Medicine [Internet]. 2023 [citado 09 octubre 2024]; 12(15): 4909. https://doi.org/10.3390/jcm12154909
Razdolsky Michalczyk E, Senderak AR, Melfyn Jones R, Coulter WH, Goudy SL. Changes in the microbiome during oral wound healing. Dentistry Review [Internet]. 2022 [citado 09 octubre 2024]; 2(1): 100040. Disponible en: https://doi.org/10.1016/j.dentre.2022.100040
Breheret R, Boucher S, Laccourreye L. Cirugía de las comunicaciones buconasosinusales. EMC - Cirugía Otorrinolaringológica y Cervicofacial [Internet]. 2015 [citado 09 octubre 2024]; 16(1): 1–7. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S1635250514674144
Visscher SH, Van Minnen B, Bos RR. Closure of oroantral communications: a review of the literature. Journal of Oral and Maxillofacial Surgery [Internet]. 2010 [citado 09 octubre 2024]; 68(6): 1384–1391. Disponible en: https://doi.org/10.1016/j.joms.2009.07.044. https://pubmed.ncbi.nlm.nih.gov/20227153/
Kwon MS, Lee BS, Choi BJ, Lee JW, Ohe JY, Jung JH, Hwang BY, Kwon YD. Closure of oroantral fistula: a review of local flap techniques. Journal of the Korean Association of Oral and Maxillofacial Surgeons [Internet]. 2020 [citado 09 octubre 2024]; 46(1): 58–65. Disponible en: https://doi.org/10.5125/jkaoms.2020.46.1.58. https://pmc.ncbi.nlm.nih.gov/articles/PMC7049762/
Shukla B, Singh G, Mishra M, Das G, Singh A. (2021). Closure of oroantral fistula: Comparison between buccal fat pad and buccal advancement flap: a clinical study. National Journal of Maxillofacial Surgery [Internet]. 2021 [citado 09 octubre 2024]; 12(3), 404–409. Disponible en: https://doi.org/10.4103/njms.njms_323_21.
https://pmc.ncbi.nlm.nih.gov/articles/PMC8820317/
Galvis Aparicio AX. Colgajos locales y pediculados en el manejo de las comunicaciones y fístulas oroantrales. Revista de la Facultad Medica [Internet]. 2011 [citado 09 octubre 2024]; 19(2): 217–225. Disponible en: https://pesquisa.bvsalud.org/portal/resource/en;/lil-657118
Louis P. J. Complications of dentoalveolar surgery. Oral and Maxillofacial Surgery Clinics of North America [Internet]. 2020 [citado 09 octubre 2024]; 32(4): 649–674. Disponible en: https://doi.org/10.1016/j.coms.2020.07.003. https://pubmed.ncbi.nlm.nih.gov/32912775/
Batista Vila M, Hernández Pedroso L, González Ramos RM, Batista Bochs MM. Comportamiento de la comunicación bucosinusal post exodoncia atendidas a nivel hospitalario. Revista de Ciencias Médicas - La Habana [Internet]. 2015 [citado 09 octubre 2024]; 21(3): 565-574. Disponible en: https://www.medigraphic.com/pdfs/revciemedhab/cmh-2015/cmh153g.pdf
Paredes Suárez MC, Machín Hernández A de la C, Domínguez Guerra SL, Rivera Lugo IT, Rosete Mazón M del C. Comportamiento de las comunicaciones bucosinusales por extracciones dentarias en la atención primaria de salud. Revista de Ciencias Médicas [Internet]. 2012 [citado 09 octubre 2024];16(3): 51–61. Disponible en: https://www.researchgate.net/publication/317521824_Comportamiento_de_las_comunicaciones_bucosinusales_por_extracciones_dentarias_en_la_atencion_primaria_de_salud
Bravo Cordero G, Minzer Ferrer S. Lara Fernández. Odontogenic sinusitis, oro-antral fistula and surgical repair by bichat’s fat pad: literature review. Acta Otorrinolaringológica Española [Internet]. 2016 [citado 09 octubre 2024]; 67(2): 107-113. Disponible en: https://doi.org/10.1016/j.otorri.2015.03.001
Von Arx T, Fodich I, Bornstein MM. Proximity of premolar roots to maxillary sinus: a radiographic survey using cone-beam computed tomography. Journal of Endodontics [Internet]. 2014[citado 09 octubre 2024]; 40(10), 1541–1548. Disponible en: https://doi.org/10.1016/j.joen.2014.06.022. https://pubmed.ncbi.nlm.nih.gov/25129024/
Parvini P, Obreja K, Begic A, Schwarz F, Becker J, Sader R, Salti L. Decision-making in closure of oroantral communication and fistula. International Journal of Implant Dentistry [Internet]. 2019 [citado 09 octubre 2024]; 5(1): 13. Disponible en: https://doi.org/10.1186/s40729-019-0165-7
Yalçn S, Öncü B, Emes Y, Atalay B, Aktaş I. Surgical treatment of oroantral fistulas: a clinical study of 23 cases. Journal of Oral and Maxillofacial Surgery [Internet]. 2011[citado 09 octubre 2024]; 69(2): 333–339. Disponible en: https://pubmed.ncbi.nlm.nih.gov/21145640/
Lerat J, Aubry K, Brie J, Perez A, Orsel S, Bessede J. Comunicaciones buconasosinusales. EMC - Cirugía Otorrinolaringológica y Cervicofacial [Internet]. 2011 [citado 09 octubre 2024]; 40(2): 1–10. Disponible en: https://doi.org/10.1016/S1632-3475(11)71053-0
Craig JR, Poetker DM, Aksoy U, Allevi F, Biglioli F, Cha BY, Chiapasco M, Lechien JR, Safadi A, Simuntis R, Tataryn R, Testori T, Troeltzsch M, Vaitkus S, Yokoi H, Felisati G, Saibene AM. Diagnosing odontogenic sinusitis: An international multidisciplinary consensus statement. International Forum of Allergy & Rhinology [Internet]. 2021[citado 09 octubre 2024]; 11(8), 1235–1248. https://doi.org/10.1002/alr.22777. https://pubmed.ncbi.nlm.nih.gov/33583151/
Umeres Alvis M. Morfometría del seno maxilar para estimar el sexo. Revista Científica Odontológica [Internet]. 2019 [citado 09 octubre 2024]; 7(1): 23–33. Disponible en: https://doi.org/10.21142/2523-2754-0701-2019-23-33. https://revistas.cientifica.edu.pe/index.php/odontologica/article/view/486
Dym H, Wolf JC. Oroantral communication. Oral and Maxillofacial Surgery Clinics of North America [Internet]. 2012 [citado 09 octubre 2024]; 24(2): 239–247. Disponible en: https://doi.org/10.1016/j.coms.2012.01.015. https://pubmed.ncbi.nlm.nih.gov/22503070/
Vallejo-Rodas AA, Salgado-Chavarría F. Oroantral communications: a literature review and update. Revista Facultad de Odontología Universidad de Antioquia [Internet]. 2022 [citado 09 octubre 2024]; 35(1), 47–71. Disponible en: https://doi.org/10.17533/udea.rfo.v35n1a4. https://revistas.udea.edu.co/index.php/odont/article/view/349110
Fatani B, Fatani A, Alomar A. Oro-antral communication and fistula: a review of the literature. Saudi Journal of Oral and Dental Research [Internet]. 2020 [citado 09 octubre 2024]; 5(12): 575–581. Disponible en: https://saudijournals.com/media/articles/SJODR_512_575-581.pdf
Sella A, Ben-Zvi Y, Gillman L, Avishai G, Chaushu G, Rosenfeld E. Evaluation of surgical treatment of oroantral fistulae in smokers versus non-smokers. Medicina (Kaunas, Lithuania) [Internet]. 2020 [citado 09 octubre 2024]; 56(6): 310. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC7353848/
Pagin O, Stuchi Centurion B, Fischer Rubira-Bullen IR, Alvarez Capelozza AL. Maxillary sinus and posterior teeth: accessing close relationship by cone-beam computed tomographic scanning in a brazilian population. Journal of Endodontics [Internet]. 2013 [citado 09 octubre 2024]; 39(6): 748-751. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0099239913001428
Bell G. Oro-antral fistulae and fractured tuberosities. British Dental Journal [Internet]. 2011[citado 09 octubre 2024];211(3):119–23. Disponible en: https://pubmed.ncbi.nlm.nih.gov/21836575/
Khandelwal P, Hajira N. Management of oro-antral communication and fistula: various surgical options. World Journal of Plastic Surgery [Internet]. 2017 [citado 09 octubre 2024]; 6(1): 3-8. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC5339603/
Duca Dantas JW, Araújo Amorim RA, Ferreira Neto MD. Clinical conduct facing oroantral communication: a literature review. ID On Line Revista de Psicología [Internet]. 2021[citado 09 octubre 2024]; 15(57), 907-919. Disponible en: https://doi.org/10.14295/idonline.v15i57.3228. https://idonline.emnuvens.com.br/id/article/view/3228
Parvini P, Obreja K, Sader R, Becker J, Schwarz F, Salti L. Surgical options in oroantral fistula management: a narrative review. International Journal of Implant Dentistry [Internet]. 2018 [citado 09 octubre 2024]; 4(1), 40. Disponible en: https://doi.org/10.1186/s40729-018-0152-4. https://pubmed.ncbi.nlm.nih.gov/30588578/
Estrada Sarmiento M, Sánchez Manduley C, Virelles Espinosa I, Leganoa J. Tratamiento quirúrgico de la comunicación bucosinusal. Acta Odontológica Venezolana [Internet]. 2011[citado 09 octubre 2024]; 49(4): 1–15. Disponible en: https://pesquisa.bvsalud.org/portal/resource/pt/lil-678890
Akhlaghi, F., Esmaeelinejad, M., & Safai, P. Etiologies and treatments of odontogenic maxillary sinusitis: a systematic review. Iranian Red Crescent Medical Journal [Internet]. 2015 [citado 09 octubre 2024]; 17(12), e25536. https://doi.org/10.5812/ircmj.25536. https://pmc.ncbi.nlm.nih.gov/articles/PMC4706849/
Simuntis R, Kubilius R, Vaitkus S. Odontogenic maxillary sinusitis: a review. Stomatologija, Baltic Dental and Maxillofacial Journal [Internet]. 2014 [citado 09 octubre 2024]; 16(2): 39–43. Disponible en: https://sbdmj.lsmuni.lt/142/142-01.pdf
Nelke K, Morawska A, Błaszczyk B, Janeczek M, Pasicka E, Łukaszewski M, Żak K, Dobrzyński M. Anatomical and surgical implications of the usage of bichat fat pad in oroantral communication, maxillary, palatal, and related surgeries—narrative review. Journal of Clinical Medicine [Internet]. 2023 [citado 09 octubre 2024]; 12(15): 4909. https://doi.org/10.3390/jcm12154909
Razdolsky Michalczyk E, Senderak AR, Melfyn Jones R, Coulter WH, Goudy SL. Changes in the microbiome during oral wound healing. Dentistry Review [Internet]. 2022 [citado 09 octubre 2024]; 2(1): 100040. Disponible en: https://doi.org/10.1016/j.dentre.2022.100040
Breheret R, Boucher S, Laccourreye L. Cirugía de las comunicaciones buconasosinusales. EMC - Cirugía Otorrinolaringológica y Cervicofacial [Internet]. 2015 [citado 09 octubre 2024]; 16(1): 1–7. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S1635250514674144
Visscher SH, Van Minnen B, Bos RR. Closure of oroantral communications: a review of the literature. Journal of Oral and Maxillofacial Surgery [Internet]. 2010 [citado 09 octubre 2024]; 68(6): 1384–1391. Disponible en: https://doi.org/10.1016/j.joms.2009.07.044. https://pubmed.ncbi.nlm.nih.gov/20227153/
Kwon MS, Lee BS, Choi BJ, Lee JW, Ohe JY, Jung JH, Hwang BY, Kwon YD. Closure of oroantral fistula: a review of local flap techniques. Journal of the Korean Association of Oral and Maxillofacial Surgeons [Internet]. 2020 [citado 09 octubre 2024]; 46(1): 58–65. Disponible en: https://doi.org/10.5125/jkaoms.2020.46.1.58. https://pmc.ncbi.nlm.nih.gov/articles/PMC7049762/
Shukla B, Singh G, Mishra M, Das G, Singh A. (2021). Closure of oroantral fistula: Comparison between buccal fat pad and buccal advancement flap: a clinical study. National Journal of Maxillofacial Surgery [Internet]. 2021 [citado 09 octubre 2024]; 12(3), 404–409. Disponible en: https://doi.org/10.4103/njms.njms_323_21.
https://pmc.ncbi.nlm.nih.gov/articles/PMC8820317/
Galvis Aparicio AX. Colgajos locales y pediculados en el manejo de las comunicaciones y fístulas oroantrales. Revista de la Facultad Medica [Internet]. 2011 [citado 09 octubre 2024]; 19(2): 217–225. Disponible en: https://pesquisa.bvsalud.org/portal/resource/en;/lil-657118
Louis P. J. Complications of dentoalveolar surgery. Oral and Maxillofacial Surgery Clinics of North America [Internet]. 2020 [citado 09 octubre 2024]; 32(4): 649–674. Disponible en: https://doi.org/10.1016/j.coms.2020.07.003. https://pubmed.ncbi.nlm.nih.gov/32912775/
Batista Vila M, Hernández Pedroso L, González Ramos RM, Batista Bochs MM. Comportamiento de la comunicación bucosinusal post exodoncia atendidas a nivel hospitalario. Revista de Ciencias Médicas - La Habana [Internet]. 2015 [citado 09 octubre 2024]; 21(3): 565-574. Disponible en: https://www.medigraphic.com/pdfs/revciemedhab/cmh-2015/cmh153g.pdf
Paredes Suárez MC, Machín Hernández A de la C, Domínguez Guerra SL, Rivera Lugo IT, Rosete Mazón M del C. Comportamiento de las comunicaciones bucosinusales por extracciones dentarias en la atención primaria de salud. Revista de Ciencias Médicas [Internet]. 2012 [citado 09 octubre 2024];16(3): 51–61. Disponible en: https://www.researchgate.net/publication/317521824_Comportamiento_de_las_comunicaciones_bucosinusales_por_extracciones_dentarias_en_la_atencion_primaria_de_salud
Bravo Cordero G, Minzer Ferrer S. Lara Fernández. Odontogenic sinusitis, oro-antral fistula and surgical repair by bichat’s fat pad: literature review. Acta Otorrinolaringológica Española [Internet]. 2016 [citado 09 octubre 2024]; 67(2): 107-113. Disponible en: https://doi.org/10.1016/j.otorri.2015.03.001
Von Arx T, Fodich I, Bornstein MM. Proximity of premolar roots to maxillary sinus: a radiographic survey using cone-beam computed tomography. Journal of Endodontics [Internet]. 2014[citado 09 octubre 2024]; 40(10), 1541–1548. Disponible en: https://doi.org/10.1016/j.joen.2014.06.022. https://pubmed.ncbi.nlm.nih.gov/25129024/
Parvini P, Obreja K, Begic A, Schwarz F, Becker J, Sader R, Salti L. Decision-making in closure of oroantral communication and fistula. International Journal of Implant Dentistry [Internet]. 2019 [citado 09 octubre 2024]; 5(1): 13. Disponible en: https://doi.org/10.1186/s40729-019-0165-7
Yalçn S, Öncü B, Emes Y, Atalay B, Aktaş I. Surgical treatment of oroantral fistulas: a clinical study of 23 cases. Journal of Oral and Maxillofacial Surgery [Internet]. 2011[citado 09 octubre 2024]; 69(2): 333–339. Disponible en: https://pubmed.ncbi.nlm.nih.gov/21145640/
Lerat J, Aubry K, Brie J, Perez A, Orsel S, Bessede J. Comunicaciones buconasosinusales. EMC - Cirugía Otorrinolaringológica y Cervicofacial [Internet]. 2011 [citado 09 octubre 2024]; 40(2): 1–10. Disponible en: https://doi.org/10.1016/S1632-3475(11)71053-0
Craig JR, Poetker DM, Aksoy U, Allevi F, Biglioli F, Cha BY, Chiapasco M, Lechien JR, Safadi A, Simuntis R, Tataryn R, Testori T, Troeltzsch M, Vaitkus S, Yokoi H, Felisati G, Saibene AM. Diagnosing odontogenic sinusitis: An international multidisciplinary consensus statement. International Forum of Allergy & Rhinology [Internet]. 2021[citado 09 octubre 2024]; 11(8), 1235–1248. https://doi.org/10.1002/alr.22777. https://pubmed.ncbi.nlm.nih.gov/33583151/
Umeres Alvis M. Morfometría del seno maxilar para estimar el sexo. Revista Científica Odontológica [Internet]. 2019 [citado 09 octubre 2024]; 7(1): 23–33. Disponible en: https://doi.org/10.21142/2523-2754-0701-2019-23-33. https://revistas.cientifica.edu.pe/index.php/odontologica/article/view/486
Dym H, Wolf JC. Oroantral communication. Oral and Maxillofacial Surgery Clinics of North America [Internet]. 2012 [citado 09 octubre 2024]; 24(2): 239–247. Disponible en: https://doi.org/10.1016/j.coms.2012.01.015. https://pubmed.ncbi.nlm.nih.gov/22503070/
Vallejo-Rodas AA, Salgado-Chavarría F. Oroantral communications: a literature review and update. Revista Facultad de Odontología Universidad de Antioquia [Internet]. 2022 [citado 09 octubre 2024]; 35(1), 47–71. Disponible en: https://doi.org/10.17533/udea.rfo.v35n1a4. https://revistas.udea.edu.co/index.php/odont/article/view/349110
Fatani B, Fatani A, Alomar A. Oro-antral communication and fistula: a review of the literature. Saudi Journal of Oral and Dental Research [Internet]. 2020 [citado 09 octubre 2024]; 5(12): 575–581. Disponible en: https://saudijournals.com/media/articles/SJODR_512_575-581.pdf
Sella A, Ben-Zvi Y, Gillman L, Avishai G, Chaushu G, Rosenfeld E. Evaluation of surgical treatment of oroantral fistulae in smokers versus non-smokers. Medicina (Kaunas, Lithuania) [Internet]. 2020 [citado 09 octubre 2024]; 56(6): 310. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC7353848/
Pagin O, Stuchi Centurion B, Fischer Rubira-Bullen IR, Alvarez Capelozza AL. Maxillary sinus and posterior teeth: accessing close relationship by cone-beam computed tomographic scanning in a brazilian population. Journal of Endodontics [Internet]. 2013 [citado 09 octubre 2024]; 39(6): 748-751. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0099239913001428
Bell G. Oro-antral fistulae and fractured tuberosities. British Dental Journal [Internet]. 2011[citado 09 octubre 2024];211(3):119–23. Disponible en: https://pubmed.ncbi.nlm.nih.gov/21836575/
Khandelwal P, Hajira N. Management of oro-antral communication and fistula: various surgical options. World Journal of Plastic Surgery [Internet]. 2017 [citado 09 octubre 2024]; 6(1): 3-8. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC5339603/
Duca Dantas JW, Araújo Amorim RA, Ferreira Neto MD. Clinical conduct facing oroantral communication: a literature review. ID On Line Revista de Psicología [Internet]. 2021[citado 09 octubre 2024]; 15(57), 907-919. Disponible en: https://doi.org/10.14295/idonline.v15i57.3228. https://idonline.emnuvens.com.br/id/article/view/3228
Parvini P, Obreja K, Sader R, Becker J, Schwarz F, Salti L. Surgical options in oroantral fistula management: a narrative review. International Journal of Implant Dentistry [Internet]. 2018 [citado 09 octubre 2024]; 4(1), 40. Disponible en: https://doi.org/10.1186/s40729-018-0152-4. https://pubmed.ncbi.nlm.nih.gov/30588578/
Estrada Sarmiento M, Sánchez Manduley C, Virelles Espinosa I, Leganoa J. Tratamiento quirúrgico de la comunicación bucosinusal. Acta Odontológica Venezolana [Internet]. 2011[citado 09 octubre 2024]; 49(4): 1–15. Disponible en: https://pesquisa.bvsalud.org/portal/resource/pt/lil-678890
Akhlaghi, F., Esmaeelinejad, M., & Safai, P. Etiologies and treatments of odontogenic maxillary sinusitis: a systematic review. Iranian Red Crescent Medical Journal [Internet]. 2015 [citado 09 octubre 2024]; 17(12), e25536. https://doi.org/10.5812/ircmj.25536. https://pmc.ncbi.nlm.nih.gov/articles/PMC4706849/
Simuntis R, Kubilius R, Vaitkus S. Odontogenic maxillary sinusitis: a review. Stomatologija, Baltic Dental and Maxillofacial Journal [Internet]. 2014 [citado 09 octubre 2024]; 16(2): 39–43. Disponible en: https://sbdmj.lsmuni.lt/142/142-01.pdf