Closure of Oro-antral Communication

[drsushant]

 Palatal Flap

• Palatal Rotational Advancement Flap most common
  

(see diagram below).

• Others include Palatal Pedicle Island Flap 
  
  (Henderson),
  
• V-shaped Palatal Flap (Krueger) &
  
• Split-Thickness Palatal Flap (Ito & Hara).
  
  

Post-op Regime:

• Antibiotics (Amoxycillin, Doxycycline)
  
• Analgesics
  
• Nasal decongestants (Ephedrine nasal drops, Oxymetazoline)
  
• Steam inhalations (Menthol & Eucalyptus)
  
• Antiseptic mouth-wash (Corsodyl)
  
• No nose-blowing or smoking
  

Alternative Ways of Closing Oro-Antral Communications:

• Buccal fat pad
  
• Laser bio-stimulation (over 5 days)
  
• Transplantation of a mature wisdom tooth (followed by root canal treatment of 
  
  the tooth 5 – 6 weeks later)
  
• Bony block removed from the chin and used to plug the OAC (Autogenous 
  
  Mono-cortical Bone Blocks)