Clinical and Radiographic Assessment of cyanoacrylates Opposing Buccal sliding flap for the immediate repair of Oroantral communication | ||
| Egyptian Journal of Oral and Maxillofacial Surgery | ||
| Article 3, Volume 11, Issue 2, April 2020, Pages 51-63 PDF (643.8 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/omx.2020.31257.1070 | ||
| Authors | ||
| Maggie Khairy* 1; Inas Abulmagd2 | ||
| 1Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, October 6 University | ||
| 2Department of Oral radiology, Faculty of Dentistry, AlFayoum University, Egypt | ||
| Abstract | ||
| Introduction: Oroantral communication is an uncommon, inadvertent incident resulting from various causes the most common of which is the extraction of upper molars. Immediate closure of the communication is highly recommended to avoid infection and subsequent fistulous tract formation. Cyanoacrylate tissue glue was introduced as a reliable method for flapless sealing of the communication without any of the complications associated with the surgical maneuvers. One of the oldest surgical procedures used for closure of the Oroantral communication is the buccal advancement flap which proved efficiency in complete closure of the defect with minimal related complications. Aim of the study: The study aims evaluate the immediate flapless closure of Oroantral communication using cyanoacrylates versus the buccal sliding advancement flap. Patients and Methods: Twenty patients suffering from instant oroantral communication were included in the study. CBCT was performed to each of them to confirm the diagnosis, patients were divided into two groups where Group I (Study group) patients were treated by sealing of the defect using periacry l90 HV while Group II (control group) patients performed Buccal sliding advancement flap. Clinical follow up including pain, facial swelling, recurrence of the defect and sulcular depth up were performed at day 1, 3, 7, 15 and 1 month. CBCTs were done at 3 and 6 months postoperative to assess healing of the defect regarding size and density. Results: Clinically Group I showed minimal pain and swelling with no change of sulcular depth. In contrast, Group II showed high pain level and increase in facial swelling together with a significant decrease in sulcular depth. None of the patients in both groups showed any recurrence of the condition. CBCTs showed decrease in defect size and formation of bone within the defect in both groups. Conclusion: Both maneuvers are good modalities for treating OAC, however cyanoacrylate is associated with minimal complications. | ||
| Keywords | ||
| CBCT; Cyanoacrylates; Dermoid Buccal flap; Oroantral communication | ||
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