Buccal Fat Pad Reinforce Buccal Advancement Flap Vs Rotational Palatal Flap in Chronic Oroantral Fistula Treatment

Document Type : Original Article

Authors

1 Lecturer, Oral and Maxillofacial Surgery Department, Faculty of Dentistry. Beni-Suef University

2 Lecturer of Maxillofacial Surgery, General Surgery Department, Faculty of Medicine, Assiut University, Egypt

Abstract

Abstract
Background: Oroantral fistula(OAF), the most common complication after extraction of posterior maxillary teeth leading to chronic maxillary sinusitis, patient discomfort and can cause difficulty in speech, mastication, and overall hygiene of the patient. Many treatment approaches have been developed to treat OAFs; Buccal Fat Pad (BFP) as a graft material, Buccal Advancement flap (BAF) and rotational palatal flap(RPF).
Aim: To compare two treatment modalities for the management of Oroantral Fistula (OAF). We compared the clinical outcomes for both Buccal Fat Pad (BFP) reinforce Buccal Advancement flap(BAF) and rotational palatal flap (RPF) treatment approaches.
Material and Methods: A total of 76 patients were included in this randomized controlled clinical study and were divided into two groups; Group A: treated with BFP reinforce BAF, and Group B: treated with RPF. Both procedures were performed under local anesthesia. All the patients were assessed clinically by Valsalva test at 1 week and 4 weeks post-surgicalwhere the surgical siteswere examined by direct visual examination for the amount of both epithelization and closure of the OAF.
Results: Our results showed no statistical significant difference (P>0.05) in the clinical outcomes of for both tested OAF treatments
Conclusion: Both treatment approaches are good and dependable inthe management of OAF.

Keywords

Egyptian Dental Journal
Volume 67, Issue 4 - Serial Number 2
October (Oral Surgery)
October 2021
Pages 3013-3021

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