Exodontia.Info
Closure of OAC with Buccal Fat Pad
I show here, the closure of an OAC that developed after the removal of the UR7 (upper right 2nd molar).

The 55 year old patient was referred to the Oral Surgery Department, complaining of a stuffy right maxillary sinus,
with discharge from the sinus & fluid from nose after drinking.  This started almost immediately after his UR7 was
removed.
Radiographs of the Mouth & Close-up of
the Area Effected
Last Updated 10th March 2020
Dental Update - The Buccal Fat Pad in the Closure of of Oro-Antral Communications: An Illustrated Guide
Useful Articles:

BJOMS 1986.  Oro-Antral Fistulae - A Study of Clinical, Radiological & Treatment Aspects

Acta Stomat Croat 2002.  Treatment of Oro-Antral Fistula

Austral Dent J 2003.  Non-Surgical Management of an Oro-Antral Fistula in a Patient with HIV Infection

Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2003.  Use of third molar transplantation for closure of the
oroantral communication after tooth extraction.  A report of 2 cases

Swiss Med Wkly 2003.  The reconstruction of oral defects with buccal fat pad

Dental Update 2004.  The Buccal Fat Pad in the Closure of Oro-Antral Communications: An Illustrated Guide

Turk J Med Sci 2004.  Buccal Corticotomy for Closure of Oro-Antral Openings - Case Report

JOMS 2005. Bony Press-Fit Closure of Oro-Antral Fistulas - A Technique for Pre-Sinus Lift Repair and Secondary
Closure

W Ind Med J 2005.  A New Surgical Management for Oro-Antral Communication.  The Resorbable Guided Tissue
Regeneration Memebrane - Bone Substitute Sandwich Technique

Intl J Oral Maxillofac Surg 2006.  Evaluation of different treatments for oroantral & oronasal communications -
experience of 112 cases

BJOMS 2007.  Incidence & predictive factors for perforation of the maxillary antrum in operations to remove upper
wisdom teeth. Prospective multi-centre study

JOMS 2009.  Closure of Oroantral Communications with Bichat’s Buccal Fat Pad

JSCR 2010.  Oro-Antral Fistula from Bisphosphonates-Induced Osteonecrosis of the Jaw

J Int Oral Health 2010.  Treatment of Oro-Antral Fistula using Palatal Flap.  A Case Report & Technical Note

J Oral Maxillofac Surg 2010.  Closure of Oroantral Communications - A Review of the Literature

JOMS 2010.  Closure of Oroantral Communications Using Biodegradable Polyurethane Foam - A Feasibility Study

Med Oral Patol Oral Cir Bucal. 2010.  Oroantral Communications.  A Retrospective Analysis

Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010.  Buccal Pad of Fat & its Applications in Oral &
Maxillofacial Surgery - A Review of Published Literature 2004 to 2009

Pakistan Oral & Dent J 2010.  Treatment of Oroantral Fistula – A Study

BDJ 2011.  Oro-Antral Fistulae & Fractured Tuberosities

BJOMS 2011. Technical Note.  Closure of Oro-Antral Fistula using Auricular Cartilage. A New Method to Repair an
Oro-Antral Fistula

Eur Soc Radiology 2011.  Oroantral Fistulas.  CT Evaluation with Dentascan software

Int J Dent Clinics 2011.  Use of Palatal Rotation Flap in the Closure of Oroantral Communication

J Maxillofac Oral Surg 2012.  Surgical Management of Oro-Antral Communications Using Resorbable GTR
Membrane and FDMB Sandwich Technique - A Clinical Study

JUMDC 2012.  Case Report.  Use of Buccal Fat Pad Oro-Antral Fistula Repair

Open Dent J 2012.  Surgical Options In Oroantral Fistula Treatment

Otolaryngology 2012.  Reliability of 2 Surgical Methods for Oro-Antral Communication Closure.  A Clinical Study of
20 Patients

JOMS 2013.  Treatment of Oro-Antral Fistulas using Bony Press-Fit Technique

J Clin Exp Dent 2015.  Alternative Surgical Management of Oroantral Fistula using Auricular Cartilage

Acta Otorrinolaringol Esp 2016.  Case Study.  Odontogenic Sinusitis, Oro-antral Fistula & Surgical Repair by Bichat’
s Fat Pad - Literature Review

Annals of Otolaryngology & Rhinology 2016.  Etiology & Management of Oro-Antral Fistula

Cochrane Database of Systematic Reviews 2016.  Interventions for Treating Oro-Antral Communications & Fistulae
due to Dental Procedures (Review)

Intech 2016.  Management of the Oroantral Fistula

Intl J Adv Res 2016.  Double layered flap for closure of recurrent oroantral fistula using buccal fat pad & palatal
pedicled flap – a case report

Int J Sci Study 2017.  Closure of Oroantral Communication Using Buccal Advancement Flap - A Case Report

World J Plast Surg 2017.  Management of Oro-antral Communication & Fistula - Various Surgical Options



PowerPoint Presentation on OAC's