Treatment of Oro-antral Communication : 2 Case Reports

Keimyung Medical Journal 2012;31(2):286-293.

Ju Yeon Cho

Abstract

Oro-antral communication (OAC) is a pathological communication between oral cavity and maxillary sinus; which is occasionally produced during routine surgical procedures or dental infections. Swift diagnosis and proper treatment are essential to successful management of OACs. This article deals with two different cases: Case 1 was a chronic OAC; fully communicated with oral mucosal defect which needed a surgical approach (buccal fat pad flap); and Case 2 was not fully communicated; nor in chronic condition; which was treated with conservative method. The purpose of this report is to provide suitable treatment options such as surgical or non-surgical method according to each different clinical evaluation. Buccal fat pad was effectively used as surgical method in Case 1; otherwise antimicrobial medication was considered enough in Case 2.

Key Words: Buccal fat pad, Communication, Oro-antral