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Dr. Andrew Rynne

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Suggest Treatment For Oroantral Fistula

I have an oroantral fistula resulting from surgical extraction of an abscessed tooth two-and-a-half weeks ago. Aside from the fact that it interferes with normal talking, eating and drinking, I'm worried that the OAF will not heal and lead to chronic sinusitis. What is the most successful method for treatment of an OAF?
Tue, 5 Aug 2014
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Dentist, Oral and Maxillofacial Surgery 's  Response
Thanks for your query, I have gone through your query.
The most accepted treatment of choice for managing the oraoantral fistula is the buccal pedicle or palatal pedicle or advancement flap positioning after removing the fistulous tract lining. consult a oral and maxillofacial surgeon and get it done.
Yes, if you wont get it treated, it will result in chronic maxillary sinusitis and pus discharge from the fistula.
I hope my answer will help you, take care.
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Dentist, Oral and Maxillofacial Surgery Dr. Mahesh Kumar T S's  Response
Thanks for your query, I have gone through your query.
The most accepted treatment of choice for managing the oraoantral fistula is the buccal pedicle or palatal pedicle or advancement flap positioning after removing the fistulous tract lining. consult a oral and maxillofacial surgeon and get it done.
Yes, if you wont get it treated, it will result in chronic maxillary sinusitis and pus discharge from the fistula.
I hope my answer will help you, take care.
I find this answer helpful
Dentist Dr. Uzma Rahaman's  Response
Thanks for using Health Care Magic.

Read your query.

Oroantral fistula closure is very important to avoid food and saliva contamination that could lead to bacterial infection, impaired healing and chronic sinusitis.The treatment is done taken in consideration the width, epithelialization and presence or absence of infections.

I would advice that is the fistula is less than 3mm ,it usually heals spontaneously in the absence of any infections.If in your case the defect is more than this ,it will require further treatment using flaps which will be best decided by your surgeon.

Please consult your surgeon and go ahead with the treatment.

Hope this was helpful.
Thanks and regards.
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Suggest Treatment For Oroantral Fistula

Thanks for your query, I have gone through your query. The most accepted treatment of choice for managing the oraoantral fistula is the buccal pedicle or palatal pedicle or advancement flap positioning after removing the fistulous tract lining. consult a oral and maxillofacial surgeon and get it done. Yes, if you wont get it treated, it will result in chronic maxillary sinusitis and pus discharge from the fistula. I hope my answer will help you, take care.