Oral-Antral Communication: thoughts?
Last Updated: Apr 01, 2016
This case involves a 55 yr old white female. No significant medical history. Gross decay “J” [maxillary left primary second molar], poor prognosis, indicated for extraction only. Extraction of “J” resulted in an approximate 1cm exposure to maxillary sinus. Placed NuOss XC socket expandable bone grafting composite ( Ace Surgical ) loosely, followed by HeliTape ( Miltex ), absorbable collagen membrane. A perio pack was placed over site and extended one tooth adjacent to area. Created good bleeding to soak bone and membrane. Prescribed amoxicillin 875mg BID for 10 days, and Claritin 10mg one tab per day for 14 days. Patient to return for post-op check in 1 wk. Patient leaving for two weeks and patient instructed to return thereafter for suture removal ( 3 wks total ). Patient understands the significance and importance of this exposure, and the probable intervention in the future. OK what I did? Should I have done more? Have I attempted something an OS should have intervened upon? (I have successfully closed up smaller oral-antral exposure in past, yet were in sockets, this was not).
12 Comments on Oral-Antral Communication: thoughts?
DrH
04/05/2016
DrDave
04/05/2016
K oms
04/05/2016
DrG
04/05/2016
Dennis Flanagan DDS MSc
04/05/2016
CRS
04/06/2016
omsjaw
04/07/2016
pascal valentini
04/08/2016
CRS
04/10/2016
DrH
04/11/2016
CRS
04/12/2016
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CRS
04/01/2016