scholarly journals ROLE OF BUCCAL FAT PAD ALONGWITH PLATELET-RICH FIBRIN (PRF) IN CLOSURE OF ORO-ANTRAL FISTULA

Author(s):  
Samit Jain ◽  
Sarika Jain ◽  
Sweta Jain

Oro-antral fistula is an unnatural, pathological and epithelised communication between oral cavity and maxillary sinus. It is mainly due to improper Instrumentation during extraction of maxillary premolars and molars. Closure of oro-antral fistula by suturing of buccal fat pad with palatal flap has shown a high success rate because of its rich vascularity and location. Role of PRF is like icing on the cake in healing of oral defects. PRF (Platelet-Rich Fibrin ) is a healing biomaterial which form a strong natural fibrin matrix which promotes healing. In this case, oro-antral communication was created after the extraction of #16 , which was closed with buccal fat pad along with PRF and monitored until complete epithelisation of socket was achieved. KEYWORDS Buccal fat pad, Platelet rich fibrin, maxillary molars, maxillary sinus, oro antral fistula,

Author(s):  
Farley Souza Cunha

RESUMOA Comunicação Buco-Sinusal (CBS) é um incidente cirúrgico que pode ocorrer durante a exodontia de dentes maxilares posteriores devido à intimidade de suas raízes com o assoalho do seio maxilar. As CBSs com diâmetro de até 2mm tendem a curar-se sem tratamento específico. Entretanto, as maiores que 3mm se não tratadas adequadamente, podem evoluir para complicações tais como sinusite maxilar recorrente, alteração do timbre nasal além da passagem de líquidos da cavidade bucal para a nasal através do óstio dentre outras. Este trabalho tem por objetivo discutir as técnicas mais utilizadas para o fechamento de CBS comparando-as com a técnica que utiliza o corpo adiposo bucal (Bola de Bichat), avaliando suas vantagens e desvantagens. As bases de dados digitais acessadas foram PubMed, MEDLINE, LILACS, Scopus compreendendo artigos em inglês entre o período de 1988 a 2016. Concluímos que o uso desta técnica apresenta excelentes resultados com poucas complicações, restituindo ao paciente uma condição de normalidade.Palavras-Chave: Fístula Bucoantral, Fístula Bucosinusal, Corpo adiposo bucal, bola de Bichat, Comunicação Bucosinusal. ABSTRACTOroantral Communication (OC) is a surgical incident that can occur during posterior maxillary teeth extraction due to the anatomical intimacy of its roots with the lining of the maxillary sinus. OC up to 2mm in diameter can cure without specific treatment. However, as larger than 3mm if left untreated, they may progress to complications such as recurrent maximal sinusitis, alteration of the nasal timbre beyond the passage of the oral cavity to a nasal through the ostium, among others. Several surgical techniques have been developed for the treatment of OC. This paper aims to review the literature on how to evaluate the most commonly used techniques for closing the OC, comparing them with a technique that uses the buccal adipose body (Bichat Ball), discussing its advantages and advantages. The digital databases accessed were PubMed, MEDLINE, LILACS and Scopus comprising articles in English from 1988 to 2016. This study allows us to conclude that the use of this technique presents excellent results with few complications, restoring the patient to a normal condition.Key-Words: Oroantral fistula, Oroantral communication, buccal fat pad, bichat fat pad


2021 ◽  
Vol 148 (2) ◽  
pp. 334-338
Author(s):  
Rod J. Rohrich ◽  
James M. Stuzin ◽  
Ira L. Savetsky ◽  
Yash J. Avashia ◽  
Nikhil A. Agrawal ◽  
...  

1991 ◽  
Vol 1 (3) ◽  
pp. 159-162 ◽  
Author(s):  
S. HARIA ◽  
G. KIDNER ◽  
J. P. SHEPHERD
Keyword(s):  
Fat Pad ◽  

2021 ◽  
Vol 9 (D) ◽  
pp. 126-132
Author(s):  
Aya Kamal ◽  
Ahmed Abdel Meguid Moustafa ◽  
Ahmed Abdallah Khalil

ABSTRACTAim of study: The aim of this study was to Compare the effectiveness of Non-pedicled buccal fat pad versus Platelet rich fibrin in treatment of Miller class II gingival recession using vistubular Incision Subperiosteal Tunnel Access TechniquePatients and methods:This study was conducted on 40 patients with class II gingival recession in anterior or premolar segment. The entire patients were selected from the out patient clinic of the Oral Medicine, Oral Diagnosis, and Periodontology Department. Faculty of Dentistry, Minya University.Forty patients with gingival recession class II were divided randomly into two groups:Group I: (20 defect) using VISTA technique with Non- pedicled buccal fat pad (NPBFP), Group II: (20 defect) using VISTA technique with platelet rich fibrin (PRF).Results: In both groups all clinical parameters were statistically significant from pre-operative period till 6 months follow up period. In the comparison between the two groups after 6 months follow up period, there were no statistically significant difference between two groups regarding all clinical parameters except percentage of root coverage; there was significant increase in percentage of root coverage after 3 and 6 months follow up period in group II with p value was less than 0.05.Conclusion: Both PRF membrane and NPBFP are effective in the management of Class II gingival recession defects using VISTA technique. PRF group has better results regarding percentage of root coverage than NPBPF group after 3 and 6 months follow up.


2021 ◽  
Author(s):  
Aqeel Al-Saedi ◽  
Riad Al-Taee ◽  
Bahaa Al-Bakhakh

Abstract Background: This present study aims to evaluate the type of relationship between roots of maxillary posterior teeth and maxillary sinus.Methods: Cone beam computed tomography images for 148 patients were evaluated (62 males Vs 86 females). A total of 1052 teeth were examined (518 maxillary premolars and 534 maxillary molars). The relation between roots tips and maxillary sinus floor were classified into four types: type 0, type 1, type 2 and type 3, vertical linear distance was measured and distribution of type of relationship in different age groups were evaluated.Results: Most of single rooted maxillary premolars showed (type 0) relationship with maxillary sinus floor (98.1%) for maxillary first premolars and (69.5%) for maxillary second premolars. In buccal roots of double rooted maxillary first premolars, (type 0) represented (98.7%). While for maxillary second premolars occurred in (50%). Type 0 still the most common appearing type in palatal roots of maxillary first premolars (92%) and in maxillary second premolars it appeared in (45.8%). In maxillary first molars, (type 0) was the most common type which appeared in 43.3%, 39.8% and 38.6% for mesiobuccal, distobuccal and palatal roots respectively. The most common appearing type in single rooted and double rooted maxillary second molars, (type 0) appeared in (50%). In mesiobuccal and distobuccal roots (type 1) appeared in 48.1% and 45.5%, respectively (most common), whereas (type 0) was seen most frequently in palatal roots (39.7%). There was increased appearance of (type 0) in older age group (>45) in maxillary molars roots with statistically significant difference (P-value < 0.001).Conclusions: Most of maxillary premolars, maxillary first molars and palatal roots of maxillary second molars were separated from maxillary sinus floor (type 0). Most of the mesiobuccal and distobaccal roots of maxillary second molars were in contact with the sinus floor (type1).


2018 ◽  
Vol 29 (8) ◽  
pp. 2153-2155 ◽  
Author(s):  
Mosaad Abdel-Aziz ◽  
Mohamed Fawaz ◽  
Mohamed Kamel ◽  
Ahmed Kamel ◽  
Talal Aljeraisi

2015 ◽  
Vol 11 (3) ◽  
pp. 247-249 ◽  
Author(s):  
NK Agrawal ◽  
S Dahal ◽  
R Khadka

Intraoral herniation of the buccal fat pad is traumatic lesion of oral cavity occurring in young children. It frequently presents as an expanding pedunculated mass of soft tissue emanating from the buccal mucosa following a minor trauma to the buccal soft tissues. This article aims to report an interesting and rare lesion, wherein a tiny traumatic perforation of the buccal mucosa and buccinator muscle forced a large portion of the buccal fat pad to extrude into the oral cavity in a young boy. Such a situation can alarm any clinician and reinforces the importance of careful history taking and thorough examination, before treating patients. DOI: http://dx.doi.org/10.3126/kumj.v11i3.12514 Kathmandu Univ Med J 2013; 43(3):247-249


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