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开放屏障膜技术治疗口腔上颌窦瘘：两例报告

Open Barrier Membrane Technique for the Treatment of Oroantral Communications: Two Case Reports.

作者信息

Yotsova Ralitsa V, Papanchev Georgi Y, Ali Madlen, Gerova-Vatsova Tsvetalina

机构信息

Department of Oral Surgery, Medical University of Varna, Varna, BGR.

Department of Periodontology and Dental Implantology, Medical University of Varna, Varna, BGR.

出版信息

Cureus. 2024 Jul 4;16(7):e63854. doi: 10.7759/cureus.63854. eCollection 2024 Jul.

DOI:10.7759/cureus.63854
PMID:39100069
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11297801/
Abstract

Oroantral communications (OACs) are relatively common complications after extractions of maxillary posterior teeth. Some defects can heal spontaneously, while others require surgical treatment. The lack of an appropriate therapeutic approach can lead to the epithelialization of the OAC that causes a permanent connection between the two cavities, called an oroantral fistula (OAF), and subsequent chronic sinusitis. Various treatment modalities have been used in cases of OACs, including advancement flaps, bone grafts, synthetic materials, and barrier membranes. We present two cases of closure of OACs with dense polytetrafluoroethylene (d-PTFE) membranes (of FDI tooth #28 in the first case and #17 in the second case), which were left exposed to the oral cavity. In both cases, healing was uneventful.

摘要

上颌后牙拔除术后，口腔上颌窦交通（OACs）是相对常见的并发症。一些缺损可自行愈合，而另一些则需要手术治疗。缺乏合适的治疗方法可导致OAC上皮化，造成两个腔隙之间的永久性连通，即形成口腔上颌窦瘘（OAF），继而引发慢性鼻窦炎。OACs的治疗已采用多种方式，包括推进瓣、骨移植、合成材料和屏障膜。我们报告两例使用致密聚四氟乙烯（d-PTFE）膜封闭OACs的病例（第一例为FDI 28号牙，第二例为17号牙），该膜暴露于口腔中。两例均顺利愈合。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42db/11297801/fa70027b6b7d/cureus-0016-00000063854-i19.jpg
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Ridge preservation combined with open barrier membrane technique in case of post-extractive oro-antral communication: a case series retrospective study.
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J Oral Implantol. 2024 Mar 29. doi: 10.1563/aaid-joi-D-24-00021R1.
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Socket Preservation and Guided Bone Regeneration: Prerequisites for Successful Implant Dentistry.牙槽窝保存与引导骨再生：种植牙成功的先决条件。
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