A METHOD OF CLOSING ORO-ANTRAL COMMUNICATION DEVELOPED DURING OUTPATIENT ORAL SURGERY USING ALVEOLOPLASTY

Abstract

Based on clinical observations, we have identified four basic disadvantages associated with flap-based operations for closing oro-antral communication:

1. Traumatic nature of the surgical intervention.
2. Lowering of the arch of the portal during vestibular plastic surgery and exposure of the bony surface of the palate during palatal plastic surgery.
3. Formation of a mobile mass of soft tissues on the ridge of the dentary arch, which is an obstacle to both the manufacture of high-quality plate prostheses and successful dental implantation.
4. The relatively difficult and long course of the postoperative period. Taking into account the above, the method of closing the oro-antral communication using alveoloplasty during perforation of the base of the intact maxillary sinus was proposed.

Taking into account the above, a method of closing the oro-antral communication using alveoloplasty was developed, during perforation of the base of the intact maxillary sinus. At this time, the gum is resected on both sides of the tooth socket to a depth of approximately 1 cm using a raspator. Approximately 5 mm from the edge of the inner periosteal layer, the tissues are cut transversely at this depth. After the formation of a blood clot in the tooth socket, its surface is covered with a three-layer protective iodoform gauze, after which the gum edges are mobilized from both sides, after which the gingival margins were mobilized on both sides, thereby reducing the exposed surface of the tooth socket and fixing the protective layer with two temporary sutures of 3/0 atraumatic suture or a figure-of-eight loop of 2/0 atraumatic suture passed through the adjacent interdental spaces.