DOI:

10.37988/1811-153X_2022_4_124

One-stage bone grafting in the treatment of a patient with oroantral communication: A clinical case

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Authors

  • A.M. Sipkin 1, PhD in Medical Sciences, head of the Maxillofacial surgery and hospital surgical dentistry Department
    ORCID: 0000-0001-8287-741X
  • T.N. Modina 2, PhD in Medical Sciences, full professor of the Maxillofacial dentistry Department
    ORCID: 0000-0002-2063-9464
  • I.E. Shapiro 1, junior researcher at the Maxillofacial surgery and hospital surgical dentistry Division
    ORCID: 0000-0002-9569-2614
  • 1 Moscow Regional Research Clinical Institute (MONIKI), 129110, Moscow, Russia
  • 2 Pirogov National Medical & Surgical Center, 105203, Moscow, Russia

Abstract

Currently, in surgical dentistry and maxillofacial surgery, the problem of eliminating the oroantral fistula is of great importance. To date, the main method of eliminating the oroantral anastomosis is a surgical method of treatment, which consists in eliminating the fistula with soft tissues. This scientific article discusses the problem of eliminating oroantral anastomosis and modern methods of treating this problem on the example of a clinical case. We have developed a technique for eliminating the oroantral fistula with simultaneous bone grafting with a fibrin clot enriched with platelets and leukocytes created from the patient’s autoblood, hereinafter referred to as an L-PRF clot, which further greatly simplifies the procedure of dental implantation, and also helps to preserve the alveolar ridge of the jaws in height and width. The use of fibrin enriched with leukocytes and platelets, both independently and in combination with various bone-plastic materials, is an effective and relatively simple method of surgical removal of the oroantral fistula. This technique shows its clinical effectiveness in the long-term follow-up period.

Key words:

maxillofacial surgery, bone grafting, oroantral communication

For Citation

[1]
Sipkin A.M., Modina T.N., Shapiro I.E. One-stage bone grafting in the treatment of a patient with oroantral communication: A clinical case. Clinical Dentistry (Russia).  2022; 25 (4): 124—129. DOI: 10.37988/1811-153X_2022_4_124

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Received

July 29, 2022

Accepted

October 20, 2022

Published on

December 21, 2022