Implant restoration for patient with two oroantral communications treated by staged surgeries: a case report

doi:10.7518/hxkq.2025.2024394

Abstract

Abstract:

In the realm of oral implantology, currently, there is no unanimous consensus or authoritative guideline regarding how to conduct implant restoration for cases involving oroantral communication or oroantral fistula. In these cases, the bony plate of the maxillary sinus floor is discontinuous, the oro-sinus mucosa is in communication, and a vertical alveolar bone defect exists. This paper presents a case of a patient with two oroantral communications who successfully underwent implant restoration via simple staged surgeries. Following a 2-year clinical follow-up, the implant remains in good condition, and the patient expresses satisfaction. The objective of this paper is to offer a simple, safe, and readily-promotable new approach for such cases.

Key words: oroantral communication, implant restoration, oroantral fistula

CLC Number:

R783.4

Li Lingyan, Liang Jie, Xu Sheng. Implant restoration for patient with two oroantral communications treated by staged surgeries: a case report[J]. West China Journal of Stomatology, 2025, 43(3): 442-447.

Figures/Tables 3

References 29

1	Shahrour R, Shah P, Withana T, et al. Oroantral communication, its causes, complications, treatments and radiographic features: a pictorial review[J]. Imaging Sci Dent, 2021, 51(3): 307-311.
2	Kaba YN, Demirbas AE, Topan C, et al. Which method is successful in closure of acute oroantral communication? A retrospective study[J]. Med Oral Patol Oral Cir Bucal, 2024, 29(1): e95-e102.
3	Oliva S, Lorusso F, Scarano A, et al. The treatment and management of oroantral communications and fistulas: a systematic review and network metanalysis[J]. Dent J (Basel), 2024, 12(5): 147.
4	Bereczki-Temistocle DL, Gurzu S, Jung I, et al. Selec-ting the best surgical treatment methods in oro-antral communications[J]. Int J Environ Res Public Health, 2022, 19(21): 14543.
5	Blal K, Alterman M, Abu Tair J. A pedicled palatal periosteal flap for the closure of oro-antral fistula[J]. Int J Oral Maxillofac Surg, 2020, 49(8): 1087-1091.
6	Aksakal C, Akti S, Aksakal BS. Double-layered closu-ring to repair an oroantral fistula using septal cartilage and buccal fat pad[J]. J Craniofac Surg, 2021, 32(7): e626-e627.
7	Ahmed WM. Closure of oroantral fistula using titanium plate with transalveolar wiring[J]. J Maxillofac Oral Surg, 2015, 14(1): 121-125.
8	Tabrizi R, Akhlaghi F, Javaheri P, et al. The use of tita-nium meshes in surgical closure of the oroantral fistula. A randomized clinical trial study[J]. J Craniofac Surg, 2024, 35(1): e45-e48.
9	李晓宇, 伍靖, 曹君, 等. 脱细胞真皮基质复合小牛脱细胞骨修复口腔上颌窦瘘[J]. 华西口腔医学杂志, 2018, 36(6): 633-637.
	Li XY, Wu J, Cao J, et al. Clinical analysis of acellular dermal matrix and acellular bone matrix in oro-antral fistula repair[J].West China J Stomatol, 2018, 36(6): 633-637.
10	Kara MI, Yanik S, Sari F, et al. Simultaneous oroan-tral communication closure, sinus-lifting, and particulate bone grafting and immediate dental implant perforation[J]. Niger J Clin Pract, 2016, 19(4): 556-558.
11	Baek JH, Kim BO, Lee WP. Implant placement after closure of oroantral communication by sinus bone graft using a collagen barrier membrane in the shape of a pouch: a case report and review of the literature[J]. Medicina (Kaunas), 2021, 57(6): 626.
12	Franco-Carro B, Barona-Dorado C, Martinez-Gonzalez M, et al. Meta-analytic study on the frequency and treatment of oral antral communications[J]. Med Oral, 2011: e682-e687.
13	Lie SAN, Claessen RMMA, Leung CAW, et al. Non-grafted versus grafted sinus lift procedures for implantation in the atrophic maxilla: a systematic review and meta-analysis of randomized controlled trials[J]. Int J Oral Maxillofac Surg, 2022, 51(1): 122-132.
14	Dragonas P, Katsaros T, Schiavo J, et al. Osteogenic capacity of the sinus membrane following maxillary sinus augmentation procedures: a systematic review[J]. Int J Oral Implantol (Berl), 2020, 13(3): 213-232.
15	朱肖, 张杰, 周毅. “冰淇淋蛋筒技术” 在上颌窦穿孔患者种植义齿修复中的应用1例[J]. 口腔医学研究, 2023, 39(8): 760-762.
	Zhu X, Zhang J, Zhou Y. Application of “ice-cream cone” technique in dental implant surgery for patient wi-th oroantral communication: a case report[J]. J Oral Sci Res, 2023, 39(8): 760-762.
16	Yotsova RV, Papanchev GY, Ali M, et al. Open barrier membrane technique for the treatment of oroantral communications: two case reports[J]. Cureus, 2024, 16(7): e63854.
17	Burić N, Jovanović G, Krasić D, et al. The use of absor-bable polyglactin/polydioxanon implant (Ethisorb^®) in non-surgical closure of oro-antral communication[J]. J Craniomaxillofac Surg, 2012, 40(1): 71-77.
18	Śmieszek-Wilczewska J, Balicz A, Morawiec T, et al. Effectiveness of oroantral communication closure using solid platelet-rich fibrin compared to a conventional treatment approach: a randomized clinical trial[J]. J Oral Implantol, 2024, 50(1): 3-8.
19	Bilginaylar K. Comparison of the clinical outcomes of buccal advancement flap versus platelet-rich fibrin application for the immediate closure of acute oroantral communications[J]. J Craniofac Surg, 2019, 30(1): e45-e49.
20	任宇轩, 马振, 马洋, 等. 106例拔牙导致口腔上颌窦交通的临床分析[J]. 口腔医学, 2021, 41(2): 149-153.
	Ren YX, Ma Z, Ma Y, et al. A clinical analysis of 106 cases of oroantral communications caused by tooth extraction[J]. Stomatology, 2021, 41(2):149-153.
21	Ndlovu SP, Ngece K, Alven S, et al. Gelatin-based hybrid scaffolds: promising wound dressings[J]. Polymers (Basel), 2021, 13(17): 2959.
22	Makabenta JMV, Nabawy A, Li CH, et al. Nanomaterial-based therapeutics for antibiotic-resistant bacterial infections[J]. Nat Rev Microbiol, 2021, 19(1): 23-36.
23	Thuruthel MJ, Surej Kumar LK, Kurien NM, et al. Efficacy of gelatamp in controlling the postoperative seque-lae following mandibular posterior teeth extraction-a sp-lit-mouth study[J]. J Oral Biol Craniofac Res, 2023, 13(2): 96-103.
24	Jiménez C, Fabio A. Sponges with colloidal silver na-noparticles help restore bone lost in endo-periodontal injuries[J]. Rev Cuba Estomatol, 2022, 59(4): 3589e-3593e.
25	Tran PL, Luth K, Wang J, et al. Efficacy of a silver colloidal gel against selected oral bacteria in vitro [J]. F1000Res, 2019, 8: 267.
26	Alalawy H. Bone formation after Gelfoam crestal sinus lifting and proposal of a drill-less technique[J]. Clin Oral Implants Res, 2019, 30(S19): 512.
27	Canullo L, Del Fabbro M, Colantonio F, et al. Sinus floor augmentation using crestal approach in conjunction with hydroxyapatite/cross-linked collagen sponge: a pilot study[J]. Clin Implant Dent Relat Res, 2023, 25(5): 974-983.
28	Parvini P, Obreja K, Begic A, et al. Decision-making in closure of oroantral communication and fistula[J]. Int J Implant Dent, 2019, 5(1): 13.
29	Scavia S, Audino E, Salgarello S. Ridge preservation combined with open barrier membrane technique in case of post-extractive oro-antral communication: a case series retrospective study[J]. J Oral Implantol, 2024, 50(3): 141-152.

[1]	Yang Zizhen, Li Qiang, Pang Yunqing. Heterotopic replantation and delayed implant restoration following complete avulsion of maxillary central incisors: a case report [J]. West China Journal of Stomatology, 2025, 43(4): 534-540.
[2]	Yu Haiyang. The question about the numerical value and quantitative data transfer of implant prosthodontics—orom experience guidance to digital guidance [J]. West China Journal of Stomatology, 2021, 39(4): 386-397.
[3]	Zhang Yuqiang, Yu Haiyang. Interarch distance is a target restorative space value: clinical decisionmaking of implant restoration guided by measured value [J]. West China Journal of Stomatology, 2021, 39(2): 233-237.
[4]	Lou Fangzhi, Zhang Maorui, Rao Pengcheng, Luo Shihong, Tang Mengying, Xiao Jingang. Precise investigation of digital guide plates applied to implant surgery of anterior teeth [J]. West China Journal of Stomatology, 2020, 38(2): 170-176.
[5]	Qi Jiani, Yue Lixin, Lan Jing. Research on gingival healing situation after stage Ⅱ surgery of dental implantation for periodontitis patients [J]. West China Journal of Stomatology, 2014, 32(2): 153-156.