Zygomatic bone graft for oral-antral communication closure and implant placement.
The roots of molar and premolar maxillary teeth are often very close to the floor of the maxillary sinus. As a result, extraction of these teeth can leave an oral-antral communication or lead to a fistula that requires treatment. A woman with an oral-antral communication secondary to extraction of a maxillary molar is presented. The communication was closed by means of a bone graft harvested from the wall of the sinus (zygomatic bone). After 3 months, 2 dental implants were placed, one in the pterygoid area and the other with parasinusal angulation. Rehabilitation followed in the form of a screw-retained, fixed prosthesis 3 months after implant placement. There have been no complications after 1 year of follow-up. This surgical technique allowed closure of an oral-antral communication produced by molar extraction through placement of a zygomatic bone graft and subsequent placement of 2 dental implants.
Peñarrocha-Diago
Miguel
M
Valencia University Medical and Dental School, Valencia, Spain. Miguel.Penarrocha@uv.es
García
Berta
B
Gomez
Dolores
D
Balaguer
José
J
D016025:Bone Transplantation; D003758:Dental Implantation, Endosseous / Q000379:methods*; D019094:Dental Prosthesis, Implant-Supported; D003830:Denture, Partial, Fixed; D005260:Female; D006801:Humans; D008875:Middle Aged; D009957:Oroantral Fistula / Q000209:etiology / Q000601:surgery*; D020858:Tissue and Organ Harvesting; D014081:Tooth Extraction / Q000009:adverse effects; D020390:Tooth Socket / Q000601:surgery; D015050:Zygoma / Q000601:surgery*