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J Clin Exp Dent. 2015 Feb 1;7(1):e159-62. doi: 10.4317/jced.51741. eCollection 2015 Feb.

Closure of oroantral communication with buccal fat pad after removing bilateral failed zygomatic implants: A case report and 6-month follow-up.

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1
Master in Oral Surgery and Implant Dentistry. Collaborating Professor of Oral Surgery, Stomatology Department. Faculty of Medicine and Dentistry. University of Valencia, Spain.
2
Full Professor of Oral Surgery. Stomatology Department. Faculty of Medicine and Dentistry. University of Valencia, Spain.

Abstract

The aim of this study was to assess the use of buccal fat pad (BFP) technique as an option to close oroantral communications (OAC) after removing failed zygomatic implants in a patient with a severely resorbed maxilla, and to determine the degree of patient satisfaction. A 64-year-old woman presented recurrent sinusitis and permanent oroantral communication caused by bilateral failed zygomatic implants, 3 years after prosthetic loading. Zygomatic implants were removed previous antibiotic treatment and the BFP flap technique was used to treat the OAC and maxillary defect. The degree of patient satisfaction after treatment was assessed through a visual analogue scale (VAS). At 6-months follow-up, patient showed complete healing and good function and the results in terms of phonetics, aesthetics and chewing were highly rated by the patient. Key words:Bichat fat pad, buccal fat pad, zygomatic implants, oroantral communication.

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