NONSURGICAL CLOSURE OF OROANTRAL COMMUNICATIONS USING OCCLUSAL SPLINTS

Yıl 2017, Cilt: 20 Sayı: 3, 169 - 174, 22.12.2017

Nükhet Kütük Ahmet Emin Demirbaş Canay Yılmaz Asan Burcu Baş Alper Alkan

https://doi.org/10.7126/cumudj.369104

Cited By: 2

Öz

Purpose: Oroantral communications (OACs) may close
spontaneously, especially when the defect has a size smaller than 2-3 mm,
whereas larger openings require surgical closure. The aim of this retrospective study was to present our experince with
non surgical closure of small and large OACs with occlusal splints.

Materials and
Methods: Clinical and
radiographic data of twenty patients who had used occlusal splints after the
occurance of an acute OAC were included in this study. Two groups were created
according to the size of the defects: Group A: defects smaller (<) than 5 mm;
and Group B: 5 mm and wider (≥). In all patients, a well fitted soft occlusal
splint was placed for hermetic closure of the opening.  All patients were followed up weekly and the
splint use was stopped when complete epithelization of the OAC was observed
clinically. The
relationship between the size of OACs, treatment outcome, and healing time was
compared statistically.

Results: OAC was healed
spontaneously in all patients, except one. The healing time was found to be
significantly higher in goup B than in group A. No significant difference was
found between the groups with respect to the success of the treatment.

Conclusion: The use of
occlusal splints seems to improve the spontaneus healing of the OACs. 

Anahtar Kelimeler

Oroantral communication, occlusal splint, nonsurgical closure

Oroantral Açıklıkların Okluzal Splintler ile Cerrahisiz Kapatılması

Öz

Amaç: Defekt boyutu 2-3 mm olan oroantral
açıklıklar spontan olarak iyileşebilirken büyük açıklıklarda cerrahi müdahale
gereklidir.  Bu çalışmanın amacı, küçük
ve büyük oroantral açıklıkların, okluzal splintler ile cerrahisiz tedavisi
hakkında bilgi sunmaktır.

Gereç ve Yöntem: Bu çalışmaya akut
oroantral açıklık gelişen 12 hasta dahil edildi. Defektin boyutuna göre 2 grup
oluşturuldu. Grup A: defektin 5 mm'den küçük olduğu; Grup B: defektin 5 mm ve
daha fazla olduğu hastalardan oluşmaktaydı. Bütün hastalara açıklığın
kapatılması için yumuşak okluzal plak yapıldı. Hastalar haftalık olarak takip
edildi ve klinik olarak tam epitelizasyon sağlandığında splint kullanımı
bırakıldı. Açıklıkların boyutu ile iyileşme süresi ve tedavi sonuçları
arasındaki ilişki istatistiksel olarak karşılaştırıldı.

Sonuçlar: Bir hasta dışında,
tüm hastalarda oroantral açıklıklar spontan olarak iyileşti. Grup B'nin
iyileşme süresinin Grup A'dan belirgin olarak fazla olduğu görüldü. Tedavinin
başarısı ile ilgili gruplar arasında herhangi bir fark bulunamadı.

Sonuç: Oklüzal splintlerin kullanımı,
oroantral açıklıkların spontan olarak iyileşmesinde faydalı olabilir.

Anahtar Kelimeler

Oroantral açıklık, oklüzal splint, cerrahisiz kapama

Kaynakça

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