Liječenje oroantralne fistule

master's thesis

• Title (english): Oroantral fistula treatment
• Author: Anja Balenović
• Mentor: Goran Geber (mentor)
• Committee member: Davor Vagić (predsjednik povjerenstva)
• Committee member: Robert Trotić (član povjerenstva)
• Committee member: Goran Geber (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; (Chair of Otorhynolaringology); Zagreb
• Defense date and country: 2023-07-12, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine

Abstract

Oroantralna fistula najčešće nastaje kao posljedica oroantralne komunikacije nakon ekstrakcije maksilarnih premolara ili molara zbog njihovog bliskog anatomskog odnosa s maksilarnim sinusom. Mogući su i drugi jatrogeni uzroci nastanka oroantralne fistule radi komplikacija tijekom različitih stomatoloških intervencija (cistektomija, pogrešno planirana implantološka terapija), a oroantralna fistula može biti posljedica i nejatrogenih uzroka vezanih uz zubnu etiologiju (neliječeni karijes) i odontogene ciste u regiji. Može se reći da je to komplikacija je s kojom se doktor dentalne medicine susreće relativno često u svom svakodnevnom radu. Stoga je vrlo važno poznavati uzroke nastanka te procijeniti vrijeme nastanka, veličinu i potencijalne posljedice neliječenja oroantralne komunikacije. Liječenje treba planirati prema individualiziranom pristupu pacijentu budući da isto ovisi o brojnim čimbenicima i nema idealnog ili jednostavnog rješenja. Liječenje je u izravnoj vezi s mogućnostima terapeuta jer ovisi i o suradnji i dobi pacijenta, ali i drugim okolnostima (dostupnost materijala, financijske i mogućnosti dolaska, motiviranost pacijenta) tijekom procesa provođenja medicinskih intervencija što je sve važno poznavati kako bi zajednički postigli optimalni terapijski cilj.

Abstract (english)

Oroantral fistula most commonly occurs as a result of oroantral communication following the extraction of maxillary premolars or molars due to their close anatomical relationship with the maxillary sinus. Other iatrogenic causes of oroantral fistula formation are possible due to complications during various dental procedures (cystectomy, improperly planned implant therapy). Additionally, oroantral fistula can result from non-iatrogenic causes related to dental etiology (untreated caries) and odontogenic cysts in the region. It can be said that dental practitioners encounter this complication relatively frequently in their daily work. Therefore, it is crucial to be aware of the causes of its development and to assess the time of onset, size, and potential consequences of untreated oroantral communication. Treatment should be planned according to an individualized approach to the patient, as it depends on numerous factors and does not have an ideal or straightforward solution. Treatment is directly related to the capabilities of the therapist, and it also depends on the patient's cooperation and age, as well as other circumstances (availability of materials, financial and logistical considerations, patient motivation) during medical interventions. Understanding all these factors is important to collectively achieve the optimal therapeutic goal.

• Keywords: oroantralna komunikacija; oroantralna fistula; maksilarni sinusitis
• Keywords (english): oroantral communication; oroantral fistula; maxillary sinusitis
• Language: croatian
• URN:NBN: urn:nbn:hr:127:168072
• Study programme: Title: dental medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica dentalne medicine (doktor/doktorica dentalne medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2023-07-10 11:02:24