Konzervativno liječenje antrooralnih komplikacija

master's thesis

• Author: Ivan Puhar
• Mentor: Goran Knežević (mentor)
• Granter: University of Zagreb; School of Dental Medicine; Zagreb
• Defense date and country: 2004, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Oral Surgery

Abstract

Poznato je da je najlakši način obrade antrooralnih komplikacija prevencija istih. Prevencija bilo koje stomatološke komplikacije najbolje se postiže poznavanjem postupka u koji se upuštamo. Antrooralne komplikacije najčešće su posljedica kirurških zahvata u posteriornom dijelu maksile, kao što su perforacija sinusa zbog ekstrakcije zuba, fraktura tubera, utisnuće korijena u maksilarni sinus i svi ostali zahvati koji dovode do komunikacije usne i sinusne šupljine. Također periapikalni procesi (akutni i kronični), endodontski zahvati i parodontološki problemi mogu imati reperkusije na maksilarni sinus. Konzervativna terapija ovih komplikacija uključuje lijekove, kako bi se umanjila mogućnost maksilarnog sinuitisa, te palatinalnu ploču kako bi se olakšalo zatvaranje
oroantralne komunikacije u slučaju perforacije sinusa. Antibiotici (najčešće amoksicilin i klindamicin) ordiniraju se tijekom pet dana kako bi se prevenirala sekundarna infekcija. Dodatna terapija uključuje nazalne dekongestive koji smanjuju oteklinu nosne sluznice i tako olakšavaju sekreciju sinusa i nosa. Ozbiljan pristup svakog stomatologa antrooralnim komplikacijama je sine qua non. Ukoliko ipak dođe do komplikacije, liječnik je dužan pacijenta informirati o terapijskom postupku i mogućim posljedicama.

Abstract (english)

It is axiomatic that the easiest way to manage an oroantral complication is to prevent it from happening. Prevention of any dental complication is best accomplished by comperhensive treatment plan. Oroantral complications usually result from surgery in the posterior maxilla, including sinus perforation due to removal of teeth, tuberosity reduction, root
displacement into maxillary sinus, or other procedures that cause communications between the oral cavity and the maxillary sinus. Periapical disease (acute or chronic), endodontic procedures and periodontal disease may also affect maxillary sinus. Conservative treatment of these complications includes medications, to help lessen the possibility that maxillary sinusitis occur, and acrylic splint in order to facilitate closure of oroantral communication (if such occured). Antibiotics, usually amoxicillin or clindamycin, should be prescribed for 5 days to prevent infection of maxillary sinus. In addition, a nasal decongestant should be prescribed to shrink nasal mucosa, and to lessen nasal and sinus secretions. Skillful management of complications when they occur is the sine qua non of the responsible dentist. The dentist who anticipates a high probability of a specific complication should inform the patient and explain the anticipated menagement and sequelae.

• Keywords: oralnokirurški postupci; oroantralna fistula; antibiotska profilaksa
• Keywords (english): Oral Surgical Procedures; Oroantral Fistula; Antibiotic Prophylaxis
• Language: croatian
• URN:NBN: urn:nbn:hr:127:231922
• 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: Closed access
• Created on: 2024-06-03 10:49:29