Oroantralna komunikacija nakon ekstrakcije zuba

master's thesis

• Title (english): Oroantral communication after tooth extraction
• Author: Natalija Horvatović
• Mentor: Ana Kotarac Knežević (mentor)
• Committee member: Ana Kotarac Knežević (predsjednik povjerenstva)
• Committee member: Marko Granić (član povjerenstva)
• Committee member: Božana Lončar Brzak (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; (Department of Oral Surgery); Zagreb
• Defense date and country: 2018-06-08, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Oral Surgery

Abstract

Oroantralna komunikacija je patološka komunikacija između maksilarnog sinusa i usne šupljine. Najčešće nastaje kao komplikacija uslijed ekstrakcije maksilarnih premolara i molara. Pneumatizirani maksilarni sinusi, izrazito dugi i divergentni korijenovi te gruba tehnika vađenja su glavni predisponirajući čimbenici za nastanak oroantralne komunikacije pri ekstrakciji zuba. Kako bi se takva komplikacija prevenirala, nužna je prilagodba tehnike ekstrakcije nakon preoperativne radiološke analize. Nastanak komunikacije je moguć i uz poduzete najbolje preventivne mjere, tada je bitno komunikaciju dijagnosticirati i tretirati kako bi se spriječio nastanak ozbiljnijih komplikacija.
Najučestaliji način dijagnosticiranja je test puhanja na nos, također pacijenti se žale na prolazak hrane i tekućine iz usne šupljine u nos te strujanje zraka iz nosne u usnu šupljinu.
Ukoliko se oroantralna komunikacija ne liječi dolazi do razvitka oroantralne fistule. Takva perzistentna komunikacija omogućuje ulazak hrane i patogenih čimbenika iz usne šupljine u maksilarni sinus i uzrokuje nastanak maksilarnog sinusitisa.
Liječenje oroantralne komunikacije treba se provesti što prije nakon dijagnosticiranja iste. Postoji mnogo zahvata, a odabir ponajviše ovisi o veličini komunikacije, vremenu koje je prošlo od nastanka do dijagnosticiranja te o prisutnosti upale maksilarnog sinusa. Terapija manjih komunikacija temelji se na potpomaganju stvaranja i održavanja krvnog ugruška u alveoli dok se terapija većih komunikacija svodi na razne kirurške zahvate.

Abstract (english)

Oroantral communication is pathological communication between maxillary sinus and oral cavity. It usually appears as a complication upon the extraction of maxillary molars and premolars. Pneumatisation of sinuses, long and divergent roots and a rough extraction technique are amongst the main predisposing factors for the occurrence of oroantral communication. In order to prevent this type of complication, it is necessary to adjust the extraction technique. Even when all the precautions have been taken, oroantral communication may occur. If that is the case, it is important to diagnose and treat communication in order to prevent more serious complications.
The most frequently used method for diagnosing it is blowing the nose test, also patients may complain of the passage of liquids and food from the oral cavity to the nose.
If oroantral communication is not treated, it will result in oroantral fistula. This type of persistent communication makes it possible for food and pathogenic factors to enter the maxillary sinus and cause maxillary sinusitis.
The treatment of oroantral communication needs to be performed as soon as possible. A broad range of treatment procedures are available, the decision is made based on the size of an oroantral communication, the time that has passed from its occurrence to the diagnosis and the presence of an infection in maxillary sinus. The treatment of a small-opening oroantral communication is based on helping to create and maintain a blood clot in the alveolus, while the treatment of a large-opening oroantral communication is based on surgical treatment.

• Keywords: oroantralna komunikacija; oroantralna fistula; maksilarni sinusitis
• Keywords (english): oroantral communication; oroantral fistula; maxillary sinusitis
• Language: croatian
• URN:NBN: urn:nbn:hr:127:254358
• 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: 2018-11-22 09:12:42