Managing Oro-Antral Communications After Tooth Extractions: A Guide for General Dentists

Authors

Ross Brockman DMD, MDFollow
G. E. Ghali DDS, MDFollow

Abstract

This clinical feature provides general dentists with a detailed guide on managing oro-antral communications (OACs) resulting from tooth extractions. It distinguishes between acute OACs and chronic oro-antral fistulas (OAFs), identifying anatomical and surgical risk factors. The authors outline conservative management strategies for small communications, including sinus precautions and pharmacotherapy, as well as surgical techniques like the buccal advancement flap for larger defects. The article concludes with specific criteria for specialist referral, ensuring that dentists can optimize patient outcomes and prevent long-term complications such as chronic sinusitis.

Recommended Citation

Brockman, Ross DMD, MD and Ghali, G. E. DDS, MD (2026) "Managing Oro-Antral Communications After Tooth Extractions: A Guide for General Dentists," The Journal of the Michigan Dental Association: Vol. 108: No. 4, Article 10.
Available at: https://commons.ada.org/journalmichigandentalassociation/vol108/iss4/10