Dental fistula radiology

  • How do you diagnose Oroantral communication?

    The Valsalva test can be used by having the patient gently expel air against the closed nostrils while keeping the mouth open, the passage of air or blood at the postoperative site usually indicates the presence of an OAC/OAF.
    However, a negative test does not rule out the possibility of an antral perforation..

  • How do you treat Oroantral fistula?

    The most common methods used for closure of OAF are the buccal flap and the palatal pedicled flap techniques.
    The patients should be instructed not to eat hard food items.
    They should eat soft food items and drink fluid from the opposite side to avoid trauma to operated site..

  • What are the radiographic features of Oroantral fistula?

    Radiographic features
    Typically seen as a disruption or defect involving the bony floor of the maxillary sinus with soft-tissue opacification or fluid involving the ipsilateral sinus.Nov 2, 2019.

  • What is a dental fistula mean?

    A dental fistula is a new, abnormal pathway that can develop under the gumline to drain infection that's resulted from an abscess.
    An abscess forms when bacteria infect parts of the tooth and gum, which become filled with pus..

  • What is a fistula in the oral cavity?

    Oral cutaneous fistula (OCF) is a rare extraoral path of infection that communicates the oral cavity and the skin.
    Chronic dental infections, trauma, dental implant complications, salivary gland lesions, and neoplasms are the most common causes of oral cutaneous fistulas.Apr 24, 2023.

  • What is dental fistula?

    A dental fistula is a new, abnormal pathway that can develop under the gumline to drain infection that's resulted from an abscess.
    An abscess forms when bacteria infect parts of the tooth and gum, which become filled with pus..

  • A dental or oral fistula is commonly associated with an abscess, which can be caused by trauma or injury to the mouth, a build-up of food bacteria, or be the result of surgery, extraction of the molars, or a congenital defect.
Nov 2, 2019An oro-antral fistula refers to an "epithelialized" pathological unnatural communication between the oral cavity and the maxillary sinus. It 

Pathology

Oroantral fistulas may be subtyped by location into: 1. alveolosinusal fistula 2. palatalosinusal fistula 3

Radiographic Features

Typically seen as a disruption or defect involving the bony floor of the maxillary sinus with soft-tissue opacification or fluid involving the ipsilateral sinus

Treatment and Prognosis

Oroantral fistulas <2 mm wide usually heal without intervention, larger fistulas may require surgery 7

How do you test a fistula?

The escape of air through the nostril can be tested by placing a cotton wisp near the orifice

A mouth mirror placed at oro-antral fistula causes fogging of the mirror

Probing (the introduction of a probe into the antrum through the fistula) should never be attempted

What is an oroantral fistula?

The term oroantral fistula is similar to but not synonymous with the term oroantral communication (OAC)

An oro-antral fistula refers to an "epithelialized" pathological unnatural communication between the oral cavity and the maxillary sinus

What is the size of oroantral fistula on multiplanar CT imaging?

The fistula size ranged from 13 5 mm2 to 189 mm2

The appearance of oroantral fistula on multiplanar CT imaging is disruption of the bony floor of the maxillary sinus with soft-tissue opacification of the ipsilateral sinus

Dental fistula radiology
Dental fistula radiology

Medical condition

Oroantral fistula (OAF) is an epithelialised oroantral communication (OAC).
OAC refers to an abnormal connection between the oral cavity and antrum.
The creation of an OAC is most commonly due to the extraction of a maxillary (upper) tooth closely related to the antral floor.
A small OAC may heal spontaneously but a larger OAC would require surgical closure to prevent the development of persistent OAF and chronic sinusitis.

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