RESUMEN
INTRODUCTION: Oroantral communications (OAC) are probable surgical complications of dentoalveolar procedures. OACs 2 mm in diameter or smaller are likely to close spontaneously without the need for any surgical intervention. However, OACs 3 mm in diameter or larger, or OACs associated with maxillary or periodontal inflammation, may persist, and surgical closure is recommended. Various surgical techniques have been suggested for the closure of oroantral defects. CASE DETAILS: We have found the technique of two layer closure with buccal fat pad (BFP) and buccal mucoperiosteum quite useful for closure of chronic Oroantral fistula (OAF) and this article reports a case of OAF in the left first molar region of a 50 year old male, which has been closed successfully with this technique. CONCLUSION: Buccal fat pad is a pedicled locally available flap which has its own blood supply and hence can be used with great efficacy in closure of OAF. This paper aims to elaborate the surgical details of this technique and its usefulness in closure of chronic OAF.
RESUMEN
Oral surgeons ought to be aware of variety of lesions that can present as focal exophytic gingival overgrowths. Most gingival lesions arise due to local irritating factors. The case presented share dramatic clinical pictures and findings of a long-standing fibrous gingival lesion. A massive growth of 6×7 cm in size and 5 years duration from the maxillary left posterior gingival region in a 64-year-old female causing severe facial disfigurement is presented. Lesion was characterized by the central core of woven bone formation. The article discusses on the clinical findings of peripheral ossifying fibroma and stresses on the unrestricted growth potential of this interesting lesion.
RESUMEN
Myiasis is a rare disease primarily caused by infestation of tissue by larvae of houseflies. Oral myiasis is still more "rare" and "unique" owing to the fact that oral cavity rarely provides the necessary habitat conducive for a larval lifecycle. Here we report a case of extensive gingival myiasis, in an 81-year-old female patient, diagnosed and treated successfully in our department. The case is discussed in relation to its clinical presentation, etiopathogenesis, management, and prognosis.