SURGICAL SOLUTION OF A PATHOLOGICAL NASAL-ORAL COMMUNICATION
Abstract:
A frequent pathology, like the periapical cyst, can determine a recurrence or complication if the used surgical procedure is deficient or the manipulation was not proper executed. We have presented a case of a pathological nasal-oral communication, of iatrogenic cause, on a patient, age 42, with a good general health. The pathological communication determines the draining of the nasal secretion into the oral cavity and due to the septic content of these secretions, the healing of the communication could not be performed. After examining the resulted defect, the removal of the periapical cyst was performed and the existent defect was sealed through a guided bone regeneration procedure – GBR. The intervention was performed in 2 steps, first guided bone regeneration in order to close the communication, restore the integrity of the injured nasal mucous membrane and restoring the defect of the alveolar crest; and second fixing the dental implant in order to substitute the missing tooth. The prosthetic crown was manufactured and fixated on the implant, after its bone integration. The patient’s dental arch was restored and the physiological function of draining the nasal cavity was assured.
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