Clinical and radiographic evaluation of buccal pad of fat versus sandwiched Bio-Oss® bone graft in closure of oroantral communication

Aim: Evaluation of buccal fat pad versus sandwiched Bio-Ossbone graft in the management of oroantral communication.
Materials and Methods: This study was carried out on 12 patients with oroantral communication. They were divided into 2 groups, 6 patients in each. In Group A, the patients were managed with sandwiched Bio-Oss bone graft technique,while in group B, the patients were treated with buccal fat pad technique.
Results: There was no significant difference between the two groups regarding pain, swelling and infection during different follow up periods. No recurrence for the oroantral communication was observed in all patients of both groups after one month postoperatively. Panoramic radiographs showed an evidence of bone formation in all the patients of Group A and in zero patients in Group B after 3 months postoperatively.
Conclusion: No recurrence for the oroantral communication was observed in all patients of both groups at the end of the clinical follow up period after 1 month. In group A, new bone formation was evident in the panoramic x-rays after 3 months postoperatively where this can allow implant placement at the site of closure. On the other hand, patients in group B didn't show any evidence of new bone formation and no implants can be placed unless further surgical procedures are carried out.