Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/39689
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Type: Journal article
Title: Non-surgical management of an oro-antral fistula in a patient with HIV infection
Author: Logan, R.
Coates, E.
Citation: Australian Dental Journal, 2003; 48(4):255-258
Publisher: Australian Dental Assn Inc
Issue Date: 2003
ISSN: 0045-0421
1834-7819
Statement of
Responsibility: 
RM Logan, EA Coates
Abstract: Background: The risk of post-extraction complications is higher in patients who are immunosuppressed compared to other patients with normal immune function. In addition, invasive dental procedures are more likely to have serious complications in these patients. This case report demonstrates an effective non-surgical procedure to treat an oro- antral fistula in an HIV-infected man. Methods: The oro-antral fistula was de-epithelialized under local anaesthesia and the patient wore a surgical splint continuously, removing it only for cleaning, for an eight week period. Chlorhexidine gel was regularly applied to the fitting surface of the splint and the oro-antral communication. The patient was reviewed on a regular basis. Results: This procedure resulted in resolution of the patient's symptoms within two weeks. Complete healing of the oro-antral fistula was evident following eight weeks of wearing the surgical splint. Conclusions: This procedure provided an effective method of treating an oro-antral fistula in an immunocompromised patient without causing any detrimental effects to the patient's overall health. Adequate pre-surgical assessment of patients prior to extractions is important in all patients to help prevent the occurrence of such complications.
Keywords: Oro-antral fistula; HIV infection; AIDS; immunosuppression
Description: The document attached has been archived with permission from the Australian Dental Association. An external link to the publisher’s copy is included.
RMID: 0020073398
DOI: 10.1111/j.1834-7819.2003.tb00040.x
Published version: http://www.ada.org.au/App_CmsLib/Media/Lib/0610/M29638_v1_632974653792785000.pdf
Appears in Collections:Dentistry publications

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