Cochrane · intervention · CD011784
Interventions for treating oro‐antral communications and fistulae due to dental procedures
Kiran Kumar Krishanappa, S, Eachempati, P, Kumbargere Nagraj, S, et al. · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library
Full textEvery question was extracted from the full review (methods and results), not only its Summary of Findings table.
Questions
7
current version
GRADE rated
1
No studies
5
Included studies
1
as reported
No studies 5 · 71.4%Ungraded 1 · 14.3%Very low 1 · 14.3%Low 0 · 0%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Review question
| Element | Planned (methods) | Found (results) |
|---|---|---|
| Population | People of any age with oro-antral communications, fistulae, or both caused by dental procedures | 22 adults aged 25 to 56 years with established oro-antral communications; 2 participants did not report for follow-up and were excluded (n=20 analysed) |
| Intervention | Any surgical or non-surgical technique or material used for the management of oro-antral communications, oro-antral fistulae, or both due to dental procedures | Pedicled buccal fat pad flap (n=10); Buccal flap (n=10) |
| Comparison | Surgical technique A versus B/Non-surgical technique A versus B/Surgical technique versus non-surgical technique/Surgical technique versus no treatment/Non-surgical technique versus no treatment | Buccal flap (n=10) |
| Outcomes | Complete closure of oro-antral communications, fistulae, or both (assessed clinically and by participant-reported outcomes, by absence of associated signs and symptoms such as nasal regurgitation, pain, inflammation); Adverse effects (such as graft necrosis and rejection, chronic sinusitis due to failure of OACs, OAFs, or both); Time required for healing | Successful (complete) closure of oro-antral communication (n=20) |
| Study designs | RCTs (excluding quasi-RCTs and cross-over trials) | RCT (n=1) |
| Timing | Not reported | Trial duration was two years; closure outcome measured at one month after surgery |
Search date: 2018-05-23. Databases: Cochrane Oral Health's Trials Register; Cochrane Central Register of Controlled Trials (CENTRAL); MEDLINE Ovid; Embase Ovid
Questions and results
Show all 3 versionsPedicled buccal fat pad flap (PBFPF) vs Buccal flap (BF)
Population: People of any age with oro-antral communications, fistulae, or both caused by dental procedures
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Adverse effects of treatment failure (such as graft necrosis and rejection or chronic sinusitis) | None reported as there were no treatment failures. | 1 study · 20 participants | Ungraded |
Successful (complete) closure of oro-antral communication One month after surgery | RR 1.00 [0.83, 1.20] 0 | 1 study · 20 participants | Very low Downgraded: risk of bias, imprecision |
Time required for healing | no estimate extracted | 0 studies | No studies |
Non-surgical technique A vs Non-surgical technique B
Population: People of any age with oro-antral communications, fistulae, or both caused by dental procedures
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Outcome NR | no estimate extracted | 0 studies | No studies |
Surgical technique vs Non-surgical technique
Population: People of any age with oro-antral communications, fistulae, or both caused by dental procedures
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Outcome NR | no estimate extracted | 0 studies | No studies |
Surgical technique vs No treatment
Population: People of any age with oro-antral communications, fistulae, or both caused by dental procedures
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Outcome NR | no estimate extracted | 0 studies | No studies |
Non-surgical technique vs No treatment
Population: People of any age with oro-antral communications, fistulae, or both caused by dental procedures
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Outcome NR | no estimate extracted | 0 studies | No studies |