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Oro-nasal & Oro-antral Fistulae
Oro-nasal and oro-antral fistulae can be closed by double flap sandwich techniques. These provide greater support and stability than advancement flaps and have greater success rates in our experience. Palatal defects have a number of techniques described. Techniques such as split palatal U-flaps and other island flaps have the advantage of carrying a blood supply with the flap. The likelihood of dehiscence is much reduced. Surgical extraction of difficult teeth is a common reason for referral. Lower canine teeth and lower molar 1s are the most difficult teeth to remove without collateral damage with the upper canine the third most common. If in doubt, do not start an extrcation you may not be able to complete without a high sped air drill and a selection of good luxators.
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