Clinical and organizational aspects of the development of maxillary sinus perforation in the patients undergoing tooth extraction in polyclinic departments

Analysis of the results of examination and treatment of 103 patients presenting with oroanthral fistula admitted to a maxillofacial hospital has demonstrated the predominance of working-age subjects with this pathology in Moscow state-owned clinics and their unwillingness to correct perforation of the maxillary sinus immediately after tooth extraction. Diagnostic errors are supposed to be the main cause of perforation. The presence of "artifacts" in the maxillary sinus (such as tooth roots, rubber drains, and pharmaceutical products) give evidence of inadequate treatment. The authors emphasize the importance of updating the educational and methodological programs for the advanced training of stomatologists. Special attention should be given to the improvement of their practical skills in correcting maxillary sinus perforation during the regular outpatients' visits.

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