Dentaltown August 2017 - 65

the goal of carefully approaching and identifying the full extent
of the defect. A small palatal flap was also raised along the alveolar
crest (Figs. 7a and 7b).
Once the defect was identified, a series of curettes was used to
debride the maxillary sinus of any infected, diseased sinus mucosa
and any visible polyps (Fig. 8). The specimens obtained during the
sinus debridement were submitted in formalin to the pathologist
for histopathologic evaluation. The sinus was then irrigated with
sterile saline and 0.12 percent chlorhexidine rinse.
The buccal flap was retracted, and the position of the parotid
duct was visualized and noted. A 2-centimeter back-cut through
the periosteum was performed (Fig. 9) and hemostats were used
to perform blunt dissection identifying the buccal fat pad. As the
tissues were spread, the buccal fat pad flowed downward. Careful
blunt dissection continued to further mobilize the buccal fat pad
to extend down over the defect (Fig. 10).

Fig. 7a: Initial buccal flap
elevation. Note bridge of
sinus mucosa/scar band
along lateral aspect.

Fig. 7b: Demonstration
of the extensive size of
the defect extending up
the lateral maxillary wall.

Fig. 8: Debridement of
sinus mucosa and polyps.

Fig. 9: Mucosal incision
through the periosteum
to approach the buccal
fat pad.

Fig. 10: Demonstration
of the ease of mobilization
and reach of the buccal
fat pad.

FREE FACTS, circle 29 on card

dentaltown.com \\ AUGUST 2017

65


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Table of Contents for the Digital Edition of Dentaltown August 2017

Dentaltown August 2017 - Intro
Dentaltown August 2017 - Cover1
Dentaltown August 2017 - Cover2
Dentaltown August 2017 - 1
Dentaltown August 2017 - 2
Dentaltown August 2017 - 3
Dentaltown August 2017 - 4
Dentaltown August 2017 - 5
Dentaltown August 2017 - 6
Dentaltown August 2017 - 7
Dentaltown August 2017 - 8
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Dentaltown August 2017 - 10
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Dentaltown August 2017 - Cover3
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