Evidence map›Paper›PMID 39443353›Full record

ArticleClinical oral investigations2024

Evaluation of clinical and radiographic warning signs for prediction of oroantral communication following tooth extractions.

Alexandra Jurásek, Nelli Farkas, Dorottya Frank, Béla Kolarovszki, Balázs Sándor, Andrea Radácsi, Ildikó Szántó, Krisztián Katona

Abstract read
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In one paragraph

Article in Clinical oral investigations, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Alexandra JurásekDepartment of Dentistry, Oral and Maxillofacial Surgery, University of Pécs, Medical School, Tüzér Street. 1, 7623, Pécs, Hungary.
Nelli FarkasInstitute of Bioanalysis, University of Pécs, Medical School, Pécs, Hungary. nelli.farkas@aok.pte.hu.
Dorottya FrankDepartment of Dentistry, Oral and Maxillofacial Surgery, University of Pécs, Medical School, Tüzér Street. 1, 7623, Pécs, Hungary.
Béla KolarovszkiDepartment of Dentistry, Oral and Maxillofacial Surgery, University of Pécs, Medical School, Tüzér Street. 1, 7623, Pécs, Hungary.
Balázs SándorDepartment of Dentistry, Oral and Maxillofacial Surgery, University of Pécs, Medical School, Tüzér Street. 1, 7623, Pécs, Hungary.
Andrea RadácsiDepartment of Dentistry, Oral and Maxillofacial Surgery, University of Pécs, Medical School, Tüzér Street. 1, 7623, Pécs, Hungary.
Ildikó SzántóDepartment of Dentistry, Oral and Maxillofacial Surgery, University of Pécs, Medical School, Tüzér Street. 1, 7623, Pécs, Hungary.
Krisztián KatonaDepartment of Dentistry, Oral and Maxillofacial Surgery, University of Pécs, Medical School, Tüzér Street. 1, 7623, Pécs, Hungary.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesOroantral communication (OAC) is a relatively common and mild complication of maxillary tooth extractions. Preoperative prediction of OAC can reduce treatment duration and prepare both operators and patients for the procedure. This study aims to identify alarming radiographic and clinical indicators that can predict OAC therefore assisting clinical decision making to practicing general dentists.

methodsIn this retrospective case-control study the OAC group consisting of 97 cases and a control group twice the size was established. Clinical data were collected, and measurements were conducted separately by two blinded observers on digital panoramic radiographs. Inter-rater reliability was assessed. In case of disagreement a third observer's results were utilized. The correlation between OAC and demographic data (age, sex), as well as various factors assessed on panoramic radiographs (including, but not limited to, the length of the root, root projection into the sinus, bone width, presence of mesial and distal adjacent teeth), was statistically evaluated.

resultsInter-rater reliability was found to be excellent. Several factors were identified as potential predictors of OAC. According to our model, the strongest predictors were the distance between the cemento-enamel junction and marginal bone, extent of root projection into the sinus, presence of sinus recess around the roots, angulation, and absence of the mesial adjacent tooth.

conclusionsWell-defined measurements on panoramic radiographs may aid in predicting OAC. Further prospective investigations are necessary to confirm these indicators and address factors related to clinical examination and operation. CLINICAL RELEVANCE: We present several clinical and radiographic warning signs of OAC that can facilitate pre-extraction decision-making.

Indexed as

Oroantral FistulaRadiography, PanoramicTooth ExtractionAdultAgedCase-Control StudiesFemaleHumansMaleMiddle AgedPostoperative ComplicationsReproducibility of ResultsRetrospective StudiesRisk FactorsIntraoperative ComplicationsMaxillary SinusOroantral FistulaOrthopantomographyPanoramic radiographTooth Extraction

Identifiers

PMID39443353
PMCPMC11499406

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.