The report presented is an analysis of 98 patients with an oroantral f
istula (OAF). The tooth most frequently involved was the upper second
molar, followed by the first molar, The highest incidence was seen in
the fourth and third decades of life and the lowest incidence in the s
econd decade. in this study intercurrent sinusitis was the most obviou
s cause of the chronic oroantral communication. The closure of OAF is
one of the more challenging problems in oral surgery. Long-term succes
sful closure of OAF depends on the technique used, the size and locati
on of the defect, and on the presence or absence of sinus disease. Amo
ng the several techniques proposed for treatment of OAFs, in the major
ity of cases, the buccal advancement flap technique was used in this s
tudy. The advantages and limitations of the technique are discussed.