A System for managing Sinus Communications that happen during extractions

Sinus communications can be scary but when you have a system to manage them you can feel at ease. 

Dr. Simon answers all these questions and more: 

Some say don't do valsalva test, how accurate is that?

What codes are used for the sinus exposure repair?

What about sticky bone? Is it recommended for sinus repairs?

After a sinus communication when do you plan to go back in to place an implant?

What happens if the patient flies in an airplane after the sinus communication?

What would you recommend for pen allergic patients if Clindamycin is not appropriate?

How long should you not work out after the patient has an oroantral fistula?

What post op instructions to give?

Should you do primary closure at the time of extraction after you get a big sinus perforation?

What's an obturator and when and how do you use it for sinus communications?

Why should you avoid grafting some sinus communication cases?

Can you reopen a sinus communication case that is not closing and do the sandwich technique to bone graft?

Patient says “doc, I paid for the graft, now I need a bridge”, how to communicate with your patient when that is indicated?

Can you suture to bone when closing up an oroantral fistula?

How can we best tell your patient's that you got paid for the attempt? And do you consider partial credit toward the bridge if the sinus communication site is not suitable for an implant?

What to do when patient's don't heal after an oro antral fistula?

why not to place grafting and figure 8 suture in some cases of oroantral fistulas?

What is a suck down and can you do a unilateral suck down when you have an oroantral fistula?

How to manage post operative healing in sinus communication cases and what medications to prescribe?

Can you place a prf plug over a titanium mesh to close the oroantral fistula?