INBDE (Integrated National Board Dental Examination) Practice Exam

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How are oro-antral communications treated?

Suture and observation
4 A's: antibiotics, antihistamines, analgesics, afrin nasal spray
Immediate surgery
Topical antiseptic

The correct answer is: 4 A's: antibiotics, antihistamines, analgesics, afrin nasal spray

Oro-antral communications, or an abnormal communication between the mouth and the maxillary sinus, can be treated with the 4 A's antibiotics, antihistamines, analgesics, and afrin nasal spray. These medications help to reduce inflammation, prevent infection, and aid in healing of the communication. Option A, suture and observation, may not be effective as it does not address the underlying issue of potential infection. Option C, immediate surgery, may be necessary if the communication is large, but it is not always the first line of treatment. Option D, topical antiseptic, may provide some relief but it does not address the inflammation and potential infection. Additionally, using topical antiseptics may cause further irritation to the communication. Therefore, option B is the most appropriate and effective treatment for oro-antral communications.