[Dental decisions in the shadow of complications: risk assessment and analysis of treatment strategies].

INTRODUCTION

During tooth extractions, there is always a possibility of complications. In the case of maxillary teeth, this can be oroantral communication. Its surgical management is important to prevent long-term complications. There are factors which can predict the possibility of oroantral communication, even with the help of a preoperative panoramic radiograph.

OBJECTIVE

In our questionnaire-based study, we wanted to determine what aspects dentists take into consideration before tooth extractions, during referral to a specialist, and in complication management.

METHOD: Our Google Forms-based questionnaire was forwarded to the e-mail addresses of publicly funded clinics, as well as to private practitioners through social media platforms. The responses were evaluated using statistical methods.

RESULTS

Experienced dentists preferred specialist referrals in cases of self-predicted sinus opening. The age group under 40 years significantly more often had specialist qualification than those over 40. Panoramic radiographs are often used during decision-making. Imaging is performed more frequently in the private sector than in the social funded care. Dentists practicing in the capital and Pest County take X-ray images more often than their colleagues working in other counties. With increased professional experience, the frequency of pre-extraction X-ray imaging decreased.

DISCUSSION: Currently, there are no guidelines in Hungary for imaging procedures and complication prediction before tooth extractions. Predicting oroantral communication would be useful for both patients and dentists.

CONCLUSION

The popularity of preoperative panoramic imaging in diagnostics may justify the development of a panoramic X-ray-based recommendation. Orv Hetil. 2026; 167(4): 148-155.