A number of surgical treatment modalities have been described in literature for closure of oro-antral communications. None of the methods however provide for immediate prosthetic rehabilitation of the communication site. We describe a case of oro-antral communication treated using autogenous third molar transplantation. At 18 months of follow-up, the transplanted tooth was functioning well with radiographic evidence of lamina dura and periodontal ligament. Its root-tip was still seen projecting into the maxillary sinus. This report suggests that when possible, autotransplantation of third molar can be a simple and excellent choice for closure of oro-antral communications.
Keywords: Autotransplantation; Oroantral fistula; Rehabilitation; Third molar.