<p>Oroantral communication (OAC) is an unnatural communication between the oral cavity and maxillary sinus which<br /> gets epithelized over a period of time leading to formation of oroantral fistula (OAF). It is an uncommon complication of<br /> extraction of maxillary posterior teeth and may occur after surgical procedures involving the maxillary antrum. Various<br /> techniques have been documented in literature for the management of oroantral fistula (OAF). Buccal sliding flap and palatal pedicle flap are<br /> the two most commonly used techniques. The purpose of this article is to present “Stepped Palatal Flap” in the management of oroantral fistula.</p>