The author evaluated the effectiveness of pedicled buccal fat pad grafts for closure of oroantral communications. Nine patients with chronic oroantral communications and one patient with an oronasal communication were treated with pedicled buccal fat grafts. They were treated successfully in all cases, and there were no postoperative complications (i. e. shallow buccal vestibule), and minimal patient discomforts. It was concluded that this was a easy and time fast method for closure of oral defects and had wide application and high successful rate.