Buried and Impacted #48 Removal Surgery
Surgical Removal
Chief Complaint
Patient presented with pain and swelling on the lower right side. Requested removal of tooth #48.
Clinical Findings
Tooth #48 was buried and impacted.
Localized swelling noted around the area.
No trismus or lymphadenopathy.
Pre-operative CBCT confirmed impaction position.
Treatment Plan
Local anesthesia (LA) operative removal of #48.
Risks, benefits, and potential complications (including paraesthesia to lower lip and tongue) explained.
Patient and father understood and agreed to proceed.
Informed consent obtained.
Pre-operative Assessment
CBCT reviewed for root morphology and proximity to inferior alveolar canal.
No active infection contraindicating surgery.
Medical history unremarkable.
Anesthesia
LA block administered: Right IDN, LN, and LBN.
Surgical Procedure
Patient cleaned and draped under aseptic protocol.
Incision made and buccal flap raised.
Bone guttering performed to expose tooth.
Tooth sectioned and removed in 6 pieces.
Curettage and saline irrigation performed.
Primary closure achieved with 4/0 BSS × 6 sutures.
Hemostasis achieved.
Post-operative instructions given.
Intra-operative photos taken.
Post-operative Assessment
Post-op CBCT taken — no tooth remnants observed.
Inferior dental nerve (IDN) intact, not involved in surgery.
Swelling and bleeding controlled.
Patient reassured and reviewed post-operatively.