Surgical Removal of Impacted #38, #28
Surgical Removal
Impacted Wisdom Tooth, Extraction
Chief Complaint
The patient reports pain and swelling in the area of tooth #38 and requests its removal.
Clinical Findings
Tooth #38 is completely buried in bone and impacted.
Treatment Plan
Surgical removal of impacted tooth #38 and extraction of tooth #28.
Pre-operative Assessment
A pre-operative CBCT scan was taken to evaluate the impacted tooth and surrounding structures.
The patient was informed about the risks of paresthesia affecting the lower lip and tongue, as well as the possibility of oroantral or oronasal fistula (OAF/OAP).
The procedures and associated risks were explained in detail.
The patient understood and agreed to the treatment plan.
Informed consent was obtained.
Anesthesia
Local anesthesia (LA) block was administered to the left inferior dental nerve (IDN), lingual nerve (LN), and long buccal nerve (LBN), with additional LA infiltration for tooth #28.
Surgical Procedure
The patient was cleaned and draped.
An incision was made, and a buccal flap was raised.
Bone guttering was performed, followed by tooth sectioning.
Tooth #38 was elevated out in nine pieces.
Curettage and irrigation with saline were carried out, and primary closure was achieved using BSS x 03, ensuring hemostasis and providing post-operative instructions (POI).
The extraction of tooth #28 was completed with irrigation and hemostasis.
Post Operation Gallery
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Post-operative Assessment
A pre-operative CBCT scan was taken to evaluate the impacted tooth and surrounding structures.
The patient was informed about the risks of paresthesia affecting the lower lip and tongue, as well as the possibility of oroantral or oronasal fistula (OAF/OAP).
The procedures and associated risks were explained in detail.
The patient understood and agreed to the treatment plan.
Informed consent was obtained.