Extraction of #36 and #37
Extraction
Chief Complaint
Patient presented with pain in the lower left posterior region.
Clinical Findings
#37:
Tender to percussion (TTP) and palpation (TTPp)
Mobility within normal limits
Probing depth >15 mm to apices on buccal aspect and furcation involvement
Bite and transillumination tests negative
Diagnosis: Hopeless tooth with combined perio-endo involvement
#36:
History of root filling, post core, and crown
Very tender to percussion and palpation
Mobility: Grade I+
Probing depth 5–7 mm on buccal aspect
Bite test negative
CBCT revealed furcation perforation by post core, heavily instrumented root canal system, thin root walls, and gross bone loss at furcation
Poor prognosis for RCT re-treatment and redo crown
Treatment Plan
Extraction (XAP) of #36 and #37
If fracture occurs during extraction, consider surgical removal of retained roots under oral surgery (OP).
Risks and procedures, including surgical options, explained to patient in advance.
Patient consented to proceed.
Pre-operative Assessment
Medical history reviewed — no contraindications.
Vital signs stable.
Radiographic and clinical findings confirmed poor prognosis for both teeth.
Anesthesia
Local anesthesia administered.
Surgical Procedure
Simple extraction (XAP) of #36 and #37 performed under local anesthesia.
Pus drainage achieved.
Haemostasis secured.
Post-operative instructions given.
Post-operative Assessment
Medical history reviewed — no contraindications.
Radiographic and clinical findings confirmed poor prognosis for both teeth.