Impacted Wisdom Tooth Operation #48
Surgical Removal
Impacted Wisdom Tooth

Chief Complaint
Removal of impacted #48.
Clinical Findings
Impacted #48 as reviewed in the pre-operative CBCT.
Treatment Plan
Local anesthesia (LA) operation for the removal of impacted #48.
Pre-operative Assessment
Pre-operative CBCT reviewed.
Risks and procedures explained to the patient.
Patient understood and agreed to proceed.
Informed consent obtained.
Anesthesia
Local anesthesia block for the right inferior dental nerve (IDN), lingual nerve (LN), and long buccal nerve (LBN).
Surgical Procedure
Patient cleaned and draped.
Incision made, and buccal flap raised.
Bone guttering performed.
Tooth sectioning done.
#48 elevated out in six pieces.
Curettage performed and irrigated with saline.
Bone substitute sponge (BSS) x 02 placed for primary closure.
Hemostasis achieved and post-operative instructions given.
Post Operation Gallery
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Post-operative Assessment
Pre-operative CBCT reviewed.
Risks and procedures explained to the patient.
Patient understood and agreed to proceed.
Informed consent obtained.