Impacted Wisdom Tooth Removal
Surgical Removal
Chief Complaint
Patient complains of pain and swelling distal of tooth #37.
Food trap distal of #37 causing infection, discomfort, and swelling.
Possible impacted tooth #38 noted on probing distal of #37.
Clinical Findings
Pre-operative CBCT shows fully buried and impacted tooth #38.
Tooth #38 is close to the inferior dental nerve (IDN).
Treatment Plan
Advised removal of impacted tooth #38 under local anesthesia (LA).
Patient agreed to the procedure.
Pre-operative Assessment
Risks of parasthesia to lower lip and tongue explained.
Procedures discussed, and patient provided informed consent.
Anesthesia
LA block to left IDN, LN, and LBNAdditional LA infiltration around tooth #38.
Surgical Procedure
Patient cleaned and draped.
Incision made and buccal flap raised.
Bone guttering performed.
Tooth #38 sectioned and elevated in 5 pieces.
Curettage and saline irrigation completed.
BSS x 05 placed for primary closure.
Haemostasis achieved.
Post-operative Assessment
Post-operative CBCT confirms no tooth remnants.
IDN intact and not involved in surgery.
Patient reassured.