Removal of Grossly Carious #14 and Perio-Endo Involved #25
Surgical Removal
Retained Root
Chief Complaint
Patient presented with significant pain and swelling.
Clinical Findings
Tooth #14:
Gross caries to pulp.
Very tender to percussion (TTP).
Mobility and probing depth within normal limits (WNL).
Slight metallic sound on percussion.
Possible dense bone and ankylosis.
Retained roots.
Tooth #25:
Perio-endo involvement.
Very TTP.
Mobility grade II.
Probing depth to apex.
Hopeless prognosis.
Treatment Plan
Extraction (XAP) of tooth #25.
Removal of retained roots of tooth #14 under local anesthesia (LA).
Pre-operative Assessment
Pre-operative CBCT taken.
Risks of paresthesia to lower lip and tongue explained to the patient.
Procedures thoroughly explained.
Patient understood and agreed to proceed.
Informed consent obtained.
Anesthesia
LA infiltration at #14 and #25.
Surgical Procedure
Preparation:
Patient cleaned and draped.
2. Extraction of #25:
Pus drained.
Socket irrigated with saline.
BSS placed for haemostasis.
3. Removal of Retained Roots of #14:
Incision made and buccal flap raised.
Bone guttering performed.
Tooth sectioned and elevated out in two pieces.
Curettage and irrigation with saline.
BSS placed for closure.
Haemostasis achieved.
POI given.
Post Operation Gallery
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Post-operative Assessment
Pre-operative CBCT taken.
Risks of paresthesia to lower lip and tongue explained to the patient.
Procedures thoroughly explained.
Patient understood and agreed to proceed.
Informed consent obtained.