Removal of Impacted 48 Wisdom Tooth
Surgical Removal
Chief Complaint
Referred by orthodontist for the removal of impacted tooth #48 due to prior episodes of pain and swelling from food trapping.
Clinical Findings
Tooth #48: Horizontally impacted.
Treatment Plan
Removal of impacted tooth #48 under local anesthesia (LA).
Pre-operative Assessment
- Pre-operative CBCT taken.
- Risks of paraesthesia to lower lip and tongue explained to the patient.
- Procedures thoroughly explained.
- Patient understood and agreed to proceed.
- Informed consent obtained.
Anesthesia
Right IDN, LN, and LBN blocks administered.
Surgical Procedure
1. Preparation:
- Patient cleaned and draped.
- Buccal flap raised with an incision.
2. Removal of #48:
- Bone guttering performed.
- Tooth sectioned and elevated out in four pieces.
- Curettage performed.
- Irrigation with saline.
- Four bone support structures (BSS) placed for primary closure.
- Achieved haemostasis.
- Post-operative instructions (POI) given.
Post-operative Assessment
- Post-operative CBCT taken.
- No tooth remnants noted.
- IDN intact and not involved in the surgery.