Removal of Impacted Tooth 48 with Bone Grafting for Bony Defect Distal of 47
Surgical Removal
Chief Complaint
Patient reported a food trap on distal side of tooth #47 with occasional swelling.
Clinical Findings
Tooth #16:
Gross caries.
One root separated.
Slight metallic sound on percussion, suggesting dense bone and potential ankylosis.
Treatment Plan
Removal of impacted tooth #48.
Bone grafting for the resultant bony defect/cavity distal of #47.
Pre-operative Assessment
Pre-operative CBCT scan taken.
Anesthesia
Right IDN, LN, and LBN blocks administered.
Surgical Procedure
Preparation:
Patient cleaned and draped.
Buccal flap raised with an incision.Removal of Retained Roots:
Bone guttering performed.
Tooth sectioned and elevated out in four separate pieces.
Thorough curettage performed.
Irrigation with saline.
Three balanced salt solutions (BSS) placed for secondary closure.
Achieved haemostasis.
Post-operative instructions (POI) given.
Post-operative Assessment
Post-operative CBCT taken.
No tooth remnants noted.
Bone graft appeared dense.
IDN not involved in the surgery.