Removal of Retained Root and Dislodged Crown of #33
Surgical Removal
Retained Root
Chief Complaint
Patient complains of a dislodged crown on tooth #33.
Clinical Findings
Intraoral examination reveals heavily restored tooth #33 with cervical recurrent caries.
Thin carious coronal remnant left behind.
Unable to restore tooth #33 due to extensive caries.
Treatment Plan
Extraction (XAP) of tooth #33.
Repair old partial denture and add acrylic tooth at the site of #33.
Scaling and Root Planing (SRP), clean-up, and Oral Hygiene Instruction (OHI).
Comprehensive Assessment and Planning (CAP) for further treatment.
Pre-operative Assessment
Patient agreeable to the treatment plan.
Risks and procedures explained.
Informed consent taken.
Anesthesia
Local Anesthesia (LA) administered.
Surgical Procedure
Tooth #38:
Attempted sub-gingival extraction but unable to access tooth #33.
2. Tooth #33:
Advised LAOP removal of the retained root.
Pre-operative CBCT taken.
Informed consent obtained after explaining risks and procedures.
Incision flap raised, and tooth #33 retained root exposed.
Bone guttering performed.
Tooth sectioned and split into three pieces for removal.
Bone preserved as much as possible.
Curettage and irrigation with saline.
Post-operative CBCT taken.
BSS x 03 placed for primary closure.
Hemostasis achieved and post-operative instructions given.
Post Operation Gallery
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Post-operative Assessment
Patient agreeable to the treatment plan.
Risks and procedures explained.
Informed consent taken.