Removal of Retained Roots of Tooth #26
Surgical Removal
Chief Complaint
Patient presented with gross caries to the pulp and retained roots of tooth #26.
Clinical Findings
Tooth #26:
Gross caries extending subcrestally.
Very tender to palpation (TTP) and percussion (TTPp).
Mobility within normal limits (WNL) with increased probing depth on buccal side.
Slight metallic sound on percussion, suggesting very dense bone and potential ankylosis.
Treatment Plan
LAP OP removal of retained roots of tooth #26.
Pre-operative Assessment
Pre-operative CBCT taken.
Informed patient about the risks of oro-antral perforation (OAP) and fistula.
Procedures explained thoroughly.
Patient understood and agreed to proceed.
Informed consent obtained.
Anesthesia
Local anesthesia 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 five pieces.
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 remnants noted.
Maxillary sinus and adjacent teeth were not involved in the procedure.