Removal of Teeth #47 and #48
Surgical Removal
Impacted Wisdom Tooth
Chief Complaint
Patient complains of pain in the lower right posterior region.
Clinical Findings
Tooth #48 impacted with #47
Tooth #47 supra-erupted into carious (distal-occlusal) cavity
Treatment Plan
Discussion with patient on root canal treatment (RCT) for #47 and removal of #48
Patient opted for the removal of both teeth #47 and #48
Pre-operative CBCT taken
Pre-operative Assessment
Informed of risks including paresthesia to the lower lip and tongue
Procedures explained, and informed consent obtained
Anesthesia
Local anesthesia block: right inferior dental nerve (IDN), lingual nerve (LN), and long buccal nerve (LBN)
Surgical Procedure
Patient cleaned and draped
Incision made, buccal flap raised
Bone guttering performed
Tooth #48 sectioned and elevated out in two pieces
Curettage and irrigation with saline
Local anesthesia extraction of tooth #47
Irrigation with saline
Bioactive synthetic scaffold (BSS) placed x5 for primary closure
Hemostasis achieved, post-operative instructions given
Post Operation Gallery
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Post-operative Assessment
Informed of risks including paresthesia to the lower lip and tongue
Procedures explained, and informed consent obtained