Removal of Vertically and Mesially Impacted Wisdom Teeth (#38 and #28)
Surgical Removal
Impacted Wisdom Tooth
Chief Complaint
Patient reported pain and swelling in the lower left posterior area.
Clinical Findings
Tooth #38:
Vertically impacted.
Inflamed operculum due to traumatic bite from tooth #27.
Tooth #28:
Mesially impacted.
Treatment Plan
Wisdom Tooth Surgery for removal of vertically impacted #38 and mesially impacted #28 under local anesthesia (LA).
Pre-operative Assessment
Pre-operative CBCT taken.
Risks of paresthesia to lower lip and tongue, oro-antral perforation (OAP), and oro-antral fistula (OAF) explained to the patient.
Procedures thoroughly explained.
Patient understood and agreed to proceed.
Informed consent obtained.
Anesthesia
Left IDN, LN, and LBN blocks administered.
LA infiltration at #28.
Surgical Procedure
Preparation:
Patient cleaned and draped.
2. Removal of #38:
Incision made and buccal flap raised.
Bone guttering performed.
Tooth sectioned and elevated out in two pieces.
Curettage and irrigation with saline.
BSS placed for primary closure.
Haemostasis achieved.
POI given.
3. Removal of #28:
Incision made and buccal flap raised.
Bone guttering performed.
Tooth sectioned and elevated out in two pieces.
Curettage and irrigation with saline.
BSS placed for primary closure.
Haemostasis achieved.
POI given.
Post Operation Gallery
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Post-operative Assessment
Pre-operative CBCT taken.
Risks of paresthesia to lower lip and tongue, oro-antral perforation (OAP), and oro-antral fistula (OAF) explained to the patient.
Procedures thoroughly explained.
Patient understood and agreed to proceed.
Informed consent obtained.