Retained Root Removal #14 and #16
Surgical Removal
Chief Complaint
Patient complained of pain in the first quadrant.
Clinical Findings
Tooth #14: Retained roots, very tender to palpation and percussion, mobility within normal limits.
Tooth #16: Retained roots, very tender to palpation and percussion, buccal portion with mobility I+ and buccal abscess, very firm retained palatal root. Both teeth considered hopeless.
Treatment Plan
LA OP removal of #14 and #16.
Pre-operative Assessment
Risks and procedures explained.
Need for CBCT advised.
Patient agreeable.
Pre-operative CBCT taken.
Surgery planned with patient, who agreed to proceed with treatment today.
Quotation given.
Informed consent obtained.
Anesthesia
Local anesthesia infiltration administered.
Surgical Procedure
Patient cleaned and draped.
Incision made.
Buccal flap raised.
Bone guttering performed.
Tooth sectioning:
#14 elevated out in 2 pieces.
#16 elevated out in 3 pieces.
Granulation tissue removed.
Gentle curettage performed.
Irrigation with saline.
Five bone support structures (BSS) placed for closure.
Achieved haemostasis.
Post-operative instructions (POI) provided.
Post-operative Assessment
Post-operative CBCT taken.
Maxillary sinus not involved.
No tooth remnants noted.
Patient satisfied with the outcome.