Retained Root Removal #34
Surgical Removal
Retained Root
Chief Complaint
Patient reports pain in the third quadrant and a broken tooth.
Clinical Findings
Tooth #34: Caries (distal occlusal) to pulp, subgingival caries, gingival overgrowth into cavity, gross caries under enamel on mesial remnant coronal portion, egg shell hollow core tooth.
Treatment Plan
Extraction (XAP):
Possible oral surgery (OP) if complications arise.
Patient Decision:
Understood and agreed to proceed with extraction.
Pre-operative Assessment
Extraction Attempt:
Local anesthesia extraction (LA XAP) of #34.
#34 fractured coronally, resulting in retained root.
Elevation and luxation attempted, but tooth was very firm.
Revised Plan:
Local anesthesia oral surgery (LA OP) for removal of #34 retained root.
Quoted: $800 - $1000 per tooth.
Risks and procedures explained.
Pre-operative CBCT taken.
Patient shown #34 retained root and informed about its multi-rooted nature and proximity to IDN.
Patient understood and agreed to proceed.
Informed consent taken.
Anesthesia
Local anesthesia block (left IDN, LN, and LBN).
Surgical Procedure
Preparation:
Patient cleaned and draped.
Incision made, buccal flap raised.
2. Extraction:
Bone guttering performed.
Tooth sectioned.
#34 elevated out in 3 pieces.
Curettage and irrigation with saline.
BSS x 05 placed for primary closure.
Haemostasis achieved, post-operative instructions (POI) given.
Post Operation Gallery
 |  |  |
|---|---|---|
 |  |  |
Post-operative Assessment
Extraction Attempt:
Local anesthesia extraction (LA XAP) of #34.
#34 fractured coronally, resulting in retained root.
Elevation and luxation attempted, but tooth was very firm.
Revised Plan:
Local anesthesia oral surgery (LA OP) for removal of #34 retained root.
Quoted: $800 - $1000 per tooth.
Risks and procedures explained.
Pre-operative CBCT taken.
Patient shown #34 retained root and informed about its multi-rooted nature and proximity to IDN.
Patient understood and agreed to proceed.
Informed consent taken.