Retained Root Removal for #11
Surgical Removal
Retained Root
Chief Complaint
Patient complains of a loose #11 PFM crown.
Clinical Findings
#11 crown and cast-post core dislodged fully.
#11 retained root with inadequate ferrule.
Hopeless retained root.
Buccal portion of #11 retained root fractured off and attached to gingiva.
Treatment Plan
Removal of #11 retained root under local anesthesia (LA).
Pre-operative Assessment
Risks and procedures explained to the patient.
Patient agrees to the procedure.
Informed consent obtained for the LA removal of the #11 retained root.
Pre-operative CBCT taken, showing #11 with a large periapical (PA) lesion.
Mesial-distal crack noted on CBCT.
Patient informed of findings.
Anesthesia
Local anesthesia infiltration at #11.
Surgical Procedure
Patient cleaned and draped.
Incision made, and flap raised.
Bone guttering performed.
#11 retained root elevated out in two pieces.
Curettage performed; radicular cyst and granulation tissue removed.
Irrigation with saline.
BSS x 03 placed for primary closure.
Hemostasis achieved.
Post Operation Gallery
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Post-operative Assessment
Risks and procedures explained to the patient.
Patient agrees to the procedure.
Informed consent obtained for the LA removal of the #11 retained root.
Pre-operative CBCT taken, showing #11 with a large periapical (PA) lesion.
Mesial-distal crack noted on CBCT.
Patient informed of findings.