Retained Root Removal for #15, #16, #17
Surgical Removal
Retained Root
Chief Complaint
Patient complains of a painful fractured tooth #16 in the first quadrant posterior.
Clinical Findings
Tooth #16 (mobp) exhibits gross recurrent caries, resulting in the dislodgement of a filling and pulp exposure. The tooth is very tender to percussion (v. TTP) and non-tender to palpation (NTTPp). Mobility and periodontal depth are within normal limits (Mob + PD WNL).
Tooth #15 (d) has gross caries with potential pulp involvement (KIV). Tender to percussion (TTP) and non-tender to palpation (NTTPp). Mobility and periodontal depth are within normal limits.
Tooth #17 (b) presents with deep and large caries extending to the pulp. The tooth is very tender to percussion and non-tender to palpation, with mobility and periodontal depth within normal limits.
A periapical (PA) radiograph was taken.
Treatment Plan
Extraction of teeth #15, #16, and #17, with retained root removal if necessary, due to the high risk of tooth fracture from extensive caries.
Pre-operative Assessment
Pre-operative CBCT was taken to assess the condition and plan for extraction.
The patient was advised of the need for extraction of teeth #15, #16, and #17, with an understanding of the high risk of tooth fracture and potential retained roots.
The patient agreed to proceed with the treatment.
Anesthesia
Local anesthesia (LA) was administered for the extraction of tooth #17, which was successfully completed. Teeth #15 and #16 fractured coronally, leaving retained roots.
Surgical Procedure
For the removal of retained roots in teeth #15 and #16:
Local anesthesia infiltration was increased.
The patient was cleaned and draped.
An incision was made, and a buccal flap was raised.
Bone guttering and tooth sectioning were performed.
Tooth #16 was elevated and removed in four pieces; tooth #15 was removed in one piece.
The area was curetted and irrigated with saline.
Primary closure was achieved using 08 BSS.
Hemostasis was confirmed.
Post Operation Gallery
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Post-operative Assessment
Pre-operative CBCT was taken to assess the condition and plan for extraction.
The patient was advised of the need for extraction of teeth #15, #16, and #17, with an understanding of the high risk of tooth fracture and potential retained roots.
The patient agreed to proceed with the treatment.