Retained Root Removal for #16, #17
Surgical Removal
Chief Complaint
Pain and swelling associated with fractured retained roots of tooth #16.
Clinical Findings
Tooth #16 is fractured with retained roots, causing pain and swelling.
Tooth #17 is non-functional and supra-erupted.
Treatment Plan
Surgical removal of the retained roots of tooth #16.
Extraction of the non-functional and supra-erupted tooth #17.
Pre-operative Assessment
A pre-operative CBCT scan was reviewed to assess the condition of teeth #16 and #17.
The patient was informed of the potential risks, including paresthesia to the lower lip and tongue and the possibility of oroantral perforation (OAP) or oroantral fistula (OAF). The procedures were thoroughly explained.
The patient understood the risks and procedures and agreed to proceed with the treatment. Informed consent was obtained.
Anesthesia
Local anesthesia infiltration was administered for teeth #16 and #17.
Surgical Procedure
The patient was cleaned and draped.
An incision was made, and a buccal flap was raised.
Bone guttering was performed to access the retained roots of tooth #16.
The retained roots were sectioned and removed in two pieces.
Extraction of tooth #17 was also performed.
The socket was curetted and irrigated with saline.
Secondary closure was achieved with 07 BSS sutures.
Hemostasis was confirmed, and post-operative instructions (POI) were provided.
Post-operative Assessment
A post-operative CBCT scan confirmed that there were no remnants of the teeth and that the maxillary sinus was not involved.
The patient was reassured about the outcome and requested a medical certificate.