Retained Root Removal for #17
Surgical Removal
Retained Root, Extraction
Chief Complaint
Cracked tooth #17 with prior crowning and insufficient clinical height for crown lengthening.
Clinical Findings
Tooth #17: Non-tender to percussion (NTTP), non-tender to palpation (NTTPp).
Mobility and periodontal depths (PD) within normal limits (WNL).
Metallic sound on percussion.
Suspected ankylosis or very dense bone.
Positive bite test after multiple repeated tests.
Treatment Plan
Crown lengthening and redo crown.
Extraction (XAP) with possible operation (kiv OP) and replacement with implant or no replacement.
Pre-operative Assessment
Reviewed CBCT.
Decision made with patient to remove tooth #17 with potential replacement later.
Informed consent obtained for extraction of tooth #17.
Advised risks of damaging crown on tooth #16.
Pre-operative OPG taken.
Anesthesia
Local anesthesia for extraction of tooth #17.
Surgical Procedure
Local anesthesia administered.
Patient cleaned and draped.
Incision made and buccal flap raised.
Bone guttering performed.
Tooth #17 sectioned.
Crown dislodged during elevation.
Coronal portion fractured from heavy elevation.
Minimal luxation of tooth #17 noted.
Tooth elevated out with slight bone from buccal and palatal coming off with tooth pieces.
Curettage performed and irrigated with saline.
BSS x 04 placed for primary closure.
Hemostasis achieved and post-operative instructions provided.
Post Operation Gallery
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Post-operative Assessment
Reviewed CBCT.
Decision made with patient to remove tooth #17 with potential replacement later.
Informed consent obtained for extraction of tooth #17.
Advised risks of damaging crown on tooth #16.
Pre-operative OPG taken.