Retained Root Removal for Tooth #27
Surgical Removal
Retained Root
Chief Complaint
Patient complains of pain and swelling in the area of tooth #27.
Clinical Findings
Fractured tooth #27
Retained roots
Treatment Plan
Removal of tooth #27 under local anesthesia (LA)
Pre-operative CBCT taken
Patient advised and agreed to the procedure
Pre-operative Assessment
Informed of risks including paresthesia to lower lip and tongue, and potential for oroantral perforation/fistula (OAP/OAF)
Procedures explained, and informed consent obtained
Anesthesia
Local anesthesia infiltration at tooth #27
Surgical Procedure
Patient cleaned and draped
Incision made, buccal flap raised
Bone guttering performed
Tooth sectioned and elevated out in three pieces
Currettage and irrigation with saline
Bioactive synthetic scaffold (BSS) placed x3 for secondary closure
Hemostasis achieved, post-operative instructions given
Post Operation Gallery
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Post-operative Assessment
Informed of risks including paresthesia to lower lip and tongue, and potential for oroantral perforation/fistula (OAP/OAF)
Procedures explained, and informed consent obtained