Retained Root Removal For Tooth #32
Surgical Removal
Retained Root
Chief Complaint
Patient complains of pain and a broken tooth #32.
Clinical Findings
Tooth #48: deep caries to pulp; tender to percussion (TTP).
Tooth #43: caries to pulp; TTP.
Tooth #31: deep caries to pulp; TTP.
Tooth #33: deep caries to pulp; TTP.
Retained roots: #32, #35, #36, #44.
Treatment Plan
Extraction of teeth #31, #33, #43, #48.
Local anesthesia (LA) removal of retained roots #32, #35, #36, #44.
Pre-operative Assessment
Pre-operative CBCT taken.
Risks including paraesthesia to lower lip and tongue, and oroantral perforation/oral-antral fistula (OAP/OAF) explained to the patient.
Procedures and costs explained.
Patient understood and agreed to proceed.
Informed consent obtained.
Anesthesia
Local anesthesia block (left and right) inferior dental nerve (IDN), lingual nerve (LN), and long buccal nerve (LBN).
Surgical Procedure
Patient cleaned and draped.
Incision made, and buccal flap raised.
Bone guttering performed.
Teeth #31, #33, #43, #48 elevated out in total.
Retained roots #32, #35, #36, #44 elevated out in pieces.
Curettage performed and irrigated with saline.
Bone substitute sponge (BSS) placed:
#48: 3 sponges.
#43, #44: 5 sponges each.
#31, #32, #33: 8 sponges each.
#35, #36: 8 sponges each.
Hemostasis achieved.
Post Operation Gallery
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Post-operative Assessment
Pre-operative CBCT taken.
Risks including paraesthesia to lower lip and tongue, and oroantral perforation/oral-antral fistula (OAP/OAF) explained to the patient.
Procedures and costs explained.
Patient understood and agreed to proceed.
Informed consent obtained.