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Retained Root Removal of #35

Surgical Removal
Retained Root
Retained Root Removal of #35

Chief Complaint

Patient decided to have the retained root of tooth #35 removed.

Clinical Findings

  • Pre-operative CBCT taken.

  • IDN plotted, with close proximity to the mental nerve.

Treatment Plan

  • LAOP removal of tooth #35.

  • Risks of paresthesia to lower lip and tongue, OAP/OAF, explained.

  • Procedures explained.

  • Informed consent taken.

Pre-operative Assessment

Patient understood and agreed to proceed with the treatment plan.

Anesthesia

Local Anesthesia (LA) block (L) IDN, LN, and LBN administered.

Surgical Procedure

  • Patient cleaned and draped.

  • Incision made, buccal and lingual flap raised.

  • Bone guttering performed.

  • Tooth sectioned and retained root of tooth #35 elevated out in two pieces.

  • Curettage and irrigation with saline.

  • BSS x 03 placed for primary closure.

  • Hemostasis achieved.

  • Post-operative instructions (POI) given.

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Post-operative Assessment

Patient understood and agreed to proceed with the treatment plan.

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