Surgical Exposure of Partially Erupted Tooth #47
Surgical Exposure
Chief Complaint
Pain in the lower right posterior jaw region.
Clinical Findings
Partially erupted #47
Large, thick operculum obstructing proper eruption
Pericoronitis with swelling and pus exudate
Localised soft tissue inflammation
Pain reproduced upon examination
CBCT confirmed partial eruption and operculum coverage.
Treatment Plan
Surgical exposure of tooth #47 with excision of operculum and soft tissue recontouring.
Pre-operative Assessment
Pre-op photographs taken
Risks, benefits, and procedure explained
Quotation provided
Patient and mother understood and agreed
Informed consent obtained for surgical exposure of #47
Anesthesia
Local anesthesia infiltration around #47.
Surgical Procedure
Patient cleaned and draped
Incision made
Thick operculum over #47 excised
980 nm diode laser used for soft tissue recontouring around #48 and to achieve hemostasis
Vitamin E applied to promote soft tissue healing
Post-operative instructions given
Post-operative Assessment
Post-op photographs taken
Good exposure of #47 achieved
Hemostasis stable
Patient discharged in stable condition with POI