Surgical Removal for Tooth #28
Surgical Removal
Chief Complaint
Patient presented with significant caries on tooth #18 and reports of a food trap.
Clinical Findings
Tooth #18 exhibits extensive caries, described as an "egg-shell" tooth.
Significant food impaction in the area.
Treatment Plan
Extraction (XAP) of tooth #28 with monitoring for potential complications that may necessitate oral surgery.
Pre-operative Assessment
Pre-operative CBCT scan taken to assess the condition and plan the procedure.
Anesthesia
Local anesthesia (LA) administered for the extraction (XAP) of tooth #28.
Surgical Procedure
Patient was cleaned and draped.
Incision made and buccal flap raised.
Bone guttering performed.
The root tip of tooth #28 (db) was successfully elevated and removed in total.
Currettage performed and the site was irrigated with saline.
Two BSS (bone substitute materials) placed for primary closure.
Hemostasis achieved, and post-operative instructions (POI) were provided.
Post-operative Assessment
A post-operative CBCT scan confirmed the complete removal of the retained root of tooth #28.
No remnants of the tooth were noted.