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Surgical Removal for Tooth #28

Surgical Removal
Debridement, Extraction, Retained Root, Implant Placement, Impacted Wisdom Tooth
Surgical Removal for Tooth #28

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 Operation Gallery

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Post-operative Assessment

Pre-operative CBCT scan taken to assess the condition and plan the procedure.

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