Surgical Removal of #22 and Bridge Sectioning
Surgical Removal
Extraction
Chief Complaint
Fractured #22 abutment and luxated #12 abutment; loose 4-unit bridge
Clinical Findings
#12: Slight TTP, mobility I++, probing depth to apices
#22: Very TTP, NTTPp, mobility and probing depth WNL
#14: Retained root, NTTP, NTTPp, mobility and probing depth WNL
Treatment Plan
Sectioning of #12 ↔ #22 4-unit bridge and XAP #12
LA OP removal of #14 and #22 retained roots
Issue upper temporary denture
Pre-operative Assessment
CBCT reviewed
Risks and procedures explained
Quotation provided
Patient understood and agreed to proceed
Informed consent obtained
Anesthesia
LA block applied
Surgical Procedure
#12 ↔ #22 bridge sectioned at interproximal of #21 & #11
#12 extracted
Buccal flap raised
Bone guttering and tooth sectioning
#22 elevated in 03 pieces
Curettage and irrigation with saline
BSS x 02 placed for secondary closure
#14 elevated in 01 piece
Curettage and irrigation with saline
BSS x 02 placed for secondary closure
Haemostasis achieved
Post Operation Gallery
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Post-operative Assessment
CBCT reviewed
Risks and procedures explained
Quotation provided
Patient understood and agreed to proceed
Informed consent obtained