Surgical Removal of #27
Surgical Removal
Extraction
Chief Complaint
Patient reports pain and swelling in the area of tooth #27, associated with retained roots.
Clinical Findings
Tooth #27: Fractured with retained roots
Pre-operative CBCT shows retained roots with a large periapical lesion
Additional findings include a vertically impacted tooth #48 with a cystic lesion
Treatment Plan
Advised extraction of tooth #27 under local anesthesia
Patient agreed to the procedure
Pre-operative Assessment
CBCT confirmed the presence of retained roots and a large periapical lesion on tooth #27
Patient informed of potential risks, including oroantral perforation and oroantral fistula
Informed consent obtained
Anesthesia
Local anesthesia infiltration around tooth #27
Surgical Procedure
Patient prepared with standard cleaning and draping
Buccal flap raised with an incision
Bone guttering performed
Tooth #27 sectioned and removed in three pieces
Site curetted and irrigated with saline
Secondary closure with BSS x 05
Hemostasis achieved
Post Operation Gallery
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Post-operative Assessment
CBCT confirmed the presence of retained roots and a large periapical lesion on tooth #27
Patient informed of potential risks, including oroantral perforation and oroantral fistula
Informed consent obtained