Surgical Removal of #28
Surgical Removal
Buried and Impacted, Extraction
Chief Complaint
Removal of deeply impacted and buried tooth #28.
Clinical Findings
Tooth #28 deeply impacted, approximately 90% buried in bone.
Pre-operative CBCT reviewed.
Treatment Plan
Extraction of tooth #28.
Bone grafting with 1.0 cc EthOss artificial bone grafting material for the extraction site and distal area of #27.
Pre-operative Assessment
Quotation provided.
Risks of oral antral perforation (OAP) and oral antral fistula (OAF) discussed.
Procedures explained; patient consent obtained.
Anesthesia
Local Anesthesia (LA) block administered to left inferior dental nerve (IDN), lingual nerve (LN), and long buccal nerve (LBN).
LA infiltration at site #28.
Surgical Procedure
Patient cleaned and draped.
Incision made; buccal flap raised.
Bone guttering performed.
Tooth sectioned and elevated in 07 pieces.
Curettage performed; granulation tissues removed and site irrigated with saline.
Bone grafting with EthOss material applied to the site and distal area of #27.
Primary closure achieved with BSS x 05.
Hemostasis ensured.
Post Operation Gallery
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Post-operative Assessment
Quotation provided.
Risks of oral antral perforation (OAP) and oral antral fistula (OAF) discussed.
Procedures explained; patient consent obtained.