Surgical Removal of #38, #28
Surgical Removal
Chief Complaint
Patient reports pain and swelling, and requests removal of wisdom tooth #38.
Clinical Findings
Tooth #38: Grossly carious, impacted, and retained root.
Tooth #28: Non-functional and carious.
Pre-operative CBCT was difficult due to the patient’s large tudung obstructing proper imaging.
Treatment Plan
LA OP removal of tooth #38.
LA XAP of tooth #28.
Pre-operative Assessment
Pre-operative CBCT taken despite difficulties with imaging.
Risks of parasthesia to lower lip and tongue, and OAP/OAF explained to the patient.
Procedures and costs explained.
Informed consent obtained.
Anesthesia
LA block administered to left IDN, LN, and LBN.
LA infiltration for tooth #28.
Surgical Procedure
Patient cleaned and draped.
Incision made and buccal flap raised.
Bone guttering performed.
Tooth sectioning executed.
Tooth #38 elevated in 5 pieces.
Curettage and saline irrigation completed.
5/0 BSS x 05 placed for primary closure.
Haemostasis achieved.
Post-operative Assessment
Post-operative CBCT taken.
No tooth remnants noted.
IDN and max sinus intact and not involved in the surgery.
Patient reassured.