Surgical Removal of #48
Surgical Removal
Chief Complaint
Patient reports sensitivity and a cavity in tooth #48, with a request for removal of tooth #38.
Clinical Findings
Tooth #48: Grossly carious.
Tooth #38: Impacted.
Treatment Plan
Surgical extraction of tooth #48.
Pre-operative Assessment
Pre-operative CBCT taken.
Full quotation provided to the patient.
Risks of paraesthesia to the lower lip and tongue explained.
Procedures detailed and informed consent obtained.
Anesthesia
Local anesthesia block administered for right IDN, LN, and LBN.
Surgical Procedure
1. Patient cleaned and draped.
2. Incision made and buccal flap raised.
3. Bone guttering performed.
4. Tooth sectioning and extraction:
- #48 elevated in 05 pieces.
5. Curettage and irrigation with saline.
6. BSS x 05 placed for primary closure.
7. Haemostasis achieved and post-operative instructions provided.
Post-operative Assessment
Post-operative CBCT taken.
No remnants of tooth noted.
IDN intact and not involved in surgery.
Patient reassured.