Surgical Removal of Buried and Impacted #38 Under Local Anesthesia
Surgical Procedure
Chief Complaint
Px c/o pain and discomfort associated with #38 region.
Clinical Findings
CBCT reviewed.
Left IDN plotted.
#38
Buried and vertically impacted
Tooth presence detected on probing
Not visible intra-orally
Swelling noted distal to #37
Treatment Plan
Surgical removal of buried and impacted #38 under local anesthesia
Risks, benefits, procedural steps, and post-operative expectations discussed with Px.
Pre-operative Assessment
CBCT assessment performed prior to surgery.
Relationship of #38 to left IDN evaluated and plotted.
Risks of paraesthesia to lower lip and tongue, OAP/OAF, swelling, pain, infection, and bleeding explained.
Px understood and agreed to proceed.
Informed consent obtained.
Anesthesia
LA block administered to left IDN, LN, and LBN.
Surgical Procedure
Px cleaned and draped in sterile manner.
Incision made and buccal flap raised.
Bone guttering performed to expose impacted tooth.
Tooth sectioning carried out.
#38 elevated and removed in 6 pieces.
Socket curettage performed and irrigated thoroughly with saline.
BSS x3 placed for primary closure.
Haemostasis achieved.
POI given.
Post-operative Assessment
Post-operative CBCT taken.
No residual tooth remnants noted.
IDN intact and not involved during surgery.
Healing satisfactory post-operatively.
Px reassured and discharged in stable condition.