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Surgical Removal of Impacted #35

Surgical Removal

Chief Complaint

Impacted tooth #35.

Clinical Findings

Impacted tooth #35 confirmed on pre-operative CBCT review.

Treatment Plan

Removal of impacted tooth #35.

Pre-operative Assessment

  • Pre-OP CBCT review conducted.

  • Risks and procedures explained to the patient.

  • Informed consent obtained.

Anesthesia

Local anesthesia block (L) IDN, LN, and LBN administered.

Surgical Procedure

1. Patient cleaned and draped.

2. Buccal and lingual flap raised.

3. Bone guttering performed.

4. Tooth sectioned and split.

5. Tooth #35 elevated out in 02 pieces.

6. Currettage and irrigation with saline conducted.

7. BSS x 03 placed for primary closure.

8. Haemostasis achieved and post-operative instructions given.

Post-operative Assessment

  •  Post-OP CBCT taken.

  • IDN plotted and spared.

  • No tooth remnants noted.

Additional Findings:

  • #36 (ml) caries noted.

  • #34 (d) caries noted, possible need for CAP.

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