Surgical Removal of Impacted #48
Surgical Removal
Impacted Wisdom Tooth, Extraction
Chief Complaint
Patient reports pain and swelling, with bleeding on probing distal to tooth #47. They requested the removal of tooth #48, which is distally impacted and completely covered by gingiva.
Clinical Findings
Tooth #48 is distally impacted and covered by gingiva.
Bleeding observed on probing distal to tooth #47.
Treatment Plan
Removal of tooth #48 under local anesthesia.
Pre-operative Assessment
Pre-operative CBCT reviewed.
Risks of parasthesia to the lower lip and tongue were discussed.
Patient agreed to proceed with the extraction.
Anesthesia
Local anesthesia administered using right IDN, LN, and LBN blocks.
Surgical Procedure
Patient cleaned and draped.
Incision made, buccal flap raised.
Bone guttering performed.
Tooth #48 sectioned and elevated in 3 pieces.
Curettage and removal of granulation tissue performed.
Area irrigated with saline.
BSS x 07 placed for primary closure.
Haemostasis achieved and post-operative instructions provided.
Post Operation Gallery
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Post-operative Assessment
Pre-operative CBCT reviewed.
Risks of parasthesia to the lower lip and tongue were discussed.
Patient agreed to proceed with the extraction.