Surgical Removal of Impacted #48, #18
Surgical Removal
Chief Complaint
Patient reports a cavity on the upper right last tooth and food trap on the lower right last tooth.
The impacted tooth #48 is causing severe food trap and pain.
Clinical Findings
Tooth #48: Completely buried in bone, carious cavity, and causing food trap.
Tooth #18: Wisdom tooth requiring extraction.
Patient reports pain and swelling.
Treatment Plan
LA OP removal of impacted tooth #48.
LA XAP of tooth #18.
Pre-operative Assessment
Pre-operative CBCT taken to assess tooth #48 and #18.
Risks of parasthesia to the lower lip and tongue, as well as OAP/OAF, explained.
Procedures and costs explained.
Informed consent obtained.
Anesthesia
LA block administered to left IDN, LN, and LBN.
LA infiltration for tooth #18.
Surgical Procedure
Patient cleaned and draped.
Incision made and buccal flap raised.
Bone guttering performed.
Tooth sectioning executed.
Tooth #48 elevated in 9 pieces.
Curettage and saline irrigation completed.
5/0 BSS x 07 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.