Surgical Removal of Retained & Fractured Roots of Tooth #16
Surgical Removal
Chief Complaint
Patient complains of a dislodged crown on tooth #16.
Clinical Findings
#16 fractured with recurrent caries.
Retained roots with gross decay.
Roots are long, thin, and divergent.
#16 firm retained roots.
Pre-operative CBCT confirms:
3-rooted #16 with extensive caries.
Additional findings:
#46: prior crowning with distal cervical radiolucency—KIV recurrent caries/leakage.
#17 (MO): AR with possible leakage—KIV crowning.
Treatment Plan
LA OP surgical removal of retained roots of #16.
Risks, alternatives, and expected outcomes explained.
Risk of oro-antral penetration and fistula discussed.
Patient understood and agreed to proceed.
Pre-operative Assessment
Pre-operative CBCT taken.
Adjacent structures assessed—maxillary sinus evaluated for proximity.
Informed consent obtained.
Anesthesia
LA block: Right IDN, LN & LBN.
Surgical Procedure
Patient cleaned and draped.
Incision made; buccal flap raised.
Bone guttering performed—bone noted to be very dense.
Tooth sectioned.
#16 removed in five pieces using elevation technique.
Curettage of socket; saline irrigation.
Closure with 4/0 Vicryl × 5 sutures for secondary closure.
Hemostasis achieved; POI given.
Post-op CBCT taken.
Post-operative Assessment
No retained fragments noted.
Maxillary sinus not involved.
Adjacent teeth unaffected.
Patient satisfied with treatment outcome.