Surgical Removal of Retained Root #26
Surgical Removal
Retained Root
Chief Complaint
Crown dislodged from #26.
Clinical Findings
No tenderness to percussion or palpation.
Mobility and probing depth within normal limits.
Slight metallic sound on percussion.
Possible dense bone or ankylosis suspected.
Treatment Plan
LA OP removal of #26 retained roots.
Option to replace the missing tooth or leave it as empty space.
Pre-operative Assessment
Pre-op CBCT reviewed.
Tooth #26 with retained roots, three-rooted, long, wide, and flattened distobuccal and distopalatal roots, previously root-filled.
Risks informed, with emphasis on the risk of oroantral perforation (OAP) and oroantral fistula (OAF).
Procedures explained, and patient understood and agreed to proceed.
Informed consent obtained.
Anesthesia
Local anesthesia administered.
Patient cleaned and draped.
Surgical Procedure
Incision made, buccal flap raised.
Bone guttering performed.
Tooth #26 sectioned and elevated out in five pieces.
Curettage performed, followed by irrigation with saline.
BSS x 03 placed for secondary closure.
Haemostasis achieved.
Post Operation Gallery
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Post-operative Assessment
Pre-op CBCT reviewed.
Tooth #26 with retained roots, three-rooted, long, wide, and flattened distobuccal and distopalatal roots, previously root-filled.
Risks informed, with emphasis on the risk of oroantral perforation (OAP) and oroantral fistula (OAF).
Procedures explained, and patient understood and agreed to proceed.
Informed consent obtained.