Surgical Removal of Retained Roots #11 and #46 Under Local Anesthesia
Surgical Procedure
Chief Complaint
Px presented for removal of retained roots associated with #11 and #46.
Clinical Findings
Retained root at #11
Retained root at #46
Pre-operative CBCT reviewed prior to surgery
Adjacent anatomical structures assessed
Treatment Plan
Surgical removal of retained roots at #11 and #46 under local anesthesia
Extraction of #37 and #47
Risks, benefits, procedures, and post-operative expectations explained to Px.
Pre-operative Assessment
CBCT reviewed prior to surgery.
Risks of paraesthesia to lower lip and tongue, bleeding, swelling, infection, retained fragments, and post-operative discomfort explained.
Px understood and agreed to proceed.
Informed consent obtained.
Anesthesia
Local anesthesia administered to surgical sites.
Surgical Procedure
Px cleaned and draped in sterile manner.
Incision made and buccal flap raised.
Bone guttering performed.
Tooth sectioning carried out where necessary.
#11 retained root elevated and removed in 2 pieces.
Socket curettage performed and irrigated thoroughly with saline.
BSS x3 placed for secondary closure.
#46 retained root elevated and removed in 6 pieces.
Socket curettage performed and irrigated thoroughly with saline.
BSS x3 placed for secondary closure.
LA XAP #37 and #47 completed successfully.
Haemostasis achieved.
POI given.
Post-operative Assessment
Post-operative CBCT taken.
No retained root remnants noted.
IDN and adjacent teeth not involved during surgery.
Healing satisfactory post-operatively.
Px reassured and discharged in stable condition.