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Surgical Removal of Retained Roots #28

Surgical Removal
Retained Root
Surgical Removal of Retained Roots #28

Chief Complaint

Patient reports pain and swelling related to tooth #28, which has grossly carious retained roots.

Clinical Findings

Tooth #28 has gross carious retained roots. The patient experiences significant pain and swelling.

Treatment Plan

Removal of the retained roots of tooth #28 under local anesthesia.

Pre-operative Assessment

  • Pre-op CBCT was taken to assess the situation.

  • Risks of oral antral fistula (OAF) and other potential complications were discussed with the patient.

  • Informed consent was obtained.

Anesthesia

Local anesthesia (LA) infiltration was administered around tooth #28.

Surgical Procedure

  1. Patient was cleaned and draped.

  2. An incision was made, and a buccal flap was raised.

  3. Bone guttering was performed, and the tooth was sectioned.

  4. Tooth #28 was elevated out in two pieces.

  5. Pus was drained, and the area was curetted and irrigated with saline.

  6. BSS x 02 was placed for primary closure.

  7. Haemostasis was achieved.

Post Operation Gallery

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Post-operative Assessment

  • Pre-op CBCT was taken to assess the situation.

  • Risks of oral antral fistula (OAF) and other potential complications were discussed with the patient.

  • Informed consent was obtained.

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