Tooth #38 is Completely Buried In Bone and Impacted
Surgical Removal
Buried and Impacted
Chief Complaint
Patient complains of pain and swelling in the area of tooth #38.
Clinical Findings
Tooth #38 is completely buried in bone and impacted.
Treatment Plan
Removal of tooth #38 under local anesthesia (LA)
Extraction of tooth #28 under local anesthesia (LA XAP)
Pre-operative Assessment
Pre-operative CBCT taken
Patient advised of the procedures and associated risks, including paresthesia to the lower lip and tongue, and potential for oroantral perforation/fistula (OAP/OAF)
Procedures explained, and informed consent obtained
Anesthesia
LA block: left inferior dental nerve (IDN), lingual nerve (LN), and long buccal nerve (LBN)
LA infiltration for tooth #28
Surgical Procedure
Patient cleaned and draped
Incision made, buccal flap raised
Bone guttering performed
Tooth #38 sectioned and elevated out in three pieces
Currettage and irrigation with saline
Bioactive synthetic scaffold (BSS) placed x5 for primary closure
Hemostasis achieved, post-operative instructions given
LA extraction of tooth #28
Irrigation with saline
Hemostasis achieved, post-operative instructions given
Post Operation Gallery
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Post-operative Assessment
Pre-operative CBCT taken
Patient advised of the procedures and associated risks, including paresthesia to the lower lip and tongue, and potential for oroantral perforation/fistula (OAP/OAF)
Procedures explained, and informed consent obtained