Wisdom Tooth Extraction for #38,#28

Chief Complaint

Pain and swelling due to impacted tooth #38.

Tooth #38 is completely buried in bone and impacted.
The patient complained of pain and swelling and requested the removal of tooth #38.

A pre-operative CBCT scan was taken to assess the position and condition of the impacted tooth and surrounding structures.
The patient was informed of the potential risks, including paresthesia to the lower lip and tongue, and the possibility of oroantral perforation (OAP) or oroantral fistula (OAF). The procedures were thoroughly explained.
The patient understood the risks and procedures and agreed to proceed with the treatment. Informed consent was obtained.

Local anesthesia blocks were administered to the left inferior dental nerve (IDN), lingual nerve (LN), and long buccal nerve (LBN).
Additional local anesthesia infiltration was provided for tooth #28.

The patient was cleaned and draped.
An incision was made, and a buccal flap was raised.
Bone guttering was performed to access the impacted tooth.
Tooth #38 was sectioned and removed in three pieces.
The socket was curetted and irrigated with saline.
Primary closure was achieved with 05 BSS sutures.
Hemostasis was confirmed for both sites, with post-operative instructions (POI) provided.

A pre-operative CBCT scan was taken to assess the position and condition of the impacted tooth and surrounding structures.
The patient was informed of the potential risks, including paresthesia to the lower lip and tongue, and the possibility of oroantral perforation (OAP) or oroantral fistula (OAF). The procedures were thoroughly explained.
The patient understood the risks and procedures and agreed to proceed with the treatment. Informed consent was obtained.