Wisdom Tooth Extraction of Tooth #48
Surgical Removal
Impacted Wisdom Tooth, Retained Root
Chief Complaint
Removal of retained roots of tooth #18 and impacted tooth #48.
Clinical Findings
Pre-operative OPG taken.
Inferior dental nerve (IDN) plotted.
Tooth #48 mesially impacted with three roots.
IDN located between the mesial buccal (mb) and mesial lingual (ml) roots, then ascends and passes very close to the distal root tip.
Retained roots of tooth #18.
Treatment Plan
Extraction of retained roots of tooth #18.
Removal of impacted tooth #48.
Pre-operative Assessment
Advised: Extraction of tooth #18.
- Possible operation (kiv OP).
- Local anesthesia (LA) for removal of tooth #48.Risks of paresthesia to lower lip and tongue, as well as oral-antral perforation (OAP)/oral-antral fistula (OAF) discussed.
Procedures explained.
Patient is currently breastfeeding.
Advised to stop breastfeeding and use pump and dump method until completion of medication, then resume breastfeeding after 1 day post-medication.
Patient understood and agreed to proceed with treatment today.
Informed consent obtained.
Anesthesia
Local anesthesia block: right inferior dental nerve (IDN), lingual nerve (LN), and long buccal nerve (LBN).
Local anesthesia infiltration at site #18.
Surgical Procedure
Patient cleaned and draped.
Incision made and buccal flap raised.
Bone guttering performed.
Tooth #48 sectioned and elevated out in five pieces.
Curettage and irrigation with saline.
BSS x 04 placed for primary closure.
Hemostasis achieved and post-operative instructions provided.
Local anesthesia administered for extraction of tooth #18.
Irrigation with saline.
Hemostasis achieved and post-operative instructions provided.
Post Operation Gallery
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Post-operative Assessment
Advised: Extraction of tooth #18.
- Possible operation (kiv OP).
- Local anesthesia (LA) for removal of tooth #48.Risks of paresthesia to lower lip and tongue, as well as oral-antral perforation (OAP)/oral-antral fistula (OAF) discussed.
Procedures explained.
Patient is currently breastfeeding.
Advised to stop breastfeeding and use pump and dump method until completion of medication, then resume breastfeeding after 1 day post-medication.
Patient understood and agreed to proceed with treatment today.
Informed consent obtained.