Wisdom Tooth Removal for #48, #47
Surgical Removal
Extraction, Buried and Impacted
Chief Complaint
Patient reports food trapping and occasional swelling distal to tooth #47.
Clinical Findings
Tooth #48 is completely buried in bone and impacted.
Notable bone defect distal to tooth #47 due to the impaction of tooth #48.
Treatment Plan
Surgical extraction of tooth #48.
Bone grafting to address the resultant bony defect distal to tooth #47.
Pre-operative Assessment
Pre-operative CBCT scan taken to evaluate the impaction and bone defect.
Risks, including potential paresthesia to the lower lip and tongue, were explained to the patient.
The patient understood the procedure and potential risks, and consented to proceed.
Anesthesia
Local anesthesia administered, including right inferior dental nerve block, lingual nerve block, and long buccal nerve block.
Surgical Procedure
1. Extraction of Tooth #48:
Patient prepped with cleaning and draping.
Incision made, buccal flap raised, and bone guttering performed.
Tooth #48 sectioned and removed in six pieces.
Curettage and irrigation with saline conducted.
2. Bone Grafting:
Bone grafting performed distal to #47 using EthOss bone graft material (1.0cc x 02 syringes) to fill the defect caused by the impaction of tooth #48.
Flap released, and BSS x 06 placed for primary closure.
Hemostasis achieved and post-operative instructions given.
Post Operation Gallery
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Post-operative Assessment
Pre-operative CBCT scan taken to evaluate the impaction and bone defect.
Risks, including potential paresthesia to the lower lip and tongue, were explained to the patient.
The patient understood the procedure and potential risks, and consented to proceed.