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Removal of Impacted 48 Wisdom Tooth

Surgical Removal
Impacted Wisdom Tooth
Removal of Impacted 48 Wisdom Tooth

Chief Complaint

Referred by orthodontist for the removal of impacted tooth #48 due to prior episodes of pain and swelling from food trapping.

Clinical Findings

Tooth #48: Horizontally impacted.

Treatment Plan

Removal of impacted tooth #48 under local anesthesia (LA).

Pre-operative Assessment

- Pre-operative CBCT taken.

- Risks of paraesthesia to lower lip and tongue explained to the patient.

- Procedures thoroughly explained.

- Patient understood and agreed to proceed.

- Informed consent obtained.

Anesthesia

Right IDN, LN, and LBN blocks administered.

Surgical Procedure

1. Preparation:

- Patient cleaned and draped.

- Buccal flap raised with an incision.


2. Removal of #48:

- Bone guttering performed.

- Tooth sectioned and elevated out in four pieces.

- Curettage performed.

- Irrigation with saline.

- Four bone support structures (BSS) placed for primary closure.

- Achieved haemostasis.

- Post-operative instructions (POI) given.

Post Operation Gallary

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Post-operative Assessment

- Pre-operative CBCT taken.

- Risks of paraesthesia to lower lip and tongue explained to the patient.

- Procedures thoroughly explained.

- Patient understood and agreed to proceed.

- Informed consent obtained.

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