Retained Primary Teeth in Adults
Surgical Removal
Retained Root
Chief Complaint
Patient expressed a desire for orthodontic treatment or an implant to replace the retained primary tooth #85.
Clinical Findings
Tooth #45:Buried completely in bone, horizontally impacted with tooth #46.
Tooth #85:Retained primary tooth with gross root resorption.
Tooth #18:Supra-erupted and non-functional.
Treatment Plan
Removal of retained tooth #85.
Removal of buried and impacted tooth #45.
Extraction of supra-erupted tooth #18.
Pre-operative Assessment
Pre-operative CBCT reviewed.
Informed patient about the risks of paraesthesia to the lower lip and tongue, and oro-antral perforation (OAP) or fistula (OAF).
Procedures explained thoroughly.
Patient understood and agreed to proceed.
Informed consent obtained.
Anesthesia
Right IDN, LN, and LBN blocks administered.
Local infiltration for #18.
Surgical Procedure
Preparation:Patient cleaned and draped.
Local anesthesia administered.
Extraction of tooth #85 successfully completed.
Removal of Tooth #45:Incision made, and buccal and lingual flaps raised.
Bone guttering performed.
Tooth sectioned and elevated out in six pieces.
Curettage performed.
Developmental sac around #45 enucleated and removed fully.
Irrigation with saline.
Bone grafting with EthOss 1.0cc artificial bone grafting material and Osteon II Collagen (6.0mm x 10.0mm).
Flaps released.
Seven balanced salt solutions (BSS) placed for primary closure.
Achieved haemostasis.
Extraction of Tooth #18:Local anesthesia administered.
Tooth extracted.
Irrigation with saline.
Achieved haemostasis.
Post-operative instructions (POI) given.
Post Operation Gallery
 |  |  |
|---|---|---|
 |  |  |
Post-operative Assessment
Pre-operative CBCT reviewed.
Informed patient about the risks of paraesthesia to the lower lip and tongue, and oro-antral perforation (OAP) or fistula (OAF).
Procedures explained thoroughly.
Patient understood and agreed to proceed.
Informed consent obtained.