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Retained Primary Teeth in Adults

Surgical Removal
Retained Root
Retained Primary Teeth in Adults

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

  1. Preparation:Patient cleaned and draped.
    Local anesthesia administered.
    Extraction of tooth #85 successfully completed.

  2. 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.

  3. Extraction of Tooth #18:Local anesthesia administered.
    Tooth extracted.
    Irrigation with saline.
    Achieved haemostasis.
    Post-operative instructions (POI) given.


Post Operation Gallary

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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.

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