Retained Root Removal Tooth Number 16
Surgical Removal
Retained Root
Chief Complaint
Patient presented with gross caries on tooth #16, leading to the separation of one of its roots and a slight metallic sound on gentle percussion, indicating very dense bone and possible ankylosis.
Clinical Findings
Tooth #16:
Gross caries.
One root separated.
Slight metallic sound on percussion, suggesting dense bone and potential ankylosis.
Treatment Plan
Removal of retained roots of tooth #16.
Discussed options for replacement: dental implant, bridge, denture, or leaving the space empty.
Pre-operative Assessment
Pre-operative CBCT scan taken.
Anesthesia
Local anesthesia administered
Surgical Procedure
Preparation:
Patient cleaned and draped.
Buccal flap raised with an incision.
Removal of Retained Roots:
Bone guttering performed.
Tooth sectioned and elevated out in four separate pieces.
Thorough curettage performed.
Irrigation with saline.
Three balanced salt solutions (BSS) placed for secondary closure.
Achieved haemostasis.
Post-operative instructions (POI) given.
Post Operation Gallery
Post-operative Assessment
Pre-operative CBCT scan taken.