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Retained Root Removal Tooth Number 16

Surgical Removal
Retained Root
Retained Root Removal Tooth Number 16

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 Gallary

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Post-operative Assessment

Pre-operative CBCT scan taken.

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