Surgical Removal of Retained Roots and Extraction for Severely Tilted Teeth
Surgical Removal
Extraction, Retained Root
Chief Complaint
Patient has grossly carious retained roots and severely tilted periodontally involved teeth.
Clinical Findings
Retained roots: #34, #35, #36, #37, with mobility and probing depth concerns
Severely tilted and periodontally involved teeth: #43, #33, #37
Treatment Plan
X-ray and assessment for teeth #43, #33, and #38
Surgical removal of retained roots #34, #35, #36, and #37
Consideration for implant or denture to replace missing teeth or leave as empty spaces
Pre-operative Assessment
Pre-operative CBCT taken
Risks and procedures explained
Quotation provided
Informed consent for surgical removal of retained roots obtained
Anesthesia
Local anesthesia block for left inferior dental nerve (IDN), lingual nerve (LN), and buccal nerve (LBN) administered
Surgical Procedure
Incision, buccal flap raised
LA XAP #43, #33, and #38
Bone guttering
Tooth sectioning
#34, #35, #36, and #37 retained roots elevated out in 05 pieces
Curettage, irrigation with saline
BSS x 23 placed for secondary closure
Hemostasis, POI
Post Operation Gallery
Post-operative Assessment
Pre-operative CBCT taken
Risks and procedures explained
Quotation provided
Informed consent for surgical removal of retained roots obtained