Surgical Removal of Retained Roots and Extraction of Supra-erupted Tooth
Surgical Removal
Retained Root
Chief Complaint
Pain and tenderness in the area of retained roots from the previous surgical removal of tooth #38.
Clinical Findings
Tooth #38 has retained roots with very tender-to-pressure (TTP) response. Mobility and probing depth are within normal limits. Dense bone observed on percussion, with potential for very dense bone and possible ankylosis. Pre-op CBCT taken with the inferior dental nerve (IDN) plotted. Periapical lesion associated with retained roots of tooth #38. Supra-erupted tooth #28 also noted.
Treatment Plan
Local anesthesia (LA) for the removal of retained roots of tooth #38. Option to proceed with extraction of non-functional, supra-erupted tooth #28 after the initial surgery based on patient preference.
Pre-operative Assessment
Pre-op CBCT reviewed.
Risks of paraesthesia to the lower lip and tongue discussed.
Procedures explained.
Patient understood and agreed to proceed.
Informed consent obtained.
Anesthesia
Local anesthesia administered (block left IDN, LN, and LBN).
Surgical Procedure
Patient cleaned and draped.
Incision made, buccal flap raised.
Bone guttering performed.
Tooth sectioned and #38 elevated out in two pieces.
Curettage performed, followed by irrigation with saline.
BSS x 03 placed for secondary closure.
Haemostasis achieved.
After the procedure, the patient decided to proceed with the removal of tooth #28.
LA administered, and tooth #28 successfully extracted.
Haemostasis achieved.
Post Operation Gallery
 |  |  |
|---|---|---|
 |  |  |
Post-operative Assessment
Pre-op CBCT reviewed.
Risks of paraesthesia to the lower lip and tongue discussed.
Procedures explained.
Patient understood and agreed to proceed.
Informed consent obtained.