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partial bony impactions - Wisdom Teeth, Tooth
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Description
Extraction technique of a partially erupted lower right wisdom tooth. 1) Tooth #32 is partially erupted above the gum surface. Incision made using #15 scalpel. 2) Pre-op xray. 3) Soft tissue reflection. 4) Wisdom tooth sectioned into pieces using high speed handpiece in order to eliminate the possibility of damaging the adjacent second molar. 5) Wisdom tooth extracted, socket sterilized, and exposed. 6) Sectioned remnants of wisdom tooth. 7) Surrounding tissue sutured using chromic gut 3-0 resorbable sutures. 8) Post-op xray.
Rationale for wisdom tooth extraction.1)x-ray showing impacted upper and lower wisdom teeth. 2)Photo of the lower impacted wisdom tooth partially submerged below the gum and impinging against the otherwise healthy second molar.This will frequently cause a cavity and gum problem around the second molar over time.
Extraction of a lower right partial bony impacted wisdom tooth. 1) Soft tissue reflection. 2) & 3) Sectioning of the molar. 4) An elevator is being used to split the molar. 5) & 6) Lower forceps and an elevator are used to extract the split roots. 7) The extracted tooth in two sections. 8) Closure of the surgical site.
An impacted wisdom tooth damages the healthy adjacent tooth. A large cavity was created by the wisdom tooth growing into it. The patient had no pain.
Treatment: Root canal and crown (the crown covers the site where decay was removed.
Rationale for wisdom tooth extraction. The lower wisdom tooth is on an angle and leaning against the second molar. This has caused a huge cavity in the second molar that could probably require root canal therapy and a crown to repair. The patient did not feel pain in this tooth.
