wisdom tooth extraction ( management of tooth, complication created by quack )

December 25, 2015
pre operative radiograph of tooth
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wisdom tooth extraction ( management of tooth, complication created by quack )

 

when anyone visits a doctor , he wants the removal of pain.and as a doctor, we are committed to that without any doubt 

sometimes saving money can be very dangerous i.e visiting to non-certified doctors (self-claimed) or quacks or a street dentist

sometimes ignorance is also very dangerous, before going to a doctor confirm that whether he is a doctor or not, you can not take a risk on your health because many things in the body can't be correct once lost 

What Is A Quack 

a quack is someone who is not qualified enough for the treatment he is going to perform or he is performing , usually Quacks are someone working with qualified doctors for a year or more,  then star observing how to do a certain thing and starts a clinic independently. and people start visiting them without any knowledge that they are not a doctor, innocent people only thinks they are economical or cheap but they failed to ask why . many of time when the situation goes out of their hand (like pt. died) they close their clinic and run away and they start a new clinic in the new area

anyways here is an example, which came to my clinic 

 CASE PRESENTATION

Pt named Bindu  Vishwa karma  visited Ismail dental hospital, jaunpur on 22/12/15 with the chief complain of pain in lower left back tooth region since 2 days

History Of Present Illness 

 On asking detailed history it was told by the patient that she underwent extraction of 3rd molar by a quack, who tried to extract the “bad tooth” but couldn’t extract it rather fractured it and left the roots inside, since then pt. was suffering from  pain. (this is very common practice in rural areas of India and even in big cities to visit cheap doctors)

 CLINICAL FINDING

fractured roots were not visible intra-orally, so it's very difficult to even guess that these was any tooth,

fractured tooth , not visible intraorally

 fractured tooth , not visible intraorally

RADIOGRAPHIC FINDING

after taking radiograph it's been established that there was a tooth and still some part of it remains , more specifically 2 roots one of them is little curved , which probably acts as the anchor and caused the fracture 

Radiographically two roots (mesial &distal) were seen. mesial root was dilacerated, both of  these were located 5-6 mm inside the alveolar bone from occlusal plane

 pre operative radiograph of tooth

note the complications

.

AIM  OF TREATMENT 

before starting treatment we have established few of goals to accomplished in the treatment

  1. REMOVE ROOTS OF TOOTH
  2. KEEP SURGERY CONSERVATIVE (PREVENT UNNECERY BONE CUTTING)
  3. PREVENT OR REDUCE POST OPERATIVE COMPLICATION
  4. PAINLESS REMOVAL OF TOOTH 

 

TREATMENT DONE

 

unique technique applied to prevent , bone cutting

the unique technique applied to prevent , bone cutting

The incision was given and the flap was raised under inferior alveolar &long buccal nerve blocks. buccal alveolar bone cutting was done. radiographs placing instrument were taken to locate the access of roots as clinically nothing was seen even after bone cutting.

  First distal root then mesial root were extracted using cryer and straight elevator.extraction site was cleaned and irrigated,sutures were placed. Medication and post-operative instructions were given to a pt.

 

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