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

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

 

when anyone visit to a doctor , he wants removal of pain.and as a doctor we are committed to that

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

some times ignorance is also very dangerous, before going to a doctor confirm that whether he is a doctor or not

anyways here is an example

                 CASE PRESENTATION

Pt named bindu  vishvakarma  visited to ismail dental hospital, jaunpur on 22/12/15 with the chief complain of pain in lower left back tooth region since 2 days

HOPI

 On asking detailed history it was told by 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.

CLINICAL FINDING

fractured roots were not visible intra-orally

fractured tooth , not visible intraorally

fractured tooth , not visible intraorally

 

 

 

RADIOGRAPHIC FINDING

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 

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

 

TREATMENT DONE

 

unique technique applied to prevent , bone cutting

unique technique applied to prevent , bone cutting

Incision was given and 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 pt.

 

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