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
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
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.
fractured roots were not visible intra-orally
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
AIM OF TREATMENT
- REMOVE ROOTS OF TOOTH
- KEEP SURGEY CONSERVATIVE (PREVENT UNNECERY BONE CUTTING)
- PREVENT OR REDUCE POST OPERATIVE COMPLICATION
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.