Using high-speed rotary instruments, the coronal portion of the affected tooth was carefully drilled away, leaving behind the roots embedded in the jawbone. Care was taken to preserve as much surrounding bone as possible and minimize trauma to the adjacent soft tissues. Following removal of the coronal portion of the tooth, the exposed roots were inspected for any remaining necrotic or diseased tissue. Thorough debridement and irrigation of the root surfaces were performed to remove any debris or contaminants till the level of the alveolus. All sites were irrigated copiously with NS.
Surgeon(s): ***
Assistant Surgeon(s): ***
Preoperative Diagnosis: ***
Postoperative Diagnosis: Same
Procedure(s): ***
Anesthesia: General
Implants: None
Specimen:***
Drains: None
Fluids: See anesthesia record
EBL: Minimal
Complications: None
Counts: Correct x2
Indications: ***
Findings: As expected
Procedure in Detail:
The patient was seen in the preoperative holding area with a H&P was updated, consents were verified, surgical site marked, and all questions and concerns related to the proposed procedure were discussed in detail. The patient was transferred to the operating room by the anesthesia team. The patient underwent general anesthesia with endotracheal intubation. Tegaderms were placed over the eyes. The patient was prepped and draped in the standard fashion for maxillofacial procedures. A time-out was performed and the procedure began.
Using high-speed rotary instruments, the coronal portion of the affected tooth was carefully drilled away, leaving behind the roots embedded in the jawbone. Care was taken to preserve as much surrounding bone as possible and minimize trauma to the adjacent soft tissues. Following removal of the coronal portion of the tooth, the exposed roots were inspected for any remaining necrotic or diseased tissue. Thorough debridement and irrigation of the root surfaces were performed to remove any debris or contaminants till the level of the alveolus. All sites were irrigated copiously with NS.
The patient's face was then cleaned and the posterior pharynx was suctioned. An OG tube was used to suction out the contents of the stomach. Tegaderms were removed from the eyes. Dressings were placed. The patient was then transferred back to the care of the anesthesia team for extubation and recovery.
