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Case DentalDate

38 tooth extraction, tooth roots in contact with mandibular nerve

External examination: face is symmetrical, submandibular and chin lymph nodes are not palpated, nasolabial folds are moderately expressed.

Objectively: 38 tooth is partially under the mucosa, caries, the tooth is distoped cheekwise.

No complaints, planned extraction of the 38th tooth

Dr. Kseniia Islamova
Dr. Kseniia Islamova

Surgeon-Implantologist / General Dentist

Under application, infiltration and mandibular anesthesia with Articaine 3.4 ml 1:00 000 solution, an incision was made in the retromolar region and cheekwise in the area of the 37th tooth, the mucosal periosteal flap was peeled off, the tooth was divided into parts (the distal part of the tooth crown was separated) using a boron machine, a corticotomy was performed cheekwise with a Lindeman milling cutter, the tooth was extracted using a straight luxator and forceps. The mandibular nerve is visualized in the root canal. Relaxing incision in the area of the connective tissue flap. Catgut sutures 5\0 #3. Amoxiclav 1000 mg 2 times a day for 7 days, loratadine 10 mg (1 tablet) 2 times a day for 3 days. Painkiller ibuprofen 100 mg 2 times a day for 3 days.

Examination the next day: slight facial asymmetry due to swelling of soft tissues in the area of the body and the angle of the mandible on the left side, the skin is not changed in color, it is collected in a fold. Opening of the mouth is free. The cavity is filled with a clot, the sutures are intact.

Examination 10 days after surgery: no complaints, face is symmetrical, mouth opening is free, the wound is epithelialized, sutures are removed.