Name of the Procedure:

Removal of Impacted Tooth - Partially Bony (D7230) Common Name: Partially Bony Impacted Tooth Extraction
Medical Term: Partially Bony Impaction Extraction

Summary

This procedure involves the surgical removal of a tooth that is partially embedded in the jawbone and is unable to emerge fully through the gum. It's typically performed by an oral surgeon.

Purpose

Medical Conditions Addressed:

• Impacted teeth
• Pain or discomfort in the tooth or jaw
• Risk of infection
• Swelling or inflammation of the gums
• Damage to adjacent teeth

Goals/Expected Outcomes:

• Relief of pain and discomfort
• Prevention of infection and further dental issues
• Improved oral health and function

Indications

Symptoms/Conditions Warranting the Procedure:

• Swelling and pain around the impacted tooth
• Recurrent infections in the gum area around the partially erupted tooth
• Damage to adjacent teeth due to pressure or misalignment
• Cysts or tumors developing around an impacted tooth

Patient Criteria:

• Diagnosis through X-ray or dental examination showing a partially impacted tooth
• General good health enabling the patient to undergo minor surgery

Preparation

Pre-Procedure Instructions:

• Fast for a specified period before the procedure (if under general anesthesia)
• Adjust medications as advised by the doctor
• Arrive with a designated driver if sedation is used

Diagnostic Tests/Assessments:

• Dental X-rays or a panoramic radiograph
• Comprehensive dental examination

Procedure Description

• The patient is given local anesthesia, and potentially sedation or general anesthesia if needed.
• An incision is made in the gum tissue to expose the impacted tooth and bone.
• The bone around the tooth is removed if necessary.
• The tooth is carefully extracted using specialized dental tools.
• The incision site is cleaned and sutured to promote healing.

Tools, Equipment, and Technology:

• Dental scalpel, elevators, and forceps
• Suction devices, bone removal instruments
• Local anesthesia and sedation equipment

Duration

Typically, the procedure takes about 45 minutes to 1 hour.

Setting

The procedure is performed in a dental clinic, oral surgery center, or a hospital setting.

Personnel

• Oral Surgeon or Dental Surgeon
• Surgical Assistant or Dental Nurse
• Anesthesiologist (if general anesthesia is used)

Risks and Complications

Common Risks:

• Swelling and bruising
• Pain and discomfort post-surgery
• Bleeding

Rare Risks:

• Infection
• Nerve damage leading to temporary or permanent numbness
• Dry socket (a painful condition where the blood clot is dislodged prematurely)

Management of Complications:

• Antibiotics for infection
• Pain relievers and anti-inflammatory medications
• Follow-up appointments for nerve damage assessment

Benefits

• Relief from chronic pain and discomfort
• Prevention of further dental issues
• Improved oral health and aesthetics
• Typically, benefits are realized a few days to weeks post-procedure.

Recovery

Post-Procedure Care and Instructions:

• Apply ice packs to reduce swelling
• Take prescribed pain medications as instructed
• Follow a soft food diet for a few days
• Avoid smoking and strenuous activity

Recovery Time:

• Initial recovery takes about 1 to 2 weeks
• Complete healing might take a few weeks to a few months

Restrictions and Follow-Up:

• Avoid using straws, as suction can dislodge the blood clot
• Follow-up appointment to check healing progress and remove stitches if non-dissolvable sutures were used

Alternatives

Other Treatment Options:

• No treatment, though not recommended due to potential complications
• Extraction of adjacent teeth if they are also problematic

Pros and Cons of Alternatives:

• No treatment: Avoids surgery but risks ongoing pain and infection
• Extraction of adjacent teeth: May solve problems with multiple teeth but more extensive recovery

Patient Experience

During the Procedure:

• The patient might feel pressure but should not feel pain due to anesthesia
• If under sedation or general anesthesia, the patient will be unconscious during the procedure

After the Procedure:

• Initial swelling, bruising, and discomfort
• Pain management with prescribed medications
• Gradual return to normal activities over a few days to weeks
• Emphasis on oral hygiene and follow-up care to ensure proper healing