Name of the Procedure:

Removal of Impacted Tooth-Completely Bony
Common Names: Tooth extraction, Surgical tooth removal
Medical Term: D7240

Summary

The removal of an impacted tooth that is completely embedded in the jawbone. This procedure is performed by an oral surgeon to extract a tooth that cannot erupt normally due to being surrounded by bone.

Purpose

Medical Conditions or Problems:

• Impacted wisdom teeth
• Tooth infections
• Cysts or tumors in the jaw
• Severe pain or discomfort
• Prevention of damage to adjacent teeth

Goals or Expected Outcomes:

• Relief from pain and discomfort
• Prevention of infection
• Avoidance of further dental issues
• Maintenance of oral health

Indications

Specific Symptoms or Conditions:

• Persistent pain in the jaw
• Swelling and infection around the tooth
• Radiographic evidence of impacted tooth
• Difficulty in mouth opening or chewing

Patient Criteria:

• Adult patients
• No contraindications for surgery
• Not responsive to less invasive treatments

Preparation

Pre-Procedure Instructions:

• Fasting for 6-8 hours before surgery
• Cease certain medications as advised (e.g., blood thinners)
• Arrange for transportation home post-procedure

Diagnostic Tests or Assessments:

• Dental x-rays or CT scans
• Comprehensive medical and dental history review

Procedure Description

Step-by-Step Explanation:

1. Anesthesia is administered (local or general).
2. Incision is made in the gum to access the tooth.
3. Bone covering the tooth is removed.
4. Tooth is sectioned (if necessary) and extracted.
5. Site is cleaned, and stitches are applied.

Tools, Equipment, or Technology Used:

• Scalpels or surgical blades
• Dental drills and bone burs
• Elevators and forceps
• Sutures

Anesthesia or Sedation:

• Local anesthesia to numb the area
• Sedation or general anesthesia based on the patient's condition and anxiety levels

Duration

The procedure typically takes about 45 minutes to an hour.

Setting

The procedure is usually performed in a dental office, outpatient clinic, or surgical center.

Personnel

• Oral or maxillofacial surgeon
• Surgical nurse
• Anesthesiologist (if general anesthesia is used)

Risks and Complications

Common Risks:

• Swelling and bruising
• Pain and discomfort
• Infection at the extraction site
• Dry socket

Rare Complications:

• Damage to nearby teeth or nerves
• Sinus complications
• Prolonged bleeding
• Delayed healing

Benefits

Expected Benefits:

• Relief from pain and infection
• Improved oral health
• Prevention of complex dental issues

Timeframe:

Benefits are usually realized within a few days to weeks post-procedure as the site starts to heal.

Recovery

Post-Procedure Care and Instructions:

• Apply ice packs to reduce swelling
• Take prescribed pain relief and antibiotics
• Soft diet for a few days
• Avoid strenuous activities and smoking
• Follow-up visit as advised

Expected Recovery Time:

• Initial recovery within a week
• Full recovery in a few weeks

Alternatives

Treatment Options:

• Watchful waiting or monitoring (if no immediate symptoms)
• Less invasive dental procedures (if applicable)
• Medication to manage pain and infection

Pros and Cons:

• Alternatives may delay relief and resolution.
• Surgery provides a definitive solution but involves short-term risks and discomfort.

Patient Experience

During the Procedure:

• If under local anesthesia, awareness of pressure but no pain.
• Under sedation or general anesthesia, the patient will sleep through it.

After the Procedure:

• Swelling, soreness, and mild to moderate pain.
• Prescribed painkillers and home care measures can manage discomfort.
• Gradual improvement in symptoms and healing over a few days to weeks.