Name of the Procedure:

Surgical Removal of Residual Tooth Roots (Cutting Procedure)

Common names: Tooth root extraction, dental root removal.

Technical/Medical term: D7250.

Summary

The surgical removal of residual tooth roots involves extracting the remaining root of a tooth that has been partially or completely fractured or otherwise left in the jawbone. This procedure ensures that the area is clear of any potential sources of infection or other dental issues.

Purpose

Medical Conditions or Problems It Addresses:

• Broken or fractured tooth roots.
• Residual roots after incomplete tooth extraction.
• Infected or decayed tooth roots.
• Preparation for dentures, implants, or other dental prosthetics.

Goals or Expected Outcomes:

• Elimination of infection and pain.
• Prevention of further dental or oral health issues.
• Preparation for future dental procedures.

Indications

Specific Symptoms or Conditions:

• Persistent pain or discomfort in the jaw.
• Visible or radiographic evidence of residual tooth roots.
• Infection or abscess associated with the remnant root.
• Difficulty in chewing or oral functionality.

Patient Criteria:

• Patients with dental fractures or incomplete extractions.
• Patients with chronic infections related to the residual root.
• Those preparing for prosthetic fitting.

Preparation

Pre-procedure Instructions:

• Fasting for a specified period if general anesthesia is used.
• Adjustment or pause in certain medications as advised by the healthcare provider.
• Pre-procedure blood tests or imaging, such as X-rays, to assess the root location and condition.

Procedure Description

Step-by-Step Explanation:

1. Anesthesia: Local anesthesia to numb the area or general anesthesia if needed.
2. Incision: A small incision is made in the gum to expose the tooth root.
3. Bone Removal: If necessary, a small amount of surrounding bone is removed to access the root.
4. Extraction: The tooth root is carefully cut and removed with special dental tools.
5. Closure: The incision is closed with stitches, if required.

Tools, Equipment, or Technology:

• Dental elevators and forceps.
• Surgical scalpels and bone drills.
• Sutures for closing the incision.

Anesthesia or Sedation:

• Local anesthesia is common.
• General anesthesia may be used for complex cases or patient comfort.

Duration

The procedure typically takes about 30 to 60 minutes, depending on the complexity and number of roots to be removed.

Setting

• Outpatient dental clinic.
• Hospital dental department.
• Surgical center specializing in oral procedures.

Personnel

• Oral surgeon or dental surgeon.
• Dental assistant or nurse.
• Anesthesiologist (if general anesthesia is used).

Risks and Complications

Common Risks:

• Pain and swelling post-procedure.
• Bleeding at the extraction site.
• Infection.
• Bruising.

Rare Risks:

• Nerve damage causing numbness.
• Bone fractures.
• Prolonged bleeding.
• Adverse reaction to anesthesia.

Management:

• Pain medication and antibiotics as needed.
• Regular follow-ups to monitor healing.
• Immediate medical attention for serious complications.

Benefits

Expected Benefits:

• Relief from pain and infection.
• Prevention of future dental issues.
• Smooth transition to prosthetic fittings or other dental corrections.

Realization Timeframe:

Benefits are generally realized soon after recovery, typically within a few weeks.

Recovery

Post-Procedure Care:

• Take prescribed pain medication.
• Apply ice packs to reduce swelling.
• Soft diet for a few days.
• Maintain oral hygiene with gentle rinsing.

Expected Recovery Time:

• Initial recovery within a few days.
• Complete healing may take 1-2 weeks.

Restrictions and Follow-Up:

• Avoid strenuous activities for a few days.
• Follow up with the dentist for suture removal and healing assessment.

Alternatives

Other Treatment Options:

• Non-surgical root canal treatment.
• Monitoring if the root isn't causing problems.

Pros and Cons of Alternatives:

• Non-surgical treatments involve less recovery time but may not fully resolve the issue.
• Monitoring may delay treatment of underlying problems.

Patient Experience

During the Procedure:

• Minimal discomfort due to anesthesia.
• Mild pressure sensations.

After the Procedure:

• Some pain and swelling managed by medication.
• Temporary dietary adjustments.
• Gradual return to normal activities within a week.

Pain Management:

• Prescription pain relief.
• Over-the-counter options like ibuprofen.
• Cold compresses for swelling.