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Surgical removal of residual tooth roots

Surgical removal of residual tooth roots

PMH, Meds, and Allergies reviewed.
Risks and benefits of procedure reviewed.
Consent read, signed, and understood.

Patient was prepped and draped in a normal oral surgical manner. _____ Carpules of Xylocaine 2% with 1:100,000 Epi. / Carbocaine 3% plain / Marcaine 0.5% with 1:200,000 Epi. was / were used to anesthetize the Right / Left PSA MSA IAN Long Buccal Lingual Greater Palatine Nasopalatine Nerve / Nerves.

A periosteal elevator was used to separate the gingiva from the tooth roots. A small full thickness mucoperiosteal flap was raised. The residual roots were removed using a combination of curved and straight elevators / root picks. The extraction site was inspected and all granulation and or infected tissue was removed. The bone edges were smoothed with a bone file, the wound was irrigated with normal saline. All irrigant and debris were suctioned from the wound site and the flap was replaced in its normal anatomic position and held in place with __ (3-0) chromic sutures.  A hemostatic pack was placed.  The patient was given verbal and written post-operative instructions.  There were no intraoperative complications and the patient tolerated the procedure well.  Good hemostasis was obtained and the patient was discharged home.

Follow-up PRN / 1 week.

Prescriptions: None  / Tylenol #3 (# )  / Vicodin 500/5 #  / Percocet #  Pen VK 500mg 1PO q6h x 7 days
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