Composite Odontoma with Upper Canine Impaction

Abstract

After clinical and radiographic analysis, oral surgery is performed under local anesthesia. Asepsis and antisepsis are performed, 2% lidocaine type local anesthesia is used with 1: 80,000 epinephrine (2 cartridges, 1.8ml each), using a local infiltrative technique in the fundus of the vestibule and in the palatal mucosa of the area to be intervened until the removal of painful driving; Afterwards, a trapezoidal hanging is performed, with mesial and distal discharge and surcular incision, lifting of the full thickness flap, extraction of tooth 24, complete removal of the composite type odontoma that prevented correct eruption of tooth 23. Inspection of the socket and surgical bed, washed with 9% sodium chloride saline solution. A button is placed on tooth 23 for orthodontic traction and the patient is tied in the fixed orthodontic arch. Finally, tissue repositioning is performed in the initial position with a single stitch suture technique (3/0 silk). Haemostasis is performed by compression with gauze, postoperative care and medication are indicated with:

- Amoxicillin 500mg tablets # 21. Oral route 1 every 8 hours for 7 days
- Meloxicam 15mg tablets # 4. Oral route 1 every day for 4 days
- Acetaminophen 1gr tablets # 12. Oral route 1 every 8 hours for 4 days