3rd Molar Impaction

Age/Sex : - 25 / F Chief Complain : Patient c/o severe pain , swelling of lower right back region of jaw, and generalized sensitivity . O/E : Mild attrition, abrasion seen... Mild horizontal bone loss... Patient is unable to open mouth properly due to excruciating pain attack R/F : 18 vertically impacted ; 28 vertically impacted ; 38 misioangularly impacted and 48 misioangularly impacted Med. History: Pt is on hypothyridism medications ( ...Eltroxin). I suggested .... tab.Chymoral AP b.i.d , pc ; Augmentin 625 mg t.i.d , pc Pan 40 morning empty stomach Thermoseal toothpaste(along with soft brush) [all medications for 5days] patient informed...got symptomatically relief Any valuable Suggestions w.r.t tooth 48 is applicable... I am bit confused for inf.alveo.nerve proximity to this tooth (deflection/narrowing/... ...) , to derive a conclusion for any extarction of the same! Oral pic I shall be able to upload in next consecutive appointments!

(Edited)

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You can go for extraction of 48 But inform about the patient about chances of parasthesia which will subside on its own And prescribe tab.neurobion forte before and after treatment

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Go for extraction of lower right molar and chances of paresthesia may be so prescribe nervijen p after extraction

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Agree wirh Dr Atul Goyal but would like to add dont trouble trouble till trouble troubles u.

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Extraction of 38 & 48 simultaneously

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Congratulations! Your case has been selected as Case of the day and you have been awarded 5 points for sharing the case. Keep posting your interesting cases, Happy Curofying!

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