Mission Failed

Mission: XLa UR6

Possible Difficulties/ Risks:

1. Crown fracture
2. Oroantral communication (OAC)
3. Wrong tooth elevated (UR5 instead of the UR6 due to short single root)
4. Dislocation of Neck
5. Medical emergency - Fainting 

Procedures
1. Glucose drink
2. Administration of LA
3. Luxators application, avoiding UR5
4. Forcep No:94
5. Pray hard...

Shooting Problems:

- Whole lot of amalgam fell out
- Crown fractured
- Root retained

Problem solving:

- HELP !!!!!

Procedures continued by tutor:

- Elevated roots (with loads of patience and time..)

Outcome:

- Roots out!      Yay!!!!

HOWEVER............. it was too early to jump for joy!

A small sinus membrane was caught between the roots, which then means -- possible communication created!


~~~~  @.@ """" ~~~~

so....

Next Aim:
close communication

Procedures involved:
buccal and palatal plate removal, sectioning periosteum.. (kinda wish that it was a 3/4 flap advancement)
Finally... Suture!!

Haemostasis achieved.
Post-Op Instructions - emphasizing NO nose blowing  ( so.. whoever it is... do not tickle the patient's nose!! )

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Summary of the morning:

45 mins extraction
3/4 done by tutor
another shoulder ache


and thank Buddha incident No:3-5 did not happen..


The only achievement = I finally get to see the charm of this Oral Surgeon that many of my colleagues were dying for -- CHRIS!


SOOOooo not fulfilling!!! =(