In the February issue of BDJ Team, Zahra Yasen described the range of procedures carried out and patients treated in a hospital oral surgery department: https://go.nature.com/3q9GYu1. This month we present a photo gallery of the treatments described.

Apicectomy 1

Figure 1 is a pre-operative photograph of 12 with associated chronic apical abscess.

Fig. 1
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©Raghu Raman Mani

Apicectomy 1

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Apicectomy 2

Figure 2 shows incisions made to raise a two-sided mucoperiosteal flap.

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Apicectomy 2

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Apicectomy 3

In Figure 3 the flap is raised, exposing the bony defect where infection is present at the base of the 12 root.

Fig. 3
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Apicectomy 3

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Apicectomy 4

The bony cavity has been cleared of infection in Figure 4, and the end of the root located and removed, prior to MTA placement.

Fig. 4
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Apicectomy 4

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Surgical Removal 1

A pre-operative photograph of a horizontally impacted 38 (Fig. 5).

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Surgical Removal 1

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Surgical Removal 2

A mucoperiosteal flap is raised to expose 38 and buccal bone cleared with a drill (Fig. 6).

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Surgical Removal 2

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Surgical Removal 3

In Figure 7 38 is sectioned with drill, ready to split the tooth in half.

Fig. 7
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Surgical Removal 3

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Surgical Removal 4

38 is removed in two pieces (Fig. 8).

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Surgical Removal 4

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Surgical Removal 5

Figure 9 is a post-operative photograph. The flap has been repositioned and the socket closed over with sutures.

Fig. 9
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Surgical Removal 5

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With thanks to Zahra and to Raghu Raman Mani, Clinical Lead, Consultant Oral Surgeon and Honorary Senior Clinical Lecturer at UCLan, Royal Albert Edward Infirmary.