OMFS Third Molar Consultation

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CC: "I was sent here to get my wisdom teeth out"

HPI: 16F presents to clinic with mother, referred by general dentist for extraction of #1,16,17,32. No complaints.

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PMH: denies

PSH: denies

Meds: denies

Allergies: NKDA

SH: denies tobacco

ROS: good exercise tolerance, no chest pain, shortness of breath, coughing, wheezing, or palpitations

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PE

Gen: Apprehensive

Head: NC AT

Eyes: EOMI b, sclera white

Ears: normal external appearance

Nose: nares patent

Throat: normal oropharyngeal tone, tonsillar pillars symmetric, Mallampati I

Mouth: MIO 40mm, good oral hygiene. Impacted #1,16,17,32

Neck: neck supple, >6cm thyromental distance

Cardiac: RRR

Resp: non-labored breathing on room air, CTAB

Extremities: moves all extremities, warm and well-perfused

Body Habitus: wnl

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Imaging:

CBCT demonstrates impacted #1,16,17,32

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Assessment:

Healthy16F with impacted #1,16,17,32

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Plan:

- extraction of #1, 16, 17, 32

- IV sedation

- NPO and escort discussed

- Consents obtained

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