Case Presentations

Dr. Hokhold has encountered many cases which would be considered ‘out of the ordinary’ and not simply the standard tooth extraction.  Careful planning and attention to detail is provided in all surgery cases performed in our office.  Dr. Hokhold is experienced in any surgical case ranging from simple to the very complex.

In the panoramic xray below, this patient presented to our office with 6 wisdom teeth to be removed.

In the panoramic xray below, this patient was referred to our office for a full upper and lower clearance.  Upon presenting to our office, the patient reported symptoms of soreness within the nasal passage along with a nasal discharge.  In viewing the xray, there was a definite nasal perforation from the implant and subsequent infection which required a bone augmentation to follow. 

In the panoramic xray below, this patient was referred to our office to further investigate a cyst developing on the backside of the last tooth on the lower left side.  The referring dentist requested a larger xray as well in order to see the depth of the cystic area.  Upon our consultation, an extensive cyst had damaged a significant amount of jaw bone to the point of just being a thin shell to remain.  The patient reported no symptoms as a result of the cyst which could possibly indicate that it had been slow growing over months, even years.  This surgery required extremely cautious removal of the associated wisdom tooth as to not torque the jaw which could ultimately fracture very rapidly.  A bone augmentation was performed to fill in the cystic area.

In the xray below, the lower wisdom teeth are clearly impacted deep into the jawbone.  The roots of the impacted teeth are definitely involved with the nerve which could potentially lead to a temporary or permanent numbness associated with the nerve if not carefully addressed.  For this particular case, we recommended a CT scan to provide a roadmap of where the nerve lies in and around the roots so the tooth can be carefully ‘walked’ out without disturbing the nerve. 

In the xray below, the upper wisdom teeth are quite high up into the maxillary bone, the right being a palatal impaction and the left more of a horizontal impaction.  The upper right wisdom tooth, 18, proved to be more challenging due to it’s positioning.