The area may be tender to touch. If so, the root tip may be pushed beyond the tooths socket and into an adjacent anatomical space (like the patients sinus area). Ahel V, et al. Dear , It is possible for bone spicules to work their way out of the gum at any time. You mention an oral surgeon performed the treatment. If the observed spicule is less than 4 mm, the option of whether to remove it or not lies in the clinical knowledge of the dentist. Sleep Apnea And Eye Problems: What You Need To Know, 13 Sleep Apnea Risk Factors You Should Know, Redness and slight swelling around the bone fragment. The surface of roots is generally rounded and smooth. And if not noticed, it will stay behind even after flushing out the wound. Doing so can make it easier to get out. Since the wound that remains after removing a small fragment will primarily lie within the thickness of your gum tissue, once its gone you can expect healing and pain reduction to progress rapidly, with complete healing occurring within 7 to 10 days. If they dont survive, they will become bone sequestra. There is no known cause (etiology) of bone growing out of gums, the mouth's roof, or under the tongue. These spicules usually emerge in the first two weeks following the extraction procedure. Theyll limit the degree to which they continue to wrestle the tooth back and forth during the extraction process. You are using an out of date browser. If bone or tooth fragments are the cause of discomfort, you may be told to not wear your dentures for a while to let the fragments finish working themselves out. For most patients, these sequestra begin to appear in the weeks following their tooth extraction. The sharpness or irritation that your tongue feels and interprets as being caused by something large may in reality be caused by an object so small that its difficult to visualize. Despite that seemingly low number (the highest incidence rate reported for a specific complication by this study was 4.2%), sequestra formation is certainly a known complication. The most popular causes of dental bone spicules are due to tooth extraction. Swelling, tenderness, or pain in the affected area. Your dentist may feel its necessary to evaluate your tooths socket by way of taking a radiograph. These shards may not surface for months (or even years later, if at all) following your surgery. The body gets rid of such bone fragments post tooth extraction, dental implant surgery, or oral biopsy. You may see a small, pinprick of bone, surrounded by reddish and possibly slightly swollen tissue. General dentists sometimes get involved in performing extractions beyond their skill level, one wouldnt think that applies in your case. They can double check that everything you are experiencing seems within normal limits, and that all of the proper ground work about your jawbone (general shape, contours, etc) are appropriate for future denture construction. Retained parts of bone and teeth under dentures can result in discomfort weeks, months, even years after your extraction. Some tooth fragments, especially root tips, may prove to be an exception to the above general rule. A study by Sigron placed the incidence rate of sequestra formation (bone fragments) following the surgical removal of lower wisdom teeth at 0.32% of cases.

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