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Medical Forum / General / Dentistry / November 2005bone slivers poking out after extraction...
As I mentioned in previous posts I had #18 extracted about 4 weeks ago. It finally quit hurting about a week ago; actually it hurt a little less each week, but was still a bit sensitive in the area of the extraction. But then, 3 days ago it started hurting a bit as if I'd jammed a chip into it or something. But then I noticed there was a sliver of bone sticking through the inside of my gum at the place where the extraction was. Went to the oral surgeon today and he said that this is fairly common, and sometimes these things work themselves out, but if not, then when the bone pokes through enough, at that time, he'll yank it out, but right now it isn't ready to be yanked. Unfortunately I was so relieved that it was apparently "no big deal", I did not ask more questions. So now my questions are: What exactly is happening to cause this/these bone slivers to come through the gum? How common is it, really? He gave me some antibiotic moutwash and told me to apply it with gauze to the area every 4 hours until the bone works its way out. Please explain all this to me and give me any advice you may have for me about it. Like, where is this bone coming from and why and how? > As I mentioned in previous posts I had #18 extracted about 4 weeks > ago. [quoted text clipped - 28 lines] > Please explain all this to me and give me any advice you may have for > me about it. Like, where is this bone coming from and why and how? It is indeed very common. Sometimes when a tooth is extracted (probably even more often with infected teeth) sometimes the blood supply to the bony plates surrounding the extracted roots becomes disrupted, either by minor fracture or from tearing of the periosteum. Sometimes it is obvious there are bone fragments, and the surgeon should attempt to clean out the socket of any loose debris--within reason. However, we generally try to retain as much bone as we can, so we tend not to be too aggressive. Anyway, any small bone fragments that lose blood supply eventually die and work their way to the surface. Usually they can be picked out without anesthesia. If it's annoying the surgeon should volunteer to remove it for you. In my office, there would be no fee for this--it's part of routine postop care. Steve  Signature{\rtf1\ansi\ansicpg1252\deff0\deflang1033{\fonttbl{\f0\fswiss\fcharset0 Arial;}} {\*\generator Msftedit 5.41.15.1507;}\viewkind4\uc1\pard\f0\fs20 Remove "nospam" to reply\par } >> As I mentioned in previous posts I had #18 extracted about 4 weeks >> ago. [quoted text clipped - 43 lines] > >Steve Thanks for the reply. I feel better about it now. Just hope it doesn't go on for too long or too many of them. By the way if you've been following my "story" here, I got approval at USC Dental School today; they are going to do 5-6 implants for me for a cost of "around $10k". Of course I can't afford it, but I'm going to do it anyway; it's either pay them $10k or so to do 5-6 implants or pay an oral surgeon in private practice $10k to do 2-3. I have to be able to chew and right now I can't really do that, so ... In the new year I'll be asking implant questions! (-; Oh, one more question about the extraction/bone graft area. How fragile is it? I mean, could I do major damage to it with a chip sticking it the wrong way? or can I be relatively relaxed about trying to eat things like chips? > Thanks for the reply. I feel better about it now. Just hope it doesn't > go on for too long or too many of them. [quoted text clipped - 11 lines] > sticking it the wrong way? or can I be relatively relaxed about trying > to eat things like chips? Obviously you don't want to disturb the area initially. The surgeon will probably try to get primary closure (suture the edges of the soft tissue together), but this isn't always possible. I think most surgeons may be using some kind of membrane to cover the graft, and if the surgeon cannot completely close the wound some of the membrane will show. I would get more detailed instructions from the surgeon, but I think you would wish to be very careful about foods that could cause problems right after the surgery, and for at least the first couple of days. Steve SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 >> Oh, one more question about the extraction/bone graft area. How >> fragile is it? I mean, could I do major damage to it with a chip [quoted text clipped - 11 lines] > >Steve The extraction and graft (which was just the type of pouring some bone into the hole) was done a month ago. So my question is, how long do I need to be very careful about the area? Until I get the implants in? Or will it be "tough enough" after a month or two to withstand things like chips and crackers? With the bone sliver coming out now, obviously I feel I need to be careful with it. >>>Oh, one more question about the extraction/bone graft area. How >>>fragile is it? I mean, could I do major damage to it with a chip [quoted text clipped - 21 lines] > With the bone sliver coming out now, obviously I feel I need to be > careful with it. I couldn't be absolutely certain without seeing it. But you are probably at minimal risk of damage for eating almost anything by now. Steve SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 >> With the bone sliver coming out now, obviously I feel I need to be >> careful with it. [quoted text clipped - 3 lines] > >Steve Thanks. I realize you can't say for certain, but a ball park figure is fine. Sounds good, though I will still be careful at least until these bone sliver(s) have come out. >So now my questions are: > >What exactly is happening to cause this/these bone slivers to come >through the gum? Bone that has lost its vascularity dies and is rejected by the body. >How common is it, really? Very. >He gave me some antibiotic moutwash and told me to apply it with gauze >to the area every 4 hours until the bone works its way out. > >Please explain all this to me and give me any advice you may have for >me about it. Like, where is this bone coming from and why and how? Your surgeon about covered it. The condition is called seqestration and the sliver of bone is called a sequestra. -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com |
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