Sometimes it happens that after the removal of a tooth, a bone sticks out of the gum. In most cases, this does not pose any he alth hazard, however, the fragment does not allow the gum to fully grow or scratches neighboring tissues. In this case, it is necessary to visit the dentist as soon as possible to eliminate the pathological condition.
Reasons
Why does a bone stick out of the gum after tooth extraction? There are several reasons:
- The extracted tooth was destroyed to the ground - most often such destruction occurs as a result of the fact that the person was too delayed with his treatment. As a result, not only the natural tooth crown was destroyed, but also the roots of the tooth already inside the gum. During the extraction process, the specialist might not have noticed that a small particle of the crumbled root remained in the tooth socket. If necessary, the dentist can send the patient for x-rays. This isis done in order to make sure that after extraction there are no tiny fragments left inside the gums. Why does a bone stick out of the gum after a tooth is removed?
- Poorly performed molar tooth extraction, in which the remaining bone cannot always be detected immediately, since the first time after the intervention, the gums can hurt and become inflamed. And only after some time people notice that the healing process is very slow, after the tooth is pulled out, and the bone sticks out of the gum.
- Exposure of the jaw bone, which manifests itself after the surface of the wound has healed. The bone can be exposed for several reasons: an intervention was made that negatively affected the mucous membrane and deformed the gum, the bone shifted due to an incorrectly performed tooth extraction, or the person suffered a jaw injury, as a result of which the bone was displaced.
It happens that after a tooth is removed, a bone sticks out of the gum, but this does not bother the patient, or it is felt only while chewing food, but this does not mean that you can do without medical help. Exostosis is a growth (several growths), a gradually growing tubercle on the jawbone, which occurs as a result of a complication after tooth extraction with damage to dental tissues. In advanced cases, such a formation can transform into a malignant tumor. With the development of exostosis, timely treatment is very important. The growth may have a bizarre mushroom shape.
Section of the alveolar process
In some cases, during the extraction of a tooth, the dentist may also remove a portion of the alveolar process. In the future, the process of deformation of the gums may begin at this place, which entails the exposure of bone tissue. This, as a rule, gives the patient considerable discomfort and causes pain when the jaws are closed. It is possible to eliminate such a defect only with the help of a special plastic surgery.
A rather unpleasant sight when a bone sticks out after a tooth has been removed. For ethical reasons, the photo was not included in the article.
Defect elimination methods
If the patient's worries turned out to be not groundless and the dentist discovered that a part of the bone is visualized in the tooth socket, then the patient is prescribed the following procedures:
- If an inflammatory process has begun around the bone fragment, then the tooth particle is removed, and the inflammation is treated with medication. The patient is prescribed anti-inflammatory drugs inside, sanitation of the oral cavity and treatment of the gums with special ointments. The dentist teaches the patient the correct way to brush their teeth and gives some advice on caring for the gums.
- Sewing. It often happens that a person mistakenly believes that a fragment of a tooth has remained in the hole, but in fact a jawbone is visible in this area. The specialist may suggest that the patient wait until the bone tissue is covered with gums, or grind the cutting edges. The turning procedure is carried out in several stages: anesthesia is injected into the gum, an incision is made in the area of the upcoming interventionmucous membrane, then cutting is carried out using a drill or laser. At the end of the procedure, the dentist puts stitches on the gum. If a bone sticks out after a tooth extraction, what else to do in this case? You can use the following method.
- Deletion. If, after extraction, the periosteum sticks out of the gums and is located very close to the surface, then the doctor is painless for the patient and quickly removes it with the help of special tools. In the event that the fragment is located deep in the gum tissue, the doctor removes it by making a small incision. Surgical treatment is carried out using local anesthesia.
What should I do if the bone sticks out after the removal of a wisdom tooth?
Many people know that wisdom teeth are located in the far part of the oral cavity and have massive and deep roots, which often disrupts the process of their removal and calls for a variety of complications. One of which is the partial removal of a wisdom tooth, as a result of which the patient feels the bone sticking out in the gum. The bone injures the base of the tongue, the oral mucosa and causes discomfort.
In these teeth, this phenomenon is observed most often, due to their location and the inconvenience of carrying out manipulations to remove. The roots are at great depth, so the doctor makes a significant effort to remove it.
If the tooth is destroyed, it is removed in parts, the fragments may remain unnoticed in the gum. It is sometimes not possible to determine their presence through visual inspection,Therefore, patients are prescribed x-rays. The pictures clearly show the remaining bone in the gum. It is removed with a deep occurrence by means of an incision, with a superficial one - in the usual way.
In the first time after the removal of the eighth teeth (wisdom) in the gums, bone tissue may be felt or some kind of seal may occur. In most cases, this is a completely natural reaction of the body to surgery. However, to exclude the possibility of an inflammatory process, you should visit a doctor.
Types of neoplasms
Pathological neoplasms that develop after the removal of a wisdom tooth are divided into two types:
- Non-infectious - formed as a result of prolonged use of medications or trauma to the jaw with crowns or poor-quality implants.
- Infectious, which occur as a result of insufficient oral care and infection in the wound.
Therapeutic measures can be very diverse and depend on the area in which such a seal or a fragment of the tooth is localized and what type it belongs to.
Is it dangerous if a bone sticks out after a tooth extraction?
What is the risk?
If, after tooth extraction, swelling remains on the gum after a few hours and the wound healing process does not drag on, this may indicate that part of the tooth remains in the gum. The feeling of soreness with proper removal can persist forfor several days. The wound heals completely in about four weeks. However, if the patient feels pain for more than a week, there is swelling on the gum and notices a protruding sharp edge of the bone, only a dentist can help avoid the development of further complications.
The fact that the jawbone sticks out after the extraction of a tooth may not be immediately noticeable. It scratches the tongue or is noted during visual inspection. The patient may not feel the fragment with his tongue and hands, but he has severe and prolonged pain, which is accompanied by a pronounced inflammatory process in the tissues: the gum becomes purple or bright crimson, swells. This is how an abscess is formed - inflammation, which is characterized by the development of suppuration. At the same time, a specific smell from the mouth is felt, pus may be released from the gums around the hole.
Without the help of a qualified specialist, at best, the abscess will burst and its contents will come out into the oral cavity. However, it should be remembered that such a pathological process can lead to extensive damage to nearby tissues (cellulitis) or blood poisoning. These diseases develop very quickly and can even cause death.
Swollen lymph nodes
The fact that a tooth is pulled out and a bone sticks out can cause an increase in lymph nodes. This happens when an infection has entered the tooth socket. Its spread and the further development of inflammation cause a natural reaction of the lymphatic system: the lymph nodes under the jaw become inflamed,then the process moves to the cervical zone. The pathology is called cervical lymphadenitis and manifests itself as acute pain, high fever, severe headaches.
Cyst
When the inflammation of the tooth socket when the bone is exposed is not given the necessary attention and it lasts for a long time, the body begins to eliminate the source of infection on its own. Thus, a radicular cyst develops: the inflamed area is separated from the connective tissue by a capsule, in which pus gradually forms. Sometimes the removal of such formations helps to avoid even such a serious complication as facial deformity.
The cyst is well visualized on the x-ray and requires prompt removal. The growth of this formation makes the jawbone very fragile and prone to fractures, and the process of suppuration can lead to osteomyelitis of the jaw or the formation of a fistula.
Alveolitis
If a fragment of a tooth remains in the hole and the process of inflammation of its walls develops, alveolitis occurs, the cause of which is the traumatic effect of the fragment.
Signs of the development of the disease are:
- prolonged pain at the site of removal;
- feeling of discomfort when opening the mouth and while eating;
- temperature increase;
- pronounced inflammation, swelling of the gums;
- headaches.
How dangerous is self-treatment?
Patients often ask if the bone can stick out after a tooth extraction. Cases when a person believes that a fragment from a toothwells can be extracted independently, quite often. Unsuccessful removal attempts can lead to the development of inflammation. Moreover, the bone is not always removed in this way, and a person can damage the mucous membrane or injure the gum, which is often the cause of bleeding. You should not delay a visit to the doctor if a bone sticks out of the gum after tooth extraction, and even more so if this phenomenon provokes inflammation. It begins to progress rapidly and capture neighboring tissues. A qualified solution to such a problem is painless for the patient and as quickly as possible.
Conclusions
Such a pathology can be quite harmless, and can be hazardous to he alth, especially in case of deep occurrence. This significantly increases the likelihood that nerve fibers will be damaged, for example, if the patient tries to remove the fragment with his own hands. When bone sticks out after tooth extraction, you should contact your doctor as soon as possible to remove the source of the problem.
