During late teens to our young adult age, we may face new health issues but wisdom tooth is most noticeable. Owing to difficulty brushing, wisdom tooth becomes seat of infection resulting in pain, swelling, bad odour. Obviously, We visit Dentist to get an appointment to remove this issue. Finally, we get the wisdom tooth extracted on the appointment day and we relax. But, we start noticing white bone like fragments over the gums. Is the appearance of bone spicule undesirable. How to manage this condition.

Bone spur after wisdom tooth extraction

Bony spicules are tiny fragments of bone that are felt across the ridges of jaw bone on the gums. They are like bone spurs on other areas of body. They are sharp and look like a gum swelling. Though not uncommon, bony spicules can be seen after wisdom tooth extraction at the extraction site.

Wisdom tooth removal may have some complications. We are told to follow Post-op wisdom tooth removal instructions to minimise complications.

Bone spicule after wisdom tooth extraction may be formed after a week of wisdom tooth extraction or some oral surgical procedure.

How to identify bony spicules

Bony spicules are seen at the extraction site after extraction is done.

They may appear as white (exposed bone like).

They may also beneath the gum tissues appearing as a small swelling of gums.


What can we do 

if the bone spicules are painful, we can take pain relievers or we can apply oral gels which minimize the pain.

Salt water gargles also help in dislodging the loose spicules from mouth.


Treatment of bony spicules

Usually, Bony spicules don’t need any treatments. They usually resolve by themselves as body discards them. It may take few weeks to remove them. In some instances, the bony spicules persist and seem to bother you. In such conditions, it is recommended to consult a Dentist.


Self removal :

Self removal of bony spicules is not advised. Self removal with fingers or in home tweezers is not suggested. It may result in infection or disturb a blood clot resulting in dry socket.


Bone spicule removal: Dentist usually treat the bony spicules before placement of implants or if the bony spicules are bothersome for the patient.

They will assess the spicule clinically and radiographically. Clinically, they will see if the spicule is already dislodged or not. While radiographically, they will assess the extent of spicule.

They will remove the spicule and may advise pain relievers.

So, bony spicules, usually, are harmless. They may appear after tooth extraction. Nevertheless, if you are in need of any follow-up treatments at that site, then the dentist will decide whether to leave it or remove it.

 

 


Srinivas, Baratam et al. “Wound Healing and Bone Regeneration in Postextraction Sockets with and without Platelet-rich Fibrin.” Annals of maxillofacial surgery vol. 8,1 (2018): 28-34. doi:10.4103/ams.ams_153_17

Goldberg, M H et al. “Complications after mandibular third molar surgery: a statistical analysis of 500 consecutive procedures in private practice.Journal of the American Dental Association (1939) vol. 111,2 (1985): 277-9. doi:10.14219/jada.archive.1985.0098