Residual Tooth Fragments After Wisdom Tooth Extraction: What to Do?

After the extraction of an impacted tooth, there may be residual tooth fragments?

Hello Doctor: Ten days ago, I had my upper right wisdom tooth extracted (the tooth was completely removed and I took it home).
This week, I returned for a follow-up appointment to have the stitches removed (the wound still has slight bleeding).
After returning home, I inadvertently licked the area with my tongue and felt a small piece of tooth debris.
To confirm, I used my phone's flashlight to look in the mirror, but my view was obstructed.
After cleaning my fingers, I tried to touch the small tooth fragment at the wound (it didn't hurt).
I confirmed it was a hard piece of tooth debris, and it wobbled when I moved it, with the root still attached to the gum.
Is this tooth fragment a part of the extracted wisdom tooth? Do I need to return for further treatment, or will it fall off naturally? I thought the doctor should have seen it during the stitch removal.
Thank you.

binghuan, 40~49 year old female. Ask Date: 2018/06/22

Dr. Huang Tingfang reply Dentistry

Dear Patient,
Hello! Based on what you described (the tooth was completely extracted and taken home), it should not be a tooth unless it was a cut tooth.
It could possibly be bone, so it is important to consult a dentist for assistance.
Please communicate more with your physician.
Thank you! Wishing you safety and health!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry

Reply Date: 2018/06/22

More Info

After wisdom tooth extraction, it is not uncommon for patients to experience concerns about residual tooth fragments or bone fragments at the extraction site. Based on your description, it seems that you have noticed a small, hard fragment that feels like a piece of tooth and is still attached to the gum tissue. This situation can be concerning, and it's important to address it properly.

Firstly, it’s essential to understand that during the extraction of a wisdom tooth, especially if it is impacted or has complex roots, there can be small fragments of tooth or bone that may not be completely removed. These fragments can sometimes remain embedded in the gum tissue. In many cases, the body can naturally expel these fragments over time as the healing process continues. However, if the fragment is still attached and moving, it may indicate that it is not going to dislodge on its own and could potentially lead to complications such as infection or delayed healing.

Given that you have already had your stitches removed and are still experiencing slight bleeding, it is advisable to return to your dentist or oral surgeon for a follow-up evaluation. They will be able to assess the site more thoroughly, possibly using imaging techniques like X-rays to determine if any fragments are present and if they need to be removed. It is crucial to ensure that the extraction site is healing properly and that there are no signs of infection, such as increased pain, swelling, or discharge.

In terms of what you can do in the meantime, it is important to maintain good oral hygiene to prevent any potential infection. Gently rinsing your mouth with warm salt water can help keep the area clean and promote healing. However, avoid vigorous rinsing or poking at the site with your fingers or tongue, as this could irritate the area further.

If you notice any signs of infection, such as increased pain, swelling, fever, or pus, seek immediate medical attention. Infections can complicate the healing process and may require additional treatment, such as antibiotics.

In summary, while it is possible for small fragments to be expelled naturally, if you feel a hard fragment that is still attached to the gum, it is best to consult your dentist. They can provide a thorough examination and determine the best course of action to ensure proper healing and prevent any complications. Your health and comfort should always be the priority, so don’t hesitate to seek professional advice.

Similar Q&A

After Wisdom Tooth Extraction: What to Do About Exposed Bone Fragments?

Doctor, I had my upper left wisdom tooth extracted about a month ago, and since then, there has been a hard piece on my gum that keeps irritating my cheek. During my follow-up visit today, the doctor said it was a small bone fragment and removed it under anesthesia. After that, I...

Dr. Lin Jiayong reply Dentistry
Hello: It is recommended to observe for 1 to 2 weeks to see if the symptoms improve, as only the physician at the time of treatment knows the most appropriate course of action. Currently, what you can do is to wait for the wound to heal.

Understanding Post-Tooth Extraction: What to Do About Leftover Fragments

Hello, Doctor: I had my upper left first premolar extracted yesterday because it had decayed down to the root. It felt like the doctor had to drill, scrape, and apply pressure to break the tooth into pieces before removing it. Today, an X-ray revealed a small fragment, which I’m ...

Dr. Zhuang Suhui reply Dentistry
Hello: Your situation sounds more complex, and I recommend that you visit a hospital for an in-person examination to receive an accurate response.

Understanding Bone Fragments After Tooth Extraction: What You Need to Know

Hello, doctor. A month ago, I had a molar extracted. On the day of the extraction, when I got home, I noticed that besides blood, there was some white material in the socket that seemed to float with the blood. I initially thought it might be tooth fragments since the dentist had...

Dr. Lin Jiayong reply Dentistry
Hello: It is advisable for you to focus on your own condition rather than comparing yourself to examples found online. The healing process of a wound is quite complex and cannot be generalized. 1. Ensure that the extraction site is clean; it is best to have an X-ray as evidence. ...

Dealing with Painful Loose Tooth After Wisdom Tooth Extraction

Hello, Doctor. About six months ago, I had my horizontally impacted wisdom tooth removed from the lower left side. Recently, the adjacent molar has become quite loose and very painful. The dentist said it needs to be extracted and replaced with an implant. Is there no other optio...

Dr. Zeng Guanghui reply Dentistry
The above situation is likely a periodontal tissue infection. If the bone destruction around the gums is not severe, periodontal treatment can be initiated to see if the tooth can be saved. However, if there is significant periodontal destruction, extraction may be necessary, fol...