Unusual Growth After Tooth Extraction: What You Need to Know - Dentistry

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After tooth extraction, it was found that tissue is growing in the gums?


About a month ago, my lower second molar cracked, so the dentist assessed the situation and extracted the tooth.
The recovery has been going well, but in the past couple of days, I noticed something protruding from the inside of the gum at the extraction site (the side facing the tongue).
It looks like a fragment of a tooth, approximately 1mm to 2mm in size.
The edges feel sharp and damaged when touched.
There is usually no pain, but if I apply pressure to it, I experience slight discomfort.
Additionally, it causes some irritation when my tongue brushes against it.
Could this be a fragment of the tooth that was not completely removed during the extraction, or could there be other possible causes? If it is indeed a leftover tooth fragment, is it advisable to let it naturally extrude before removing it?

Xia R, 30~39 year old female. Ask Date: 2020/08/05

Dr. Qiu Qiongyao reply Dentistry


Mr.
Hsia: Hello, I recommend that you return to the outpatient clinic for an examination to investigate the cause and address it.
The Hualien Hospital of the Ministry of Health and Welfare cares about your health.

Reply Date: 2020/08/05

More Info


After a tooth extraction, it's not uncommon to experience unusual growths or sensations in the area where the tooth was removed. In your case, the appearance of a small, sharp-edged fragment in the gum tissue near the extraction site could be due to a few different factors.

Firstly, it is possible that this fragment is a piece of the tooth that was not completely removed during the extraction. Dental extractions, especially for teeth with complex roots or those that are severely decayed, can sometimes leave behind small remnants of the tooth structure. These remnants can become exposed as the gum tissue heals, leading to the sensation you are experiencing.
Another possibility is that what you are feeling is not a tooth fragment but rather a piece of bone or a bony projection known as a "bone spicule." This can occur after an extraction as the bone heals and remodels itself. Bone spicules can feel sharp and may cause discomfort, especially if they irritate the surrounding soft tissue or if they come into contact with your tongue.

In terms of management, if the fragment is indeed a leftover piece of tooth or bone, it is generally advisable to consult your dentist. They can perform an examination, possibly including X-rays, to determine the exact nature of the growth. If it is a tooth fragment, your dentist may recommend its removal, especially if it is causing discomfort or if there is a risk of infection. If it is a bone spicule, your dentist may suggest monitoring it, as many spicules will eventually become smooth and less irritating as the healing process continues.

You mentioned that there is no significant pain unless you manipulate the area, which is a good sign. However, any persistent discomfort or changes in the area should be evaluated by a dental professional. They can provide guidance on whether the fragment should be left to resolve on its own or if intervention is necessary.

In the meantime, maintaining good oral hygiene is crucial. Gently brushing the area and rinsing with warm salt water can help keep the site clean and reduce the risk of infection. Avoiding hard or crunchy foods that might irritate the area is also advisable.

In summary, the growth you are experiencing could be a remnant of the tooth or a bone spicule. It is best to consult your dentist for a thorough evaluation to determine the appropriate course of action. Regular follow-ups after dental procedures are essential to ensure proper healing and to address any complications that may arise.

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