Bone spurs (sometimes referred to as “bone spicules”) are a relatively common occurrence after tooth extraction procedures. While this might sound concerning, it is actually a fairly normal part of the healing process, especially following surgical extractions or the removal of multiple teeth.
This article aims to provide insight into what bone spurs are, how to identify them, and the appropriate steps to take if you experience this post-extraction issue.
Quick Answer: I Have a Bone Spur After a Tooth Extraction — Now What?!
If you discover a bone spur after a tooth extraction, don't panic.
Small bone spurs are common, especially after surgical extractions.
In many cases, they work their way out naturally.
You can manage minor discomfort with saltwater rinses and over-the-counter pain relievers.
If the spur is causing significant discomfort, doesn't resolve on its own, or interferes with dentures, visit your dentist. They can safely remove it, often with local anesthesia.
Understanding Bone Spurs Post-Extraction
Bone spurs (“spicules”) are small fragments of bone that may become apparent after a tooth extraction. They occur as a result of the body's natural healing process.
During a tooth extraction, especially in cases of surgical removal or when multiple teeth are extracted, the bone surrounding the tooth socket can be disturbed or reshaped.
As the gum heals, these tiny bone fragments, which were previously integrated into the structure of the jawbone, can detach and become noticeable.
Identifying a Bone Spur
Patients typically notice a bone spur as a small, hard fragment in the gum area where the tooth was extracted.
It can be felt with the tongue or finger and may be slightly sharp or rough. There are two common bone spur scenarios that can occur post-extraction:
Bone Spurs That Break Through the Gum: In some cases, a bone spur works its way through the gum tissue and becomes visible or loose enough to be easily removed.
Embedded Bone Spurs: Alternatively, a bone spur may not fully break through the gum. Instead, it remains embedded, causing a rough or sharp area on the gum surface. This type of spur might not be as easily felt or seen but can cause discomfort, especially if it rubs against the tongue, cheek, or a dental appliance like a denture.
When Bone Spurs Resolve on Their Own
In many instances, bone spurs following tooth extraction will resolve themselves without the need for medical intervention. This natural process involves the bone spur gradually working its way through the gum tissue and eventually falling out or becoming loose enough to be removed easily.
During this time, patients can aid their recovery and manage any discomfort with a few simple home care practices:
Saltwater Rinses: Regularly rinsing the mouth with warm salt water can help soothe the gums and keep the area clean, facilitating the healing process.
Over-the-counter Pain Relief: If the bone spur causes discomfort or minor pain, over-the-counter pain relievers like ibuprofen or acetaminophen can be used as directed to manage symptoms.
It's important to monitor the progress of a bone spur during this period. If it seems to be resolving and is not causing significant discomfort, continued observation and basic home care are often sufficient.
When to See a Dentist
There are scenarios where it's advisable to consult a dentist for a bone spur that develops after tooth extraction:
Persistent Discomfort or Pain: If the bone spur causes ongoing discomfort or pain that is not alleviated by home care measures, it's wise to seek dental advice.
Spur Not Resolving: If the bone spur doesn't seem to be resolving on its own, or if it remains firmly embedded and causes irritation, a visit to the dentist is necessary.
During a dental visit, the dentist can assess the bone spur and determine the best course of action.
In many cases, the removal of a bone spur is a simple and quick procedure that can be performed under local anesthesia. The dentist will gently remove the spur, ensuring minimal discomfort and facilitating smoother healing of the gum tissue.
Home Care & Management
Proper home care is essential for managing minor discomfort associated with bone spurs after tooth extraction. Here are some tips to help you cope with the condition at home:
Maintain Good Oral Hygiene: Keeping the extraction site clean is crucial. Avoid disturbing the area and consider using a salt water rinse or antiseptic mouthwash to prevent infection.
Soft Diet Recommendations: To avoid aggravating the area, stick to a soft diet. Foods like yogurt, applesauce, and mashed potatoes are gentle on the gums and won't disturb the bone spur.
Avoid DIY Removal: If a bone spur is firmly embedded, resist the temptation to remove it yourself. Improper removal can cause further damage, infection, or bleeding. It's best to leave this to dental professionals.
Cold Compresses: Applying a cold compress to the outside of the cheek can help reduce swelling and provide relief from discomfort.
Potential Complications
If bone spurs are not properly managed, they can lead to potential complications:
Irritation to Surrounding Areas: An untreated bone spur can continuously irritate the inside of the mouth, leading to discomfort, swelling, or even ulceration in surrounding gum tissue.
Interference with Dental Work: For patients who wear dentures or are planning restorative dental work, a bone spur can cause a poor fit or discomfort. It's important to address the spur to ensure proper fitting of dental appliances.
Infection Risk: In rare cases, an untreated bone spur can increase the risk of infection, especially if it causes continuous irritation or injury to the gum tissue.
Preventive Measures and Follow-Up Care
Taking preventive measures and attending follow-up care appointments are crucial steps to minimize the occurrence of bone spurs after tooth extraction:
Preventive Measures
Choose an experienced dentist or oral surgeon for the extraction to ensure precise and careful removal of the tooth.
Follow all post-extraction care instructions provided by your dentist, including oral hygiene practices and dietary recommendations.
Importance of Follow-Up Appointments:
Schedule and attend follow-up appointments as recommended by your dentist. These appointments allow the dentist to monitor the healing process and identify any issues, such as the development of bone spurs.
If you suspect a bone spur or experience discomfort, don't wait for a scheduled appointment — contact your dentist promptly for an evaluation.
Final Thoughts
Bone spurs after a tooth extraction are a common but manageable occurrence. Understanding how to identify them, when to seek professional help, and how to care for them at home is essential.
Remember, bone spurs that cause significant discomfort or don't resolve on their own should be evaluated by a dental professional.
Timely intervention and proper management can prevent complications and ensure a smooth recovery. Always consult with your dentist for the best course of action and follow their guidance for post-extraction care.
FAQs
Do bone spurs go away after tooth extraction?
Yes, bone spurs often resolve on their own after a tooth extraction. They may naturally work their way out of the gums over time.
How long does it take for a bone spicule to come out?
The time it takes for a bone spicule to come out can vary. It might take a few days to several weeks, depending on the individual's healing process. In many instances, the spicule will remain embedded in the gums and never fully come out without intervention.
How do you get rid of bone fragments after tooth extraction?
Small bone fragments often resolve naturally. If they cause discomfort or don't come out on their own, a dentist can safely remove them, often with local anesthesia.
What is the bony lump on my gums after tooth extraction?
The bony lump on the gums after tooth extraction could be a bone spur or spicule. It's a small, hard fragment that sometimes becomes noticeable after the extraction site starts healing. As long as you aren’t having pain or discomfort, there is no need to worry about these lumps.
Are dental bone spurs serious?
Dental bone spurs are usually not serious and often resolve on their own. However, if they cause discomfort or interfere with dental work, they should be evaluated by a dentist.
How do oral surgeons remove bone spurs?
Oral surgeons can remove bone spurs using simple tools under local anesthesia. The procedure is usually quick and straightforward, involving gently removing the spur from the gum tissue.
What does a bone spicule look like?
A bone spicule looks like a small, hard, and sharp fragment. It might feel like a tiny piece of bone or tooth when touched with the tongue or finger.
How common are bone spicules after tooth extraction?
Bone spicules are relatively common after tooth extractions, especially following surgical extractions or when multiple teeth are removed.
* Though the author of this post is a licensed dentist in the state of Kansas, this information is provided for informational and educational purposes only. Please use your best judgment and contact emergency medical services in the event of an emergency.