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Exposed bone after a tooth extraction

User Level:
Posted by: melissa  (10 years ago)
Hello Doctor!

Three weeks ago, my face had been very swollen and I cannot open my mouth wide enough to take my food. The dentist, after taking some xrays said, I had a massive infection and the second upper molar was badly decayed. He prescribed antibiotics and he scheduled me for an extraction when the infection is gone.

We went on with the extraction and after the procedure, he sent me home with a wad of gauze in the wound. When the numbness wore off, the pain was so terrible, I took Tylenol. Five days had passed but the pain is still there. I can feel a sharp pain under my tongue. I rang the dentist about it but he only prescribed a stronger pain killer and antibiotics. I suspect an exposed bone on the extraction site and I am worried that it can easily get infected. What should I do? Please help me!

I would greatly appreciate your answers!
User Level:
Dear Melissa!

Sharp bone corners are normal after a tooth extraction; important is not to have the bone completely exposed – it should be covered with fibrin and/or a coagulated blood clot.

Fibrin is soft and yellowish, and shouldn’t be confused with bone material, which is hard. Blood clots on the other hand are brown/red/grey-ish, and also of softer consistency.

If there is too much bone exposed – hard and white – then you should freshen up the wound, maybe even have it overstitched.

What you definitely should not do is play around and irritate the wound with your fingers and tongue, as that can lead to infection and prevent/damage the natural healing process.

Have a quick look in the mirror - ideally use a soup spoon to hold your cheek away from the affected area; if the wound is covered then you should be ok, if the bones are exposed then you should visit your dentist as soon as possible!

All the best!
Liebe Grüße JB
Posted 10 years ago
User Level:
Posted by: melissa  (10 years ago)
Thank you for the time and information. I went to the dentist today. He said there is a sharp bone underneath the extraction socket and it will heal on its own gradually.