Reviewed By Dr. Jeffery Kesecker, DDS
Reading Time: 4 minutes
When you get a tooth extracted, you expect a certain amount of soreness during the healing process.
But what you might not expect are bone spicules! These are sharp pieces of bone that poke through gum tissue after the site has healed.
In this blog, we will explain what bone spicules are, why they occur, and how you can handle them to ensure a smoother healing experience.
Table of Contents
Key Takeaway
Bone spicules after a tooth extraction are common and often resolve on their own as your gums heal. However, if they cause persistent pain or irritation, it is best to visit an oral surgeon for removal.
What Are Bone Spicules?
Bone spicules are small, sharp fragments of bone that may emerge in your gum tissue after a tooth extraction.
These fragments are remnants of bone that can sometimes remain in the tooth socket or nearby soft tissues after the removal of a tooth.
How Do Bone Spicules Form?
Bone spicules form as part of your body’s natural response to the extraction process.
During a tooth extraction, especially with wisdom teeth or molar extractions, small pieces of bone may break off. If these fragments of bone are not removed during the procedure, they can work their way to the surface as your gum tissue heals.
Causes of Bone Spicules
Several factors contribute to the formation of bone spicules:
- Surgical extractions: Wisdom tooth extraction or surgical removal of deeply embedded teeth increases the risk of bone fragments being left behind.
- Improper tooth growth: Misaligned or impacted teeth can cause uneven bone structure, leading to sharp spurs post-extraction.
- Bone grafting: While bone grafts can support proper healing, they may also leave behind tiny particles that turn into spicules.
- Natural bone resorption: As your body heals, bone tissue reshapes, which may expose hidden fragments.
Symptoms of Bone Spicules
If you suspect you have spicules, you may notice:
- Sharp fragments: A noticeable, sharp sensation in your gum tissue, often described as a bony lump or sharp flakes.
- Persistent pain: Pain that does not subside with over-the-counter pain relievers or prescribed medications.
- Gum irritation: Redness, swelling, or sensitivity in the affected area.
- Signs of infection: Persistent swelling, pus, or a bad taste in your mouth may indicate gum infection.
Treatment Options
Once diagnosed, spicules are typically treated through:
- Surgical removal: If the spicule is deeply embedded, a simple procedure may be performed to extract it.
- Warm saltwater rinse: Regular rinsing with warm salt water can soothe irritation and aid in the removal of minor fragments.
- Pain-relieving oral gels: These can provide relief for gum irritation during the healing phase.
- Prescribed medications: Anti-inflammatory drugs may reduce swelling and discomfort.
Preventing Bone Spicules
While bone spicules cannot always be avoided, you can reduce your risk with these steps:
- Socket preservation: Ask your oral surgeon about bone grafting to preserve the bone structure after an extraction.
- Follow post-extraction care instructions: Proper oral hygiene practices promote healing. Follow aftercare instructions carefully.
- Dietary adjustments: Stick to soft foods and avoid crunchy foods that may aggravate healing bone. Your surgeon will provide a list of foods to eat to while you recover.
- Regular follow-ups: Schedule follow-up appointments to monitor your healing progress.
FAQs About Dental Bone Spicules
Will bone spicules go away?
Yes, in many cases, bone spicules can go away on their own as your body continues its natural healing process. Smaller spicules may be reabsorbed or work their way out through your gum tissue without intervention. However, if they cause discomfort or persist for an extended period, you should consult a dental professional for proper diagnosis and treatment.
Are bone spicules harmful?
Bone spicules are not usually harmful, but they can cause discomfort, irritation, or even pain. If left untreated, they may lead to complications like gum tissue irritation or infection, especially if the area is not healing properly.
Should I remove a bone spicule?
If a bone spicule is causing severe pain, irritation, or signs of infection, it is best to have it removed by an oral surgeon. Don’t attempt to remove it yourself! It could result in further damage or infection. Your oral surgeon can perform a simple procedure to safely and effectively remove the spicule
Legacy Oral Surgery: Your Partners in Oral Health
Bone spicules are a common occurence after a tooth extraction.
If you had an extraction(s) done at our office and suspect you may have a bone spicule, do not hesitate to reach out to us. We will do our best to get you in for an evaluation as soon as possible.
To book an appointment at our oral surgery office in Harrisonburg, VA, call (540) 437-1230 or complete the online inquiry form. Visit our Harrisonburg location at 2071 Pro Pointe Lane, Harrisonburg, VA.
To book an appointment at our oral surgery office in Staunton, VA, call (540) 213-8750 or complete the online inquiry form. Visit our Staunton location at 110 Mactanly Pl C, Staunton, VA.