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Old 08-06-2015, 10:22 AM
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Bryanna Bryanna is offline
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Join Date: Feb 2007
Posts: 4,624
15 yr Member
Bryanna Bryanna is offline
Grand Magnate
Bryanna's Avatar
 
Join Date: Feb 2007
Posts: 4,624
15 yr Member
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Hi ds680,

It sounds like you are describing the bony ridge. Sometimes the ridge gets a bit displaced, out of place, due to the maneuvering of the bone to remove the tooth. In some cases it is a temporary displacement and it settles down over time. If it does not settle or becomes worse, then intervention may be necessary.

Sometimes what can also occur after wisdom tooth removal is the gum tissue ends up being very thin over this bony ridge area and in some cases the bone can even be exposed.

In either case, some surgeons suggest a wait and see approach to see if the bone settles and the gum tissue thickens up over time. If a surgical intervention is done to reduce the bone, most likely there will not be enough oral tissue to suture over the bone. So tissue will have to be harvested from elsewhere in the mouth to cover the bone.

Because your dentist and oral surgeon have not agreed on what this is exactly or what to do at this time, it may behoove you to seek a third opinion from a different oral surgeon. It would be helpful to have your pre op xrays with you for that new oral surgeon to see what everything looked like prior to the extractions.

Bryanna



Quote:
Originally Posted by ds680 View Post
I had all four wisdom teeth taken out back in April. About four weeks after the extraction, I found what I thought was a bone spicule leftover from my wisdom tooth extraction in April. My family dentist even said it was a spicule and that I would probably need to get it ground down by my oral surgeon. It's basically shaped like a toenail on the bottom left side where my one tooth was taken out.

I saw my oral surgeon about a week ago. He said it's not a spicule, but a "ledge." He said it'll either absorb itself within 4-6 months, or make its way completely through my gums and cause "unspeakable pain." He was not comfortable taking it out, as he said it's pretty close to my nerve.

However, I can't find any literature on what a ledge actually is and I didn't fully understand his explanation. It has caused some pretty significant on-and-off discomfort. Could someone explain what it is?
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Bryanna

***I have been in the dental profession for 4 decades. I am an educator and Certified Dental Assistant extensively experienced in chair side assisting and dental radiography. The information that I provide here is my opinion based on my education and professional experience. It is not meant to be taken as medical advice.***
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