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-   -   white stuff coming out of gums after bone graft surgery (https://www.neurotalk.org/dentistry-and-dental-issues/139451-white-stuff-coming-gums-bone-graft-surgery.html)

Rick44 12-13-2015 06:29 PM

Quote:

Originally Posted by Bryanna (Post 1188178)
Hi Rick,

Thanks for posting the picture!

The photo is a bit blurry but I can see the "white" areas of gum tissue. The white appears to be rather thick or lumpy in consistency. Is it actually gum tissue or accumulation of plaque? Can you gently remove it with a slightly moist q-tip? Or does the white substance seem to be coming from inside of the socket like pus would? I can also see that there is quite a bit of dark red inflammation along the lingual (tongue side) of the ridge that travels down toward the floor of your mouth. By any chance was the extracted tooth previously root canaled?

What are rinsing with and how often? Are you sticking to a soft food diet or eating regular food? Are you avoiding chewing on that side of your mouth?

Bryanna

-I just touched it with the end of a floss stick and the white area seems kind of hard. Could it be that much plaque so quickly? I didn't scrape at it too much. It kind of looks like its coming from the side of the socket. Not directly in the middle where the tooth was.
-Yes the tooth was root canaled previously and treated once also.
-I used Peridex oral rinse for a few days until it ran out. Now I'm using salt water 3 times/day.
-I'm pretty much eating like normal but chewing on the other side of the mouth.
Thank you!
Rick

Rick44 12-13-2015 09:34 PM

Quote:

Originally Posted by Rick44 (Post 1188222)
-I just touched it with the end of a floss stick and the white area seems kind of hard. Could it be that much plaque so quickly? I didn't scrape at it too much. It kind of looks like its coming from the side of the socket. Not directly in the middle where the tooth was.
-Yes the tooth was root canaled previously and treated once also.
-I used Peridex oral rinse for a few days until it ran out. Now I'm using salt water 3 times/day.
-I'm pretty much eating like normal but chewing on the other side of the mouth.
Thank you!
Rick

OK I took my contact lenses out so I could see better up close(getting old haha) and i noticed that the white coming up through the gums appears to be white material with little blue dots or perforations. I'm assuming it is the membrane. Is this normal? I will call the doc tomorrow and let him know just to be on the safe side.

Bryanna 12-13-2015 11:26 PM

Rick,

Please refrain from using anything pointy or sharp in the area of the extraction site. A moist cotton q-tip would be the "sharpest" thing to use there :) Be sure to keep rinsing with warm salt water 3-4 times a day and continue to avoid eating on that side.

The white area could be bone graft material or a piece of the membrane. It could also be hard tartar... which does not happen too often. It is best to call the surgeon tomorrow and let him know about this and also mention that the lingual (side near the tongue) is very dark red and inflamed. This may be normal depending on the severity of the initial infection and the surgical technique he used, but it's better to find out for certain.

So the tooth had been root canaled previously, okay I thought so based on your description of the extensive bone loss. The additional treatment on the tooth... was that an apicoectomy?

Bryanna

Quote:

Originally Posted by Rick44 (Post 1188242)
OK I took my contact lenses out so I could see better up close(getting old haha) and i noticed that the white coming up through the gums appears to be white material with little blue dots or perforations. I'm assuming it is the membrane. Is this normal? I will call the doc tomorrow and let him know just to be on the safe side.


Rick44 12-14-2015 05:42 PM

Quote:

Originally Posted by Bryanna (Post 1188261)
Rick,

Please refrain from using anything pointy or sharp in the area of the extraction site. A moist cotton q-tip would be the "sharpest" thing to use there :) Be sure to keep rinsing with warm salt water 3-4 times a day and continue to avoid eating on that side.

The white area could be bone graft material or a piece of the membrane. It could also be hard tartar... which does not happen too often. It is best to call the surgeon tomorrow and let him know about this and also mention that the lingual (side near the tongue) is very dark red and inflamed. This may be normal depending on the severity of the initial infection and the surgical technique he used, but it's better to find out for certain.

So the tooth had been root canaled previously, okay I thought so based on your description of the extensive bone loss. The additional treatment on the tooth... was that an apicoectomy?

Bryanna

I'm not sure what it was called. So I went to the oral surgeon today and the white thing was in fact the membrane that was coming up. He did a CT scan and an X-ray and said everything looks great. He removed the membrane, washed the area up a little and that was it. Supposed to go back in 3 weeks for check up. Hope it heals up and I won't have any more problems.

Bryanna 12-14-2015 06:52 PM

Rick,

Thanks for giving us an update.

Good to hear that the surgeon thinks it looks to be healing okay. Hope the site feels better with that membrane out and everything from this point on goes uneventfully :)

Bryanna



Quote:

Originally Posted by Rick44 (Post 1188412)
I'm not sure what it was called. So I went to the oral surgeon today and the white thing was in fact the membrane that was coming up. He did a CT scan and an X-ray and said everything looks great. He removed the membrane, washed the area up a little and that was it. Supposed to go back in 3 weeks for check up. Hope it heals up and I won't have any more problems.


Aurel 07-11-2019 09:50 PM

It can be fibrin or necrotic-white graft tissue
 
The white film can be fibrin or necrotic-white graft tissue.
If the graft tissue was thick to start with, the superficial layer will slough off but the deep parts will survive. (The most outside portion of the graft would not survive due to lack of blood supply. It becomes necrotic-white and comes out.)


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