Question from Raj: Why are graft particles coming out from my bone graft? (details below)
I’m a 31 year old who just had my lower left impacted wisdom tooth extracted and as my dentist also suggested bone grafting to preserve bone structure, I went along with it. It’s now 10 days post surgery and I still find graft particles of the bone graft (not alot, maybe a couple of em a day) sometimes tend to appear in my mouth. I did speak to my oral surgeon who performed the surgery and he said it could be due to the membrane not covering the graft site fully. He says it’s OK and to just continue monitoring and let him know if there is a lot of them coming out.
My question would be is this normal following a bone graft ? What’s the point of me doing the bone graft if these bone particles continue to come out thereby defeating the purpose of trying to regenerate the bone loss due to the extraction ? Or is this really a minor matter ?
I’m going to have my stitches (he did the permanent stitches) removed tomorrow and would appreciate your opinion on this. To be honest I’m kind of regretting doing the bone graft now and would appreciate your insight.
Although people rarely get a bone graft for a third molar extraction, I do not criticize your surgeon for recommending it, as I have seen patients with a periodontal defect behind the second molar caused by bone loss after a third molar was extracted.
Now to answer your question. In the case of an extraction socket graft for ridge preservation, it is common to see graft particles come out of the grafted area during the first few days, and it would depend on how well the collagen membrane or collagen plug seals the graft. In cases where you tuck the membrane under the soft tissue borders it seals better than in cases where it just covers the hole. After a couple of weeks, granulation tissue and epithelium start to cover the hole and cover the area, protecting the graft and allowing the bone in the socket walls to start growing tiny blood vessels through the graft to start the process of turning the bone graft particles into your own bone.
As long as most of the bone graft particles have remained in the socket and are covered by gum tissue to seal the wound, you should be fine. When your surgeon removes the sutures, he will examine the area and he will be able to tell you if everything is healing well.
Good luck !
Dentist In West Palm Beach
Carlos Boudet, DDS
1840 Forest Hill Blvd, Suite 204
West Palm Beach, Florida 33406
Phone: Call 561-968-6022