Q. A piece of bone has protruded through my gums and is causing tongue ulcers. What to do?

Answered by
Dr. Mohammad Emranul Islam
and medically reviewed by Dr. Sneha Kannan
This is a premium question & answer published on Aug 04, 2020

I've had a tooth extraction at hospital due to having had Zolandronic infusions. Many weeks ago. A piece of bone has protruded through my gum and is very painful causing ulcers on my tongue. I have had 2 course of Amoxicilin. The dentist tried to pull the bone out before realizing that it was joined on to my jaw. I am told that they hope the gum will grow over, so far it has not. The consultant plans to give me a 'phone consultation this week, I fail to see what good this will do.


Hello, Welcome to icliniq.

I'm sorry for the problems you have. Do you have paget's disease or osteoporosis? It is not a good sign if bone gets exposed or protruded. You didn't mention the site but I assume it is a lower tooth. Did the protruded bone came through the socket or elsewhere. Was the tooth extracted surgically? It can happen if the bone was fractured during the extraction procedure or there was a sharp bone margin left over after extraction which should be trimmed.

In this situation, antibiotics won't be helpful. Rather it should be managed surgically by exposing the bone and grinding the sharp margin followed by closure by stitches.

Please send me pictures of the affected region so that I can help you with the proper diagnosis and treatment plan. Thank you for contacting us.

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