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Extraction/Graft #18 on 7/5, increased pain 7/9 sutures fell out, plug fell off. Is it okay if the hole is not covered? (Photos)

calb526Jul 9, 2018
Had #18 out 7/5 in AM with graft for tooth that had failed RCT and infection. Started having pain increase yesterday. Controlled with Motrin and Tylenol. The plug fell off 7/6 in the PM, sutures are completely out. Have had a couple of bone granules pop into mouth. Saw my dentist this AM, he didn't seem too concerned. Having me use Peridex BID and started Augmentin 500 TID today. There seems to be nothing covering the hole. Is this ok? There seems to be redness. Pictures provided Thank you!

Answers (1)

From board-certified doctors and trusted medical professionals
Dr. Amber Garcia, DDS
Dentist
Answered on Jul 10, 2018
Answer
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Amber Garcia, DDS

Your concerns would be infection or dry socket. A dry socket after bone grafting is very rare. I doubt that's what's happening. It is possible some of the bacteria was still in the socket and is causing an infection. Or it could be normal post operative pain. You just had a body part removed. If...

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Neal Nealis, DDS (retired)

The membrane keeps skin cells from growing down into the area. It is important that the membrane be kept under the gums, and the stitches will aid in this. If the membrane becomes exposed to the saliva, you might lose the whole graft. You should consult with your surgeon.

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Neal Nealis, DDS (retired)

It can be normal to temporarily have an indentation where a tooth was removed. What is more important is how the bone graft is healing and being replaced by your own bone. An x-ray will be helpful but you need to wait several months, and this process is somewhat slow. If you are concerned,...

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