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cjw from Singapore asked a question

What is the recommended method to remove a fragment left behind after a wisdom tooth extraction?

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DxD

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Dr Gerald Tan
(23 Reviews)
59 answers on DxD


Dental Health Screening

Hi, I am a 22 yrs old male with a dental phobia.

In March 2017 I removed my left wisdom tooth through the surgical method. About 3 months later, there was pain, so I went back for a review.

The dentist took a x-ray, and said there is a fragment which may be causing the on and off pain.

I alsp experienced slight headaches, which came on and off. I saw a neurologist, but had a normal CT scan. Thus I am thinking if the headaches could be related to the wisdom tooth fragment that was left behind?

I would like to ask for some advice about what could be the recommended way to resolve the fragment? Many thanks. Cheers!

DOCTOR’S ANSWER (3)

Hi Lucus,

Thank you for your question. I am sorry to hear that you discovered recently that you have a fragment of your left wisdom tooth left behind by your previous dentist.
 

I can share with you that from my experience, even in the best surgeon's hands, leaving a small tooth fragment behind is not an unusual occurrence, especially if the surgery was a difficult one involving cutting the wisdom tooth into several pieces.

Most of the time, a small broken tooth fragment left behind does not give any problems at all but in a small percentage of patients, problems can arise.

From my experience, it is unlikely that your headaches are related to the wisdom tooth fragment, but i have learnt never to say never, because with human biology, things happen that sometimes even surprises the most experienced of doctors.

In my practice, i have only ever had one patient with similar symptoms to you, and when I helped the patient remove the tooth fragment, her migraines went away.

Depending on the location of the tooth fragment as seen on an Xray, your dentist can attempt to remove it either surgically or non-surgically.

I would recommend that you consider going back to the dentist that did the surgery for you in March 2017 to discuss on the best way to remove the broken fragment. He would know best since he is the surgeon that took the tooth out for you!

After the fragment is removed, if you still suffer from headaches, then you can deduce that the headaches are most likely not caused by the fragment.

I hope this information is useful to you and I wish you a speedy recovery from your headaches!

Kind Regards,

Dr Gerald Tan

0 851 views 0 Doctors agree Fri Feb 09 2018 10:06:23 GMT+0000 (UTC)

Dear Lucus, 

It's been a year and if you are still having pain around that area, that is not normal. If this persists, it is best to remove it. 

If there are no symptoms at all now, you have the option to leave it alone. 

Sedation can be arranged with an anaesthetist to allay your fears of dental surgery. We can perform a simple surgical access with piezo surgical instruments, which makes the healing usually much more uneventful. If fragment is in soft issue or the gums, then it is even simpler. 

However, this is dependent on the depth of the root fragments, and if there was any pathology around it. 

Hope this helps.

Sincerely,

Dr Jerry Lim

0 782 views 0 Doctors agree Sun Feb 11 2018 06:06:25 GMT+0000 (UTC)

Hi Lucus,

Sorry to hear that there is a fragment left behind at the extraction site. I do agree with Dr Gerald that it sometimes happens to even the best of us. While trying to extract a tooth, sometimes it makes more sense to leave a small little fragment behind, than to scour and cause more damage to the surroundings. Generally if the fragment is small and uninfected, problems shouldn’t arise from it.
 

After a year (since your surgery was at March 2017), we have to weigh the pros and cons of removing the fragment especially if it’s firmly embedded and hard to access. That would likely be another surgical procedure. 

Like Dr Gerald, I wish you a speedy recovery!

Cheers!

Kenneth

0 827 views 1 Doctors agree Fri Feb 09 2018 15:37:07 GMT+0000 (UTC)
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