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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Having Sclerotic Bone Formation. Taken Steroid Injections. Now Wants To Cut Gum. Advise

I had an extraction six months ago (and a permanent bridge put in). Since then, ive had three bone fragments come out of my gum and my gum/bridge area feels like something needs to squish out of it. It is uncomfortable 24/7, yet my dentist says everything has healed nicely and nothing shows on follow-up X-rays. My dentist finally referred me to an established oral surgeon who took a 3-D xray and tells me I have sclerotic bone formation. He gave me three steroid injections in my gum and that had no effect. Now, he wants to cut my gum open for a look and inject steroid directly into the bone. I am wary of this and can not find any information about this procedure. Discussion with an additional dentist also confirmed that both dentists are not familiar with either my condition nor the proposed treatment. Can you advise?
Sat, 29 Jun 2013
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Dentist 's  Response
Dear friend.

Thanks for sharing your concern.

Sclerotic bone formation is not normal bone formation pattern.That is not good quality bone which is required.It is brittle in nature and wears of fast giving less or no support to your roots.

Therefore your oral surgeon wants to inject steroid directly at the site of bone formation and wants to see further results.

It should recover after this procedure.Therefore in my view you can go for this treatment.

Hope it helps.
Thanks.
Take care.
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Dentist Dr. Bindiya Bhaskar's  Response
Hello,

Thanks for posting your query.

The fragments may have come out of the gums due to-placement of crown over an unhealed socket.

Take antibiotics.

Swish with warm saline frequently.

Also get a thorough clinical as well as radiological evaluation done.

Visit your dentist and get the treatment required.

Take care.
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Having Sclerotic Bone Formation. Taken Steroid Injections. Now Wants To Cut Gum. Advise

Dear friend. Thanks for sharing your concern. Sclerotic bone formation is not normal bone formation pattern.That is not good quality bone which is required.It is brittle in nature and wears of fast giving less or no support to your roots. Therefore your oral surgeon wants to inject steroid directly at the site of bone formation and wants to see further results. It should recover after this procedure.Therefore in my view you can go for this treatment. Hope it helps. Thanks. Take care.