text: Sawyer and BIG T are most likely correct.  Small flakes of bone do sometimes work their way to the surface.  You are correct to be concerned with your history of taking Fosamax.  The non-dentists above are just not aware of the new issues.  Don't lose TOO much sleep over this, because osteonecrosis secondary to ORAL bisphosphonates is very rare.  That doesn't mean that you are not one of the unlucky ones, though, so if you have any questions about your healing, the sooner you see your dentist the better he/she will be able to help you.\n~