I have swollen gums and pain, 3 weeks after the procedure of wisdom tooth extraction. the bone from the socket broke loose and poked through the gum. the bone was filed and repaired by the oral surgeon. what should i do?

Swelling, : Swelling, pain, and bone spicules, and even an infection are complications of this type of extraction. You did not specifically ask a question, but the advice is to go back to your surgeon for treatment.

I : I would be suspicious that you had some foreign body in the problem extraction socket. Since you already had one post operative procedure, if you were my patient, i would open the extraction site completely, clean it out, and re-suture the site. Though not consider standard of care, i would also consider placing some platelet rich plasma in the extraction site to help with the healing (not all dentists have this capability though). I would also place you on antibiotics during the healing process..

Bony sequestrum: Sounds like a piece of bone became broken off, later the surgeon used a bone file to smooth the sharp end. It could be that the sharp end is a spicule of bone no longer attached and is non-vital called a bony sequestrum. It will continue to work its way out, much a like a splinter would in your finger. Go back to your oral surgeon.

See oral surgeon: Sometimes this happens. You may have another bony spicule that requires exploration again. Go back and see the surgeon again. If you have lost confidence, get another opinion.