text: i have hard flakes coming up  in hole where tooth was pulled.? i had my tooth pulled about 3 weeks ago and i am finding very paper thin hard flakes coming up in the hole where the molar was pulled. any one know if this is something to worry about? i get a bit concerned because i have lost almost all my teeth after taking fosamax for 4 and a half years. 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. ~