Surgical management of the bilateral maxillary buccal exostosis

Abstract

Buccal exostosis is benign, broad-based surface masses of the outer or facial aspect of the maxilla and less commonly, the mandible. They begin to develop in early adulthood and may very slowly enlarge over the years. A 24-year-old female presented with gingival enlargement on the buccal aspect of both the quadrants of the maxillary arch. The overgrowth was a cosmetic problem for the patient. The etiology of the overgrowth remains unclear though the provisional diagnosis indicates toward a bony enlargement, which was confirmed with the help of transgingival probing. The bony enlargement was treated with resective osseous surgery. The following paper presents a rare case of the bilateral maxillary buccal exostosis and its successful management.

Rare Case of Bilateral Maxillary buccal exostosis in the anterior region of Libyan female patient: Case Report & Literature Review

“…Usually no treatment is required, but for those possibly affecting the periodontal condition, or when the protruberances cause pain or discomfort to the patient or these bony enlargements cause pseudo swelling over the lip, or becomes large enough to interfere with function denture placement, or cause recurring traumatic surface ulceration (usually from sharp food such as potato chips or fish bones) or as used to get autograft as it is a potent donor site, the conservative surgical excision can be performed. The bony mass may be removed using bone cutting bur or chiseled off through the base of the lesion (Aydin, Yildirim, & Bozdemir, 2013;Chandna, Sachdeva, Kochar, & Kapil, 2015;Siddiqui, Singh, Mishra, & Mandal, 2017).…”

“…Most dental professionals recommend monitoring the areas with routine checkups. Routine cleansing of the areas above and below the bony projections can remove food particles that may become lodged in the irregular surfaces on the gum tissue (Chandna et al, 2015;Shamim, 2017). Swishing with a rinse, such as Colgate Total Advanced Health mouthwash, which removes more bacteria for a healthier mouth.…”

Effect of Ethnicity in Exostosis Prevalence

“…They have various shapes and sizes, are most often (more than 80%) bilateral but can be unilateral, lobulated, multiple and grow in the mylohyoid line [4]. Also known as "bone hamartomas" [6], exostosis and tori are of unknown etiology. Most probably multifactor, they can be attributed to factors such as genetics, the environment, nutrition and occlusal trauma.…”

Bilateral torus mandibularis: A case report with mini review

“…Bony Exostosis, seen on buccal aspect of maxilla more common than mandible and thus also called as buccal exostosis. Size of tori varies from few millimeters to few centimeters in diameter [4][5][6] Five indications and complications which necessitate tori removal were given by Pynn et al [7] which includes traumatic ulcers from mastication; prosthodontic considerations; cancer phobia; interference with tongue function during mastication; difficult normal speech. Mandibular tori are usual clinical finding and require no treatment, but in case if large sized tori pose above mentioned complications, surgical excision is the treatment of choice.…”