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The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). L. J. Draaijers, F. R. H. Tempelman, Y. sharing sensitive information, make sure youre on a federal The surgeon will then trim the bone using a high-speed dental tool (or with new developments in technology, possibly a dental laser, according to Dentistry Today). She did not assume any other medications. eCollection 2020 Jul. This community provides (unofficial) support for those using Invisalign! WebTotal time 1h, some pain afterwards for 2-3 days, easily manageable with regular pain meds. 24, no. At the follow-up examination (3 months postsurgery on the left side and 1 month on the right), the presence of stable periodontal tissue-positioned where it was located during the immediately postoperative period-indicated a satisfactory clinical result. Most often, your dental professional will diagnose you with an exostosis during a regular checkup. 7, pp. After collection of both clinical history and examination we proposed to our patient surgical scar tissue correction with autologous fat grafting. Surgical removal of the bony buccal exostoses is indicated if they cause pain and tenderness in the overlying mucosa or interfere with normal occlusal function. The condition is not only benign, but also uncommon and very rarely Nonetheless also surgical removal could be related to different drawbacks. You seem fixated with the esthetic side of the thing; I'll tell you my experience, do what you want with it. Do you have bony bumps in your mouth? Medsinge SV, Kohad R, Budhiraja H, Singh A, Gurha S, Sharma A. Buccal exostosis: a rare entity. FOIA Be sure to see your dental professional for regular cleanings not only to keep your teeth pearly white and bacteria-free but also to have them check on the health and size of any hard bony lumps on your gums. Exostoses are considered a variation of normal, and most often, they pose no health concern at all. Surgical Procedures of Buccal Exostosis Resection on orangecountysurgeons.org During buccal exostosis resection, a benign bone 13, no. In fact our experience could open a new route of regenerative surgery addressing a mucosal tissue as buccal one. Thanks for sharing your experiences, i appreciate it!!! 3, pp. Total time 1h, some pain afterwards for 2-3 days, easily manageable with regular pain meds. [15] This is done by reflecting the mucoperiosteal flap in order to expose the extended bone for complete excision. 2016 Nov;26(11):111-113. Search worldwide, life-sciences literature Search. The maxilla is shown to display a higher prevalence rate of 5.1:1 in comparison to mandible. official website and that any information you provide is encrypted The mucosa overlying the buccal exostoses typically appears intact and is normal in color. They will then suture the tissue back in place. WebIs bony exostosis benign? There are rare circumstances when exostoses have interfered with oral function or denture placement and have required surgery, but that is not the norm. 8600 Rockville Pike Currently, buccal exostoses do not commonly require treatment. I feel like because of this, the right side of my smile also feels more pushed in compared to the left. 19, 20, 23 to 26, 28, and 30. Palatal exostoses revealed a prevalence of 30% while buccal exostoses presented a prevalence rate of 0.9 per 1000 persons [].These clinical entities could become invalidating for patients especially when they reach such a volume to Buccal vestibule scar retraction showed a release after one procedure of autologous fat grafting and our patient referred to clinical remission of pain which did not need any analgesic treatment with a total follow-up of one year. J. E. Bouquot and K. K. H. Gundlach, Oral exophytic lesions in 23,616 white Americans over 35 years of age, Oral Surgery, Oral Medicine, Oral Pathology, vol. Removing this fat can highlight the bone structure in your face, especially your cheekbones and the This then causes the bodys natural defense to produce extra bone material to support the teeth. Our team adopts autologous fat grafting in the treatment of multiple pathological status beyond all scar treatment and pain syndromes. Medsinge SV, Kohad R, Budhiraja H, Singh A, Gurha S, Sharma A. Clin Adv Periodontics. Found usually in the premolar and molar region. M. Klinger, F. Caviggioli, F. M. Klinger et al., Autologous fat graft in scar treatment, Journal of Craniofacial Surgery, vol. Medically Reviewed By Colgate Global Scientific Communications. But make no bones about it, we'll give you all the info you need on the types, causes, and potential issues with exostoses to ensure your oral health keeps you smiling. Buccal exostoses generally occur bilaterally. Torus palatinus This is the growth of hard body structure at the midline of the palate. WebThe type of exostosis you have depends on its location in your mouth. 16101615, 2013. This information is for educational purposes only. Clinical history revealed a diagnosis of Sjogren syndrome and corrective surgery of cleft palate in 1996; no other pathologic conditions were present. Their tendency to grow in size may also contribute to periodontal disease as a result of food build up in the area of the lesion. Keywords: Funny enough, before my refinements the right was the side which was doing really well because my upper and lower teeth were aligned whereas the other side they were misaligned and needed more treatment. 3. Zhonghua Kou Qiang Yi Xue Za Zhi. During the clinical meeting we observed progressive release of scar retraction and quality improvement measured with POSAS scale [12], together with an important decrease of pain symptoms which lasts for all the postoperative follow-up controls (Figure 3). Yeah, they really have a lot of bunnies in their hats he also performed another surgery Palatal exostoses are found on the palatal aspect of the maxilla, and the most common location is the tuberosity area. Bethesda, MD 20894, Web Policies Moreover the patient declared that she stopped analgesic drug assumption immediately after operation. The fat graft was injected using an 18-gauge angiographic needle with a snap-on wing (Cordis, a Johnson & Johnson Company, NV, Roden, Netherlands) under mucous membrane in the scar area at the upper right vestibule (Figure 2). Buccal exostoses occur along the buccal aspect of the maxilla or mandible, usually in the premolar and molar areas. On palpation, the exostoses are hard bony mass. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). A. M. Botman et al., The patient and observer scar assessment scale: a reliable and feasible tool for scar evaluation, Plastic and Reconstructive Surgery, vol. WebBuccal fat removal is a surgery to remove the fat in this area of your face. Laboratory findings have demonstrated the presence of mesenchymal multipotent stem cells in the adipocyte cell fraction of fat graft [14]. [2] Existing as asymptomatic bony nodules,[3] buccal exostoses dont usually present until adult life,[4] and some consider buccal exostoses to be a variation of normal anatomy rather than disease. Buccal exostosis or osteoma These are an abnormal growth of hard lump on the back roof of the mouth. Epub 2013 Dec 31. It can occur in many parts of the body. National Library of Medicine WebBilateral Maxillary and Mandibular Buccal Exostosis: A Self Reported Case and a Proposal to Include Buccal Exostosis Under Miscellaneous Disorders of Revised Working Material and Methods. eCollection 2022 Sep. See this image and copyright information in PMC. The surgical procedures, which were performed at separate appointments for the left and right sides, involved reflection of full-thickness flaps and careful osteotomy with a carbide spherical drill and a Rhodes chisel. Buccal exostoses are broad-based, non-malignant surface growth occurring on the outer or facial surface of the maxilla and/or mandible, found usually in the premolar and molar region. Bone is thought to become hyperplastic, consisting of mature cortical and trabecular bone with a smooth outer surface. 465469, 2008. Always seek the advice of your dentist, physician or other qualified healthcare provider. [13], An additional biopsy for diagnosis of buccal exostosis is not usually recommended, however it is important to rule out the possibility of early osteosarcomas and chondrosarcomas. WebTreatment of tori and buccal exostoses is usually not necessary. Postsurgical scar retraction should be mentioned together with pain sensation during chewing, which can compromise dramatically the quality of life of patients. It is usually found along the alveoli or on the hard palate and depending on the location and extent; they can be classified as torus mandibularis (TM), torus palatinus (TP), buccal, or lingual maxillary exostosis. Accessibility 559561, 2006. If your exostosis is one of the rare growths in which treatment is recommended, it can be removed in a dental professional's office usually by an oral surgeon. 128, no. 1. Korean J Pain. 3, supplement, pp. Supported by our promising results we approached with positive results also chronic headaches of cervical origin, both chronic cervicogenic and occipital neuralgia [10]. If you're experiencing abnormal bone growth in your mouth, you have what's called an exostosis. The site is secure. Despite buccal exostoses being generally painless and self-limiting, they may cause patient concern regarding poor aesthetics, food lodgement and compromised oral hygiene. Their tendency to grow in size may also contribute to periodontal disease as a result of food build up in the area of the lesion. Had one of these, it appeared to worsen (grow more) while I was wearing the trays. Patients are given oral hygiene advice and are advised to cleanse above and below the growth with a mouthwash once a day to remove any food debris. Another potential issue is that the tissue covering bone growths is very thin and could get scratched or injured from sharp food resulting in ulcer formation. The https:// ensures that you are connecting to the Accessibility Palatal exostoses revealed a prevalence of 30% while buccal exostoses presented a prevalence rate of 0.9 per 1000 persons [13]. Exostosis can be painless, or it can cause severe pain and require surgical removal. Currently, buccal exostoses do not commonly require treatment. If there is neither pain nor sensitivity, the buccal exostosis simply needs to be monitored with routine dental check-ups. Patients are given oral hygiene advice and are advised to cleanse above and below the growth with a mouthwash once a day to remove any food debris. [14] Floss or clean between your teeth with interdental brushes or water flossers at least once a day, and use antimicrobial mouthrinses and tongue scrapers. She was referred to the department for surgical removal of maxillary exostosis in 1999 and related to the surgery a scar adhered to deep planes at the upper right of the vestibule which determined important pain symptoms extending till the right shoulder both during chewing and at rest, interfering with feeding and speaking. Unable to load your collection due to an error, Unable to load your delegates due to an error. 11301131, 2010. 2014;27:1622. Technique: This procedure is typically performed by an oral surgeon experienced in management of conditions related to jaw bone. Although it's an irregular growth, take comfort in the fact that a buccal exostosis is benign. 284291, 1986. Before This can highlight the bone structure in your face, especially your cheekbones and the hollowed-out areas between your cheeks and jawline. Both informed consent form and preoperative images were collected (Figure 1). L. Maione, V. Vinci, F. Caviggioli et al., Autologous fat graft in postmastectomy pain syndrome following breast conservative surgery and radiotherapy, Aesthetic Plastic Surgery, vol. We subsequently treated her with autologous fat grafting according to Colemans technique. Before WebWhen symptoms do happen, they can include: Pain near the joint Stiffness Limited movement Bumps, especially in the hands or feet Swelling Weakness Numbness One leg 2015 May-Jun;19(3):352-5. doi: 10.4103/0972-124X.152412. Exostosis or abnormal bone growth within the ear canal is called as Surfers ear. Clipboard, Search History, and several other advanced features are temporarily unavailable. buccal cavity K13.79 Pain (s) R52 - see also Painful mouth K13.79 Palatoplegia K13.79 Paralysis, paralytic (complete) (incomplete) G83.9 uvula K13.79 palate K13.79 (soft) velum palati K13.79 Perforation, perforated (nontraumatic) (of) uvula K13.79 Sore mouth K13.79 Stomatorrhagia K13.79 [9] They are strongly associated with the presence of torus mandibularis and torus palatinus.[9]. For instance, a torus mandibularus can make it difficult to speak properly if it grows to a certain size. Following surgery pressure dressing was applied over donor site for 5 days and antibiotic therapy was recommended for 5 days (cefixime 400mg 1 pill per day). In addition to that, surgery-associated tissue injury leads to an inflammatory reaction accompanied by increased production of proinflammatory cytokines, which can induce peripheral and central sensitization with a failed nociception system, leading to pain augmentation. We observed a progressive release of scar retraction together with an important improvement of pain symptoms. [16] The patient will then be recalled after 1 week in order to remove the sutures and often after a few months for post-operative follow up. sharing sensitive information, make sure youre on a federal Create an account to follow your favorite communities and start taking part in conversations. WebBuccal exostoses are broad-based, non-malignant surface growth occurring on the outer or facial surface of the maxilla and/or mandible, found usually in the premolar and molar I feel like i can only take pictures looking towards one direction now to avoid the unevenness in my smile being seen. This site needs JavaScript to work properly. The most commonly occurring bone growths are found in the mouth's roof (torus palatinus) and beneath the Clinical examination showed a postsurgical scar area of about 2cm in length, retracted and adherent to deeper planes just at the upper right of the vestibule, which causes pain at digital pressure. J Coll Physicians Surg Pak. Persistent pain as a consequence of surgical treatment has been reported for several common surgical procedures and represents a clinical problem of great magnitude. Stitches were annoying, but otherwise the pain was manageable. Also, if you have missing teeth and are considering dentures, all types of exostosis can potentially interfere with the placement of your artificial teeth. Thrower's Exostosis of the Shoulder: A Systematic Review With a Novel Classification. The adipose tissue was harvested from the right flank, which is an easy accessible and abundant reservoir of adipose tissue. Federal government websites often end in .gov or .mil. Torus and exostosis are bone growth anomalies commonly found on the palate (known as palatine torus), inside of the lower jaw bone (mandibular torus), and outside of either the upper and lower jaw bones (exostosis). Korean J Pain. Available at: https://www.colgate.com/en-us/oral-health/basics/mouth-and-teeth-anatomy/buccal-exostosis--causes--treatment-and-care, "Surgical management of the bilateral maxillary buccal exostosis", Hereditary benign intraepithelial dyskeratosis, Neuralgia-inducing cavitational osteonecrosis, https://en.wikipedia.org/w/index.php?title=Buccal_exostosis&oldid=1137749706, Wikipedia articles needing page number citations from January 2020, Creative Commons Attribution-ShareAlike License 3.0, Buccal exostosis along upper left alveolar ridge. Fig. We hypothesize that autologous fat graft due to the regenerative role of the stromal fraction of adipose tissue grafted could promote a reorganization of fibrotic tissue together with soft tissue regeneration, leading to scar release and reducing nerve excitatory pattern with consequent positive clinical results on pain control. F. Caviggioli, L. Maione, V. Vinci, and M. Klinger, The most current algorithms for the treatment and prevention of hypertrophic scars and keloids, Plastic and Reconstructive Surgery, vol. Under local anesthesia, the surgeon will make an incision and lift the soft tissue away to expose the overgrowth of bone. Results. I had the same procedure for 90% aesthetic reasons, but above my six upper front teeth. More refinements to target this? official website and that any information you provide is encrypted -. K. le Blanc, Mesenchymal stromal cells: tissue repair and immune modulation, Cytotherapy, vol. Exostoses are nodular protuberances of mature bone whose precise designation depends on anatomic location. Why buccal exostoses form is unclear,[8] but it may involve bruxism (tooth clenching and grinding),[8] and genetic factors. Here are several before and after examples: Dr. H Ryan Kazemi is a board-certified oral and maxillofacial surgeon in Bethesda, MD. Exostoses are protuberances of calcified bone which are designated according to typical anatomic location. 8600 Rockville Pike Up to now no support therapy has been described to treat these weakening symptoms in this group of patients. [Analysis of the effect of mesial implant position on surrounding bone stress of mandibular edentulous jaw under dynamic loads]. Our patient was informed about surgical procedure in particular regarding fat grafting unpredictable reabsorption rate and clinical results in this particular case. Although exostosis may be asymptomatic, some may suffer from significant pain while exostosis may also stiffness that can impede the range of motion thereby affecting the quality of life. Advances in dental lasers and their ability to penetrate hard tissues have shown promise for a more efficient and less invasive option, reports Dentistry Today. Clipboard, Search History, and several other advanced features are temporarily unavailable. 19601965, 2004. Buccal exostoses are broad-based, non-malignant surface growth occurring on the outer or facial surface of the maxilla and/or mandible, found usually in the premolar and molar region. Surgical management of the bilateral maxillary buccal exostosis. Bethesda, MD 20894, Web Policies [3] They are less common when compared with mandibular tori. Oral Health, Dental Conditions & Treatments. The overlying mucosa appears to be stretched but intact and normal in colour. Most common types of intraoral osseous overgrowths are TP If they notice thickened or protruding bone during their structural assessment, they will likely take a photo or measure the structure to document any growth that occurs over time. The case described widens the possible application of autologous fat grafting on a new anatomical site as buccal vestibule and in one specific clinical setting confirming its promising biological effects. This content is not intended to be a substitute for professional medical advice, diagnosis or treatment. MeSH Moving from these evidences, we decided to adopt autologous fat grafting for the treatment of postsurgical scar retraction and pain sensation related to exostoses surgical removal, in order to verify its possible beneficial effects in this new approach. 2014 Jan;27(1):16-22. doi: 10.3344/kjp.2014.27.1.16. Routine post-operative instructions are given to the patient and occasionally antibiotics may be prescribed. If there is any diagnostic doubt, or the patient is anxious Giant Osteoma of Zygoma Mimicking Pseudo-Temporo-Mandibular Joint Ankylosis: A Case Report. Oral Maxillofac Surg Clin North Am. So i told the ortho, he said yeah it seems to be expanding, due to the moving teeth. Orthop J Sports Med. The https:// ensures that you are connecting to the These benign growths affect both the jaws. No support therapy has been described until now for these weakening symptoms in this group of patients who, most of the time, are analgesic medications dependent. Some people may want a growth removed due to aesthetic concerns. Using local anesthesia (numbing the specific area around a surgical operation), the surgeon will make an incision and lift the soft tissue away to expose the overgrowth. Numerous traumatic ulcerative lesions were present because the patient was wearing an ill-fitting mandibular removable partial denture (RPD) replacing teeth Nos. Mesenchymal stem cells and adipose-derived stem cells could efficiently reduce T-cell activation inhibiting the proliferation of CD4 and CD8 T lymphocytes [15]. Diagnosis: A CBCT (cone beam CT scan) is required for the assessment of torus / exostosis size, proximity of teeth, anatomy of the jaw bone, and vital structures such as nerves and sinuses. [6] In addition, it is recommended that patients who present with multiple growths showing similar characteristics but not in the classic exostoses locations should be evaluated for Gardner syndrome.[7]. The case reported showed a positive final outcome. J Periodontol. There are, however, some occasions were treatment is required, for example; If the growth needs to be removed then a simple surgical procedure can be carried out under local anaesthetic with no recurrence in the long-term follow up. 3, pp. Patients should be reassured that these growths are benign and should be encouraged to maintain good oral Press question mark to learn the rest of the keyboard shortcuts. 2007. A single ossification center for each half of the mandible arises in the region of the bifurcation of the inferior alveolar nerve into its mental and incisive branches [ 1 ]. Replacing a Defective Dental Bridge with Dental Implants? Saunders Company, Philadelphia, Pa, USA, 1995. At the same time, malocclusion can also cause pain and discomfort. Would you like email updates of new search results? Additionally, the mucosa covering them is very thin and prone to scratches and injuries from sharp food, sometimes resulting in ulcer formation from the trauma. Typically, the bone is trimmed using a high speed dental hand piece, and the tissue is sutured back in place. National Library of Medicine [11] The mass is generally smooth although in some cases a sharp, bony prominence may be present resulting in tenderness beneath the mucosa. Treatment is only necessary when the nodules interfere with the normal functions of the mouth or become an aesthetic concern for the patient. Oral Care Center articles are reviewed by an oral health medical professional. 2, pp. 5, pp. Prevalence of Palatal Exostoses in Patients Who Have Received Periodontal Surgery in the Posterior Maxilla. 32, no. 2000 Jun;71(6):1032-42. doi: 10.1902/jop.2000.71.6.1032. Teeth clenching, malocclusion or some other underlying problem can cause excess strain and tension on the teeth and jaw joints. Lol! 38, no. It's common for people to have exostoses in their mouths for years before they even notice they are there. In the rare instance where treatment is recommended, the exostosis can be removed in a dental specialist's office, usually by an oral surgeon. We start treating postmastectomy pain syndrome obtaining significant decreases of neuropathic pain [8, 9]. PMC It's nothing more than a protrusion of bone in a roughly circular shape, which can develop on the upper or lower jaw bone. Be diligent in checking for and removing any food particles that may get stuck between your growth and your gums, and ask your dentist if they have any specific recommendations for your needs. A buccal exostosis is an exostosis (bone prominence) on the buccal surface (cheek side) of the alveolar ridge of the maxilla or mandible. HHS Vulnerability Disclosure, Help Bookshelf Have questions about your smile? 113, no. These entities could become symptomatic when they reach such a volume to interfere with feeding and speaking or to alter facial mimic and contour. 10331037, 2014. 349352, 2011. It has caused me a lot of stress because I worry about it getting worse. 1998 May;85(5):552-7. doi: 10.1016/s1079-2104(98)90290-6. The site is secure. Clinically, buccal exostoses appear as single, broad-based masses, usually situated bilaterally in the premolar and molar region on the facial surface of the maxillary alveolar bone. FOIA WebExostoses are bony protuberances that occur on the buccal aspect of the mandibular or maxillary alveolus (Figure 8). My biggest question is, what can be the fix to this? The prevalence of buccal J Int Oral Health. Concurrence of torus palatinus with palatal and buccal exostoses: case report and review of the literature. I asked my ortho about it and he said it's something normal but i realllly truly hate the way it's making my smile look. WebThey begin to develop in early adulthood and may very slowly enlarge over years. Unauthorized use of these marks is strictly prohibited. [12] Initial presentation usually occurs in early adolescence and the lesions may slowly enlarge up to 34cm in diameter with time, however there is no malignant potential. 42794295, 2002. However, they can enlarge gradually over time in response to bone apposition related to direct physical irritation during eating. It could be hypothesized that fat grafting could inhibit inflammation and determine pain reduction and analgesia. Concurrence of Torus Palatinus, Torus Mandibularis and Buccal Exostosis. government site. 3, pp. There is no known cause (etiology) of bone growing out of gums, the mouth's roof, or under the tongue. 67, no. 8, no. 1998. The adjacent teeth Occasionally they can develop some adverse effects, especially if they become large enough that they interfere with the functioning of your mouth. An exostosis is a benign, localized, peripheral overgrowth of bone of unknown etiology. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. Torus palatinus is often a singular growth, whereas torus mandibularus and buccal exostoses tend to be bilateral, meaning they happen on both sides of the mouth. 108S120S, 2006. and transmitted securely. Discussion. I don't know what could even be done to start dealing with this or if it's just something i'll have to deal with forever even though i've sunk $6000 into invisalign. Buccal exostoses generally tend to be asymptomatic and are usually painless. Ulcerations may occur if the mucosa is traumatized. It's not a tumor, nor is it likely to affect your quality of life. P. A. Zuk, M. Zhu, P. Ashjian et al., Human adipose tissue is a source of multipotent stem cells, Molecular Biology of the Cell, vol. Luckily, I dont have a gummy smile. They are more common in males than females, occurring in a ratio of about 5:1. This site needs JavaScript to work properly. Teeth clenching, malocclusion or some other underlying problem can cause excess strain and Buccal Exostosis: Causes, Treatment and Care | Colgate. The type of exostosis you have depends on its location in your mouth. 53, no. How are you handling it now? Careers. Buccal exostoses are benign bony protuberances that may grow over time but rarely result in functional alterations. 2007 Aug;19(3):423-33, vii. Exostoses have been described as nodular protuberances of mature intraoral bone. To keep the rest of your mouth healthy, brush twice daily with a toothpaste that repairs early teeth and gum damage. Learn About a Treatment Sequence for Maximal Efficiency. Post-operative healing: Patient should be on liquid / soft diet for 7-10 days, rinse with saline (salt water) every 2 hours for 2 weeks, and take antibiotics for 1 week to prevent infection. doi: 10.1016/j.coms.2007.04.003. The procedure is also sometimes called a cheek reduction. All rights reserved. YYYY Colgate-Palmolive Company. But chances are, with an excellent oral hygiene routine and regular checkups, you're going to be all smiles. Exostosis: Causes, types, and treatment - Medical News Today [11], Radiographically, buccal exostoses can be identified as round, well-defined structures which superimpose the roots of the teeth, normally in the premolar and molar region. Freehill MT, Mannava S, Higgins LD, Ldermann A, Stone AV. about the teeth, Ive never heard of that. We describe the case of a 47-year-old female who presented a retractile scar that adhered to deep planes at the upper right of the vestibule due to surgical removal of maxillary exostosis, which determined important pain symptoms extending till the right shoulder during both chewing and rest. This is an open access article distributed under the. They tend to appear in early adolescence and may very slowly increase in size with time. Buccal exostoses are hard bony protrusions on the outside of your gums and are less common. However, they may increase patient concern about poor aesthetics, inability to perform oral hygiene procedures due to difficulty in cleaning around the area with a toothbrush, and compromised periodontal health by causing food lodgement, which could lead to patients reporting increased bleeding when tooth brushing. WebBuccal exostoses are benign bony protuberances that may grow over time but rarely result in functional alterations. 3, pp. F. Caviggioli, L. Maione, D. Forcellini, F. Klinger, and M. Klinger, Autologous fat graft in postmastectomy pain syndrome, Plastic and Reconstructive Surgery, vol. Exostosis mouth is a term used to describe an overgrowth of calcified bone in the oral cavity. The patient also stated that he had difficulty in placing and removing his RPD, and had trouble with food impaction below the buccal exostosis. I noticed in December and freaked out that it was Cancer or something?! A prosthesis, such as a denture, is required and cannot be adapted to the exostosis, This page was last edited on 6 February 2023, at 06:55. Persistent pain as a consequence of surgical treatment has been reported for several common surgical procedures and represents a clinical problem of great magnitude.