Explain the roles of various imaging modalities in the diagnosis of osteochondromas and chondrosarcomas. Patterns of bone destruction in periodontics condensing osteitis ddmfr oral and maxillofacial radiology torus palatinus, torus mandibularis, exostoses. Radiographically, the exostosis appears as an ovoid radiopacity superimposed over the roots of the premolars and molars. Torus and bone exostoses are considered no neoplasics excrescence, which are located in jaws, coming from the bones themselves. Exostosis osteoma crecimiento excesivo benigno del hueso. Radiographic examination cbct revealed the presence of the buccal exostosis, a dense overgrowth of body of the mandible indicated by. A rare entity pre prosthetic surgery oral pathology pictures lecture 1 at west georgia. In the jaws, depending on the anatomic location they are named as torus palatinus tp, torus mandibularis tm, or buccal bone exostoses bbe. Buccal surface of the maxillary alveolar process in canine or molar area. In the maxillary arch the tori has been reported to occur usually in the midline and has been termed as torus palatinus. Multiple hereditary exostoses mhe research foundation. Exostoses are benign protuberances of bone that may arise on the cortical surface of the jaws efigure 216. Us 1 exostosis thin cartilage cap in femoral lesion. Hereditary multiple exostoses is inherited in an autosomal dominant manner.
Dental providers serving medicaid feeforservice beneficiaries. Palatal exostoses are found on the palatal aspect of the. Buccal and palatal exostoses are multiple bony nodules that occur less frequently than tori. Exostosisosteoma crecimiento excesivo benigno del hueso. Buccal exostoses occur as bilateral, smooth bony growth along the facial aspect of the maxillary andor mandibular alveolus. They begin to develop in early adulthood and may very slowly. They are nonneoplastic and are thought to be reactive or developmental in origin. Generally, a buccal exostosis causes no pain or sensitivity, though the skin covering the exostosis can be injured with sharp foods, such as potato chips or hard cereal. Racial, autosomal dominant factors, dental attrition, and even nutritional factors have been suggested as having an influence. Pdf buccal exostoses are broadbased, nonmalignant surface growth occurring on the outer or facial surface of the maxilla andor mandible, found. This article describes a case report of surgical excision of exostosis.
A buccal exostosis is an exostosis on the buccal surface of the alveolar ridge of the maxilla or mandible. It is most commonly found in places like the ribs, where small bone growths form, but sometimes larger growths can grow on places like the ankles, knees, shoulders. Removal of an exostosis bony lump the operation the operation is performed under local anaesthetic usually injected around the ankle. There are a number of examples of exostoses that occur due to local irritant stimuli. Multiple intra oral bony tori and exostosis have often been reported in the literature to occur in the mandible.
These benign bony hamartomas are generally asymptomatic and consist of mature cortical and trabecular bone 1, 2. Bbe occurs along the buccal aspect of the maxilla or mandible, usually in the premolar and molar areas. Key clinical message oral maxillary exostoses are proliferating bone lesions with an. Government of the district of columbia department of health care finance dhcf transmittal no. The role of occlusal stress and gingival infection in the formation of. When the exostosis is covered with cartilage, its called an osteochondroma.
It can occur in any bone and be triggered by a number of factors. Buccal exostoses are benign, broadbased surface masses of the outer or facial aspect of the maxilla and less commonly, the mandible. Exostosis, a slow growing, benign bony outgrowth, is a common clinical finding and not usually an issue with patients. Buccal exostoses are broadbased, nonmalignant surface growth occurring on the outer or facial surface of the maxilla andor mandible, found usually in the. Those ones are classified according their location, size, numbers and structure. The word, tori, is the pleural of torus, which is the singular form of the word. Oral maxillary exostosis limongelli 2019 clinical case reports. In the case of a bony lump under a toe nail the injections will be at the base of the affected toe. Buccal and labial aspects were recorded for buccal exostoses be on the maxilla, and lingual.
Buccal exostoses are typically discovered during the oral examination. Posteriormedialcranial part of tibial lesion shows cartilage cap thickness up to 18 mm. Images in clinical medicine from the new england journal of medicine oral maxillary exostosis. In addition, most of the exostoses were located on the buccal aspect of the jaws.
The gingiva usually presents with no abnormal clinical features except the massive increase in size of the area. Flemingsburg dental care buccal exostosis click here images frompo pdf bony bumps in the mouth. Treatment of bilateral maxillary buccal exostoses on gummy smile. Exostoses were concurrent with tm more frequently than with tp 36. Existing as asymptomatic bony nodules, buccal exostoses dont usually present until adult life, and some consider buccal exostoses to be a variation of normal anatomy rather than disease. Pdf buccal exostoses are benign, broadbased surface masses of the outer or facial aspect of the maxilla and less commonly, the mandible. Palatal exostoses are similar to buccal exostoses except for location. Exostoses are defined as benign growths of bone extending outwards from the surface of a bone. Buccal exostosis is benign outgrowths, which occur on the outer or facial aspect of the maxilla and less commonly, the mandible. Nonpathologic excisional procedures page 2 of 4 unitedhealthcare dental coverage guideline effective 10012019 proprietary information of unitedhealthcare. Surgical treatment of nail bed subungual exostosis smj. All structured data from the file and property namespaces is available under the creative commons cc0 license. More commonly seen in the maxilla than the mandible, buccal exostoses are considered to be site specific. Define terms such as exostosis, osteochondroma, and chondrosarcoma.
A 44yearold female visited a dentist for a routine. Exostoses can cause chronic pain ranging from mild to debilitatingly severe, depending on the shape, size, and location of the lesion. However, when removable prosthesis is placed either adjacent to or over these areas, abrasion, ulceration, or limited tongue space can occur due to pressure. Technique for surgical mandibular exostosis removal pdf buccal exostosis. Palatal exostoses are found on the palatal aspect of the maxilla, and the most. Torus palatino, torus mandibular y exostosis maxilares. Bilateral buccal exostosis evaluated by conebeam computed. The highest concurrence of exostoses with tori was observed in subjects who had both tp and tm 42. Biopsy should be performed if there is any dilemma regarding diagnosis. These exostoses need to be accurately distinguished from the other more diagnostically significant lesions, notably from the exosteal osteomas. Surgical management of the bilateral maxillary buccal.
As the term palatal suggests, a palatal exostosis develops from the lingual aspect. The etiology of oral bony exostosis is still not clear. Intestinal polyposis and cutaneous cysts or fibromas are other common features of this autosomal dominant syndrome. Radiographically, exostosis appears as welldefined round or oval calcified structure superimposing the roots of teeth. Torus palatinus is an exostosis in the midline of the hard palate and may appear as a solitary mass or may be multilobular. The prevalence of buccal exostoses in different studies varies from 0.
The exostosis formations were scored at two locations of the jaws. Merck manual noncancerous bone tumors osteochondromas osteocartilaginous exostoses, the most common type of noncancerous bone tumors, usually occur in people aged 10 to 20 years. Multiple maxillary and mandibular exostoses are common localized overgrowths of the bone. Therapies are indicated just when an esthetics and a planned prosthesis are required. An exostosis, also known as bone spur, is the formation of new bone on the surface of a bone. I have buccal exostoses all the way along all of my upper and lower molars, with one particular one being really a problem. Files are available under licenses specified on their description page. The overlying mucosa appears to be stretched but intact and normal in color. Please use one of the following formats to cite this article in your essay, paper or report. Multiple bony overgrowths in the mouth report of two cases.
There are three forms of jaw thickening which have different names, which are torus palatines, mandibular torus, and buccal exostosis. They tend to appear in early adolescence and may very. Pdf concurrence of torus mandibularis with multiple. A case report amit kumar tamrakar, 1 syed ansar ahmad, 2 manu rathee 3 1.
Concurrence of torus mandibularis with multiple buccal. The reason why i have heard of them at all is because i have had them most of my life in several parts of my mouth. They are usually painless and selflimiting, but occasionally may become larger in size. I also have really large mandibular tori inside my lower jaw. Commonly found to appear in the premolarmolar region. These lesions are found in about 3% of adults and are more common in males than in females. Case report surgical removal of palatal bony exostosis. The diagnosis was of typical multiple buccal exostosis of the maxilla. Exostosis can be painless, or it can cause severe pain and require surgical removal. Pdf buccalsided mandibular angle exostosis a rare case report. Etiology is still not established, but it has been suggested that the bony overgrowth can be because of abnormally increased masticatory forces to the teeth.
Buccal exostoses are broadbased, nonmalignant surface growth occurring on the outer or facial surface of the maxilla andor mandible, found usually in the premolar and molar region. Exostoses were more common in the maxilla than in the mandible 5. Gs toothpix idiopathic osteosclerosis dense bone island ddmfr. Etiology is multifactorial and not well established. A statistical study on the incidence of tori has been published, but cases of the treatment and prognosis of patients with a concurrence of tori and multiple buccal exostosis are rarer 3. Unless you need a prosthesis made, such as a denture or partial denture, or unless the growths reach an unmanageable size. Buccal exostoses are multiple bony nodules that occur less frequently than tori. Bone is thought to become hyperplastic, consisting of mature cortical and trabecular bone. Sarcomatous degeneration is treated by surgical resection. Concurrence of torus palatinus, torus mandibularis and. Exostosis, also called osteoma, is a benign growth of new bone on top of existing bone.
1246 523 133 741 706 77 338 1482 1540 1169 76 589 1601 828 1223 1621 200 76 1244 475 87 1365 522 777 1474 240 127 1074 655 1122 1234 229 302 317 240 1475 1494