Aberrant palatal exostosis

Authors

Keywords:

exostosis, maxilla, hard palate.

Abstract

Introduction: Exostosis is a benign bone growth that commonly affects the jaw and maxilla, but is rarely large.

Objective: To describe a case of rare palatal exostosis and discuss the main clinical aspects involved.

Case presentation: A case is presented of a male 66-year-old dark-skin patient with a history of hard palate enlargement of an indefinite time of evolution, and chewing and phonation disorders. The lesions had obliterated the entire palatal depth and occupied a large section of the oral cavity. Cone beam computed tomography revealed corticalized areas on the surface of the lesion and less hyperdense central areas compatible with mature bone marrow. After preoperative examination and advice, the patient underwent surgical treatment under general anesthesia to remove the bone mass and underlying osteoplasty to obtain normal palatal contours. The material collected was sent for biopsy testing, which established the diagnosis of exostosis. The patient recovered without any complications.

Conclusions: Although exostosis is a benign bone growth, in this case it caused functional problems to the patient, thus requiring surgical treatment. Three months after removal, the disorders have been reverted to normal and prosthetic rehabilitation is underway.

Downloads

Download data is not yet available.

Author Biographies

Thalles Moreira Suassuna, Universidade Federal da Paraíba-UFPB. João Pessoa

Programa de Pós-Graduação em Odontologia da Universidade Federal da Paraíba-UFPB, João Pessoa, Brasil.

Jéssica da Silva Cunha, Hospital da Restauração. Recife

Residência em Cirurgia Bucomaxilofacial, Hospital de Restauração, Recife, Brasil.

Nathalie Murielly Rolim de Abreu, Universidade Federal da Paraíba-UFPB, Faculdade de Odontologia. João Pessoa

Faculdade de Odontologia, Universidade Federal da Paraíba - UFPB, João Pessoa, Brasil.

Fábio Correia Sampaio, Universidade Federal da Paraíba-UFPB, Faculdade de Odontologia, Departamento de Odontologia e Clínica Social. João Pessoa

Faculdade de Odontologia, Departamento de Odontologia e Clínica Social, Universidade Federal da Paraíba - UFPB, João Pessoa, Brasil. 

References

Limongelli L, Tempesta A, Capodiferro S, Maiorano E, Favia G. Oral maxillary exostosis. Clin Case Rep [Internet]. 2018 [acceso 20/05/2019];7(1):[aprox. 2 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6333060/.

Dion B, Coulier B. Multiple Maxillar Exostosis: Teaching point: Multiple buccal exostosis are rare but asymptomatic, unequivocal, and always benign conditions of the jaws. J Belg Soc Radiol [Internet]. 2019 [acceso 30/05/2019];103(5):[aprox.10 p.] Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6450254/

Léonard A, Bayle P, Murail P, Bruzek J. Oral exostoses: An assessment of two hundred years of research. Bull Mém Soc Anthropol Paris [Internet]. 2014 [acceso 30/05/2019];26(1-2):[aprox. 22 p.] Disponible en: https://link.springer.com/article/10.1007/s13219-013-0089-3.

Blakemore JR, Eller DJ, Tomaro AJ. Maxillary exostoses: surgical management of an unusual case. Oral Surg Oral Med Oral Pathol [Internet]. 1975 [acceso 30/05/2019];40(2):[aprox. 4 p.]. Disponible en: https://www.sciencedirect.com/science/article/pii/0030422075901528

Kumaresan R, Balamanikandasrinivasan C, Priyadarshini K, Rajeev V. Multiple Massive Maxillary Exostoses – A Case Report with Complete Denture Rehabilitation. Indian J Public Health Res Dev [Internet]. 2019 [acceso 30/05/2019];10(2):[aprox. 5 p.]. Disponible en: http://www.indianjournals.com/ijor.aspx?target=ijor:ijphrd&volume=10&issue=2&article=035

Khan S, Shah SAH, Ali F, Rasheed D. Concurrence of Torus Palatinus, Torus Mandibularis and Buccal Exostosis. J Coll Physicians Surg Pak [Internet]. 2016 [acceso 28/05/2019];26(11):[aprox. 3 p.] Disponible en: https://pdfs.semanticscholar.org/9dcf/8e3dea6d765a8ac485a6a5e25a51902a7c7e.pdf.

Medsinge SV, Kohad R, Budhiraja H, Singh A, Gurha S, Sharma A. Buccal exostosis: a rare entity. J Int Oral Health [Internet]. 2015 [acceso 30/05/2019];7(5):[aprox. 2 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4441241/

Oualalou Y, Azaroual MF, Zaoui F, Chbicheb S, Berrada S. Prevalence and clinical characteristics of oral bony outgrowth in a Moroccan population. Rev Stomatol Chir Maxillofac Chir Orale [Internet]. 2014 [acceso 30/05/2019];115(5):[aprox.5 p.]. Disponible en: https://www.sciencedirect.com/science/article/pii/S2213653314000925?via%3Dihub

Nery EB, Corn H, Eisenstein IL. Palatal exostosis in the molar region. J Periodontol [Internet]. 1977 [acceso 30/05/2019];48(10):[aprox. 3 p.]. Disponible en: https://aap.onlinelibrary.wiley.com/doi/abs/10.1902/jop.1977.48.10.663

Antoniades DZ, Belazi M, Papanayiotou P. Concurrence of torus palatinus with palatal and buccal exostoses: case report and review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod [Internet]. 1998 [acceso 29/05/2019];85(5):[aprox. 5 p.]. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S1079-2104(98)90290-6

Shamim T. Bilateral maxillary and mandibular buccal exostosis: a self reported case and a proposal to include buccal exostosis under miscellaneous disorders of revised working classification of the psychosomatic disorders pertaining to dental practice. Korean J Pain. [Internet]. 2017 [acceso 28/05/2019];30(2):[aprox. 3 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5392659/

Smitha K, Smitha GP. Alveolar exostosis - revisited: A narrative review of the literature. Saudi J Dent Res. [Internet]. 2015 [acceso 28/08/2019];6(1):[aprox. 5 p.]. Disponible en: https://www.sciencedirect.com/science/article/pii/S2352003514000021

Gautam NR, Gautam NS, Rao TH, Koganti R, Agarwa lR, Alamanda M. Effect of end-stage renal disease on oral health in patients undergoing renal dialysis: A cross-sectional study. J Int Soc Prev Community Dent [Internet]. 2014 [acceso 28/05/2019];4(3):[aprox. 5 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4209615/

Jeong CW, Kim KH, Jang HW, Kim HS, Huh JK. The relationship between oral tori and bite force. Cranio. [Internet]. 2019 [acceso 28/05/2019];37(4):[aprox. 7 p.]. Disponible en: https://www.tandfonline.com/doi/abs/10.1080/08869634.2017.1418617?journalCode=ycra20

Auškalnis A, Bernhardt O, Putnienė E, ? idlauskas A, Andriuškevičiūtė I, Basevičienė N. Oral bony outgrowths: prevalence and genetic factor influence. Study of twins. Medicina. [Internet] 2015 [acceso 28/05/2019];51(4):[aprox. 4 p.]. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S1010-660X(15)00048-8

Scrieciu M, Mercu TV, Mercu TR, Bîrjovanu C, Stan MC, Marinescu IR, et al. Morphological and clinical characteristics of the torus palatinus and torus mandibularis in a sample of young and adults' Romanian people. Rom J Morphol Embryol[Internet]. 2016 [acceso 28/08/2019];57(1):[aprox. 5 p.]. Disponible en: http://www.rjme.ro/RJME/resources/files/570116139144.pdf

Published

2020-06-18

How to Cite

1.
Suassuna TM, Cunha J da S, Abreu NMR de, Sampaio FC. Aberrant palatal exostosis. Rev Cubana Estomatol [Internet]. 2020 Jun. 18 [cited 2025 Dec. 5];57(2):e2928. Available from: https://revestomatologia.sld.cu/index.php/est/article/view/2928

Issue

Section

Case Report