Alveolar bone exostoses following orthodontic treatment. Diagnostic considerations and clinical management

Clin Case Rep. 2023 Mar 7;11(3):e7000. doi: 10.1002/ccr3.7000. eCollection 2023 Mar.

Abstract

Alveolar bone exostoses (ABE) are benign localized convex outgrowths of buccal or lingual bone, which could be delineated from the surrounding cortical plate, also known as a buttress bone formation. Our review and case series demonstrate the development of alveolar bone exostoses during orthodontic therapy. It is crucial to keep in mind that every case presented had a history of palatal tori. In our clinical observations, higher precedence of ABE development was seen in participants during incisor retraction, especially with preexisting palatal tori. Additionally, we have successfully demonstrated surgical techniques to eliminate ABE in the event that self-remission does not occur once orthodontic forces are discontinued.

Keywords: alveolar buccal exostoses; bone exostoses; buttressing bone formation; palatal exostosis; torus Mandibularis; torus Palatinus.

Publication types

  • Case Reports