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. Floss or clean between your teeth with interdental brushes or water flossers at least once a day, and use antimicrobial mouthrinses and tongue scrapers. Found usually in the premolar and molar region. WebTotal time 1h, some pain afterwards for 2-3 days, easily manageable with regular pain meds. 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. buccal exostosis; osteotomy; periodontal cosmetic surgery. This case report describes the surgical treatment of bilateral bone projections on the buccal surface of the maxilla that represented an undesirable esthetic alteration to the patient. Buccal exostosis: (A) Maxillary anterior region; (B) Maxillary posterior region; (C) Mandibular anterior, MeSH Lol! WebExostoses are bony protuberances that occur on the buccal aspect of the mandibular or maxillary alveolus (Figure 8). Up to now no support therapy has been described to treat these weakening symptoms in this group of patients. How are you handling it now? 7, pp. Teeth clenching, malocclusion or some other underlying problem can cause excess strain and tension on the teeth and jaw joints. Buccal exostoses are hard bony protrusions on the outside of your gums and are less common. I also got a phrenectomy and gum contouring (very gummy smile) at the same time since they were already in there. WebThey begin to develop in early adulthood and may very slowly enlarge over years. 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. F. Caviggioli, L. Maione, D. Forcellini, F. Klinger, and M. Klinger, Autologous fat graft in postmastectomy pain syndrome, Plastic and Reconstructive Surgery, vol. We subsequently treated her with autologous fat grafting according to Colemans technique. Epub 2013 Dec 31. 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. WebA torus is often obvious, presenting as several rounded protuberances or calcified multiple lobules, whereas a buccal exostosis is singular and may appear as a sharp, pointed bony They are benign and in most individuals they do not cause any problems. So i told the ortho, he said yeah it seems to be expanding, due to the moving teeth. 2000 Jun;71(6):1032-42. doi: 10.1902/jop.2000.71.6.1032. According to an article published in the Journal of International Oral Health, some causes could include genetic factors, environmental factors, excessive chewing (masticatory hyperfunction), teeth grinding (bruxism), and continued jawbone growth. One of the most common oral surgical procedures we perform is removal of mandibular and maxillary torus and exostosis. 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. 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] I'd do it again in a heartbeat. 2015 May-Jun;19(3):352-5. doi: 10.4103/0972-124X.152412. Bethesda, MD 20894, Web Policies In some circumstances, patients may develop traumatic ulcers and exposure of bone (known as dehiscence) leading to pain and discomfort. There are rare circumstances when exostoses have interfered with oral function or denture placement and have required surgery, but that is not the norm. This then causes the bodys natural defense to produce extra bone material to support the teeth. After collection of both clinical history and examination we proposed to our patient surgical scar tissue correction with autologous fat grafting. government site. Replacing a Defective Dental Bridge with Dental Implants? Under local anesthesia, the surgeon will make an incision and lift the soft tissue away to expose the overgrowth of bone. I noticed in December and freaked out that it was Cancer or something?! Buccal exostosis: (A) Maxillary anterior, Fig. Here are several before and after examples: Dr. H Ryan Kazemi is a board-certified oral and maxillofacial surgeon in Bethesda, MD. It can occur in many parts of the body. 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. The mucosa overlying the buccal exostoses typically appears intact and is normal in color. When the exostosis is covered with cartilage, it's called an osteochondroma. Careers. I'm currently on refinements for invisalign and one thing that has been bothering me throughout this process is that on my right side, my gums are continuing to become more raised and through google searches, i've found out this is called buccal exostosis. At completion of the procedures, flat buccal bone ridges with a clear esthetic improvement were observed. 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. Fig. 2014 Nov;4(4):203-207. doi: 10.1902/cap.2013.130005. eCollection 2020 Jul. The diagnosis is established by a combination of medical history and clinical and radiographic features of the affected region. 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). It has caused me a lot of stress because I worry about it getting worse. We start treating postmastectomy pain syndrome obtaining significant decreases of neuropathic pain [8, 9]. Create an account to follow your favorite communities and start taking part in conversations. Do you have bony bumps in your mouth? WebExostosis or hyperostoses are localized cortical bone growth on the mandible and maxilla. Intraoral Clinical Picture of First patient showing maxillary buccal exostoses. 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 Medically Reviewed By Colgate Global Scientific Communications. Thanks for sharing your experiences, i appreciate it!!! WebTreatment of tori and buccal exostoses is usually not necessary. It's common for people to have exostoses in their mouths for years before they even notice they are there. Bookshelf 3. Although it's an irregular growth, take comfort in the fact that a buccal exostosis is benign. P. Gaetani, M. Klinger, D. Levi et al., Treatment of chronic headache of cervical origin with lipostructure: an observational study, Headache, vol. HHS Vulnerability Disclosure, Help In fact postsurgical scar retraction could determine chronic pain in oral region, in particular during chewing, with an overall reduction of patients quality of life. Teeth clenching, malocclusion or some other underlying problem can cause excess strain and Have questions about your smile? Typically, the bone is trimmed using a high speed dental hand piece, and the tissue is sutured back in place. An exostosis is a benign, localized, peripheral overgrowth of bone of unknown etiology. In the rare instance where treatment is recommended, the exostosis can be removed in a dental specialist's office, usually by an oral surgeon. Exostoses are nodular protuberances of mature bone whose precise designation depends on anatomic location. The diagnosis is established by a combination of medical history and clinical and radiographic features of the affected region. Ask the Colgate Chatbot! It's nothing more than a protrusion of bone in a roughly circular shape, which can develop on the upper or lower jaw bone. Moreover the patient declared that she stopped analgesic drug assumption immediately after operation. This community provides (unofficial) support for those using Invisalign! WebBuccal exostoses (buttressing bone) appear as a bilateral row of smooth bony nodules along the facial alveolar process of the mandible and/or maxilla. Zhonghua Kou Qiang Yi Xue Za Zhi. Our patient was informed about surgical procedure in particular regarding fat grafting unpredictable reabsorption rate and clinical results in this particular case. All rights reserved. 8, pp. M. Klinger, M. Marazzi, D. Vigo, and M. Torre, Fat injection for cases of severe burn outcomes: a new perspective of scar remodeling and reductio, Aesthetic Plastic Surgery, vol. Patients should be reassured that these growths are benign and should be encouraged to maintain good oral Males also are afflicted more than females with a prevalence rate of 1.66:1, in all intraoral locations. 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. [15] This is done by reflecting the mucoperiosteal flap in order to expose the extended bone for complete excision. Buccal exostoses occur along the buccal aspect of the maxilla or mandible, usually in the premolar and molar areas. Korean J Pain. 2014;27:1622. 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. My biggest question is, what can be the fix to this? 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. Advanced Search Coronavirus articles and preprints Search examples: "breast cancer" Smith J"breast cancer" Smith J J Coll Physicians Surg Pak. 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. Technique: This procedure is typically performed by an oral surgeon experienced in management of conditions related to jaw bone. Persistent pain as a consequence of surgical treatment has been reported for several common surgical procedures and represents a clinical problem of great magnitude. Saunders Company, Philadelphia, Pa, USA, 1995. 284291, 1986. 113, no. [3] They are less common when compared with mandibular tori. [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. The https:// ensures that you are connecting to the I feel like i can only take pictures looking towards one direction now to avoid the unevenness in my smile being seen. The procedure is also sometimes called a cheek reduction. Laboratory findings have demonstrated the presence of mesenchymal multipotent stem cells in the adipocyte cell fraction of fat graft [14]. If the skin overlying it is continually experiencing trauma due to sharp foods. If you're unsure whether or not growth under the tissue in your mouth is bone, then it's worth having a professional take a look right away to ensure it's not something more problematic. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Palatal exostoses are found on the palatal aspect of the maxilla, and the most common location is the tuberosity area. She did not assume any other medications. There's more black space when i smile on my right vs my left side where my teeth kind of fill up my whole mouth. HHS Vulnerability Disclosure, Help Pictures above are flipped - the right side irl is showing to the left in the picture and vice versa. Idk how i feel about surgery lol but i'll talk to my ortho more about my concerns to get all options. The site is secure. After routine preoperative examination and clinical assessment, the patient underwent liposuction under sedation and local anesthesia. 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 ]. 108S120S, 2006. The mucosa overlying the buccal exostoses typically appears intact and is normal in color. Ulcerations may occur if the mucosa is traumatized. The adjacent teeth are vital, and there is no history of pain or sensitivity. Buccal exostoses are typically discovered during the oral examination. They are more common in males than females, occurring in a ratio of about 5:1. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. However, they can enlarge gradually over time in response to bone apposition related to direct physical irritation during eating. Conclusion. [11] The mass is generally smooth although in some cases a sharp, bony prominence may be present resulting in tenderness beneath the mucosa. 12, pp. official website and that any information you provide is encrypted Chandna S, Sachdeva S, Kochar D, Kapil H. J Indian Soc Periodontol. Medsinge SV, Kohad R, Budhiraja H, Singh A, Gurha S, Sharma A. Buccal exostosis: a rare entity. Appointments 216.444.5725 Appointments & Locations Request an Appointment Nonetheless also surgical removal could be related to different drawbacks. The term sounds a little frightening, but don't worry in most cases, these growths aren't a cause for any concern at all. Would you like email updates of new search results? 3, pp. 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. 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. Why buccal exostoses form is unclear,[8] but it may involve bruxism (tooth clenching and grinding),[8] and genetic factors. Exostoses have been described as nodular protuberances of mature intraoral bone. Medsinge SV, Kohad R, Budhiraja H, Singh A, Gurha S, Sharma A. Clin Adv Periodontics. The .gov means its official. 2017 Nov 9;52(11):672-677. doi: 10.3760/cma.j.issn.1002-0098.2017.11.005. Disclaimer. Mesenchymal stem cells and adipose-derived stem cells could efficiently reduce T-cell activation inhibiting the proliferation of CD4 and CD8 T lymphocytes [15]. Please enable it to take advantage of the complete set of features! 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. Moving from these evidences we consider autologous fat grafting as an innovative solution for pain syndromes related to scar retraction although the exact mechanism of action is still unclear. Most common types of intraoral osseous overgrowths are TP If there is any diagnostic doubt, or the patient is anxious 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. M. Klinger, F. Caviggioli, F. M. Klinger et al., Autologous fat graft in scar treatment, Journal of Craniofacial Surgery, vol. At the same time, malocclusion can also cause pain and discomfort. 42794295, 2002. Disclaimer. 67, no. 19, 20, 23 to 26, 28, and 30. WebBuccal fat removal is a surgery to remove the fat in this area of your face. This site needs JavaScript to work properly. Due to it being difficult to clean around the exostosis, periodontal disease can often occur as a result, and so this should be treated by t The psychosomatic disorders pertaining to dental practice with revised working type classification. The most commonly occurring bone growths are found in the mouth's roof (torus palatinus) and beneath the tongue (torus mandibularus). 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. 16101615, 2013. Growths usually appear in the late teens or early adulthood and tend to increase in size over time. Oral Health, Dental Conditions & Treatments. 2007 Aug;19(3):423-33, vii. 2014 Jan;27(1):16-22. doi: 10.3344/kjp.2014.27.1.16. 507513, 2013. 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. Oral Maxillofac Surg Clin North Am. 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 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. [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. Clipboard, Search History, and several other advanced features are temporarily unavailable. 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. 13, no. Exostosis, also called osteoma, is a benign growth of new bone on top of existing bone. Total time 1h, some pain afterwards for 2-3 days, easily manageable with regular pain meds. Buccal exostosis is a bony overgrowth located on the outer side of the maxilla that is facing the cheek superior to the teeth. After 3 months from surgical operation we performed an MRI of the facial skeleton and we appreciated a soft tissue volume increase in the area of previous fat grafting (Figure 4). Removing this fat can highlight the bone structure in your face, especially your cheekbones and the Material and Methods. Clinical assessments were performed at 5 and 14 days, 1, 3, and 6 months, and 1 year after surgical procedure. You seem fixated with the esthetic side of the thing; I'll tell you my experience, do what you want with it. 62, no. Some people may want a growth removed due to aesthetic concerns. Prevalence of Palatal Exostoses in Patients Who Have Received Periodontal Surgery in the Posterior Maxilla. If you're experiencing abnormal bone growth in your mouth, you have what's called an exostosis. MeSH These benign growths affect both the jaws. WebIs bony exostosis benign? 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. The patient also stated that he had difficulty in placing and removing his RPD, and had trouble with food impaction below the buccal exostosis. The adjacent teeth Currently, buccal exostoses do not commonly require treatment. WebBuccal exostosis: a rare entity Authors Sonali V Medsinge 1 , Ramesh Kohad 2 , Harmeeta Budhiraja 3 , Atamjeet Singh 4 , Shradha Gurha 4 , Akash Sharma 1 Affiliations 1 PG N. Pallua, A. Baroncini, Z. Alharbi, and J. P. Stromps, Improvement of facial scar appearance and microcirculation by autologous lipofilling, Journal of Plastic, Reconstructive & Aesthetic Surgery, vol. This information is for educational purposes only. (a)-(b) MRI of the facial skeleton after 3 months from surgery. The condition is not only benign, but also uncommon and very rarely -. 24, no. doi: 10.7759/cureus.29020. Oral Maxillofac Surg Clin North Am. Buccal exostoses generally occur bilaterally. Surgical management of the bilateral maxillary buccal exostosis. Dental panoramic tomography and cone beam tomography can be used to confirm diagnosis. Background. Exostosis: Causes, types, and treatment - Medical News Today 1998 May;85(5):552-7. doi: 10.1016/s1079-2104(98)90290-6. WebBilateral Maxillary and Mandibular Buccal Exostosis: A Self Reported Case and a Proposal to Include Buccal Exostosis Under Miscellaneous Disorders of Revised Working Concurrence of Torus Palatinus, Torus Mandibularis and Buccal Exostosis. Clipboard, Search History, and several other advanced features are temporarily unavailable. WebBuccal fat removal is a surgery to remove the fat in this area of your face. TM, if very large, can inhibit proper speaking, and all types of exostosis can interfere with denture placement. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). K. le Blanc, Mesenchymal stromal cells: tissue repair and immune modulation, Cytotherapy, vol. National Library of Medicine about the teeth, Ive never heard of that. [Analysis of the effect of mesial implant position on surrounding bone stress of mandibular edentulous jaw under dynamic loads]. [6] Despite buccal exostoses being generally painless and self-limiting, they may cause patient concern regarding poor aesthetics, food lodgement and compromised oral hygiene. It may be a nodular, flat or pedunculated protuberance located on the jawbones alveolar surface.1 It frequently occurs in long bones where tendons and muscles are inserted. A buccal exostosis is an exostosis (bone prominence) on the buccal surface (cheek side) of the alveolar ridge of the maxilla or mandible. 45, pp. 8600 Rockville Pike Keywords: 559561, 2006. Thrower's Exostosis of the Shoulder: A Systematic Review With a Novel Classification. 6, pp. Torus palatinus This is the growth of hard body structure at the midline of the palate. PMC 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. If there is neither pain nor sensitivity, the buccal exostosis simply needs to be monitored with routine dental check-ups. The .gov means its official. [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. M. Klinger, F. Caviggioli, F. Klinger, A. V. Pagliari, F. Villani, and V. Bandi, Scar remodeling following burn injuries, in Fat Injection: From Filling to Regeneration, S. R. Coleman and R. F. Mazzola, Eds., Quality Medical Publishing, St. Louis, Mo, USA, 2009. This site needs JavaScript to work properly. Exostosis can cause chronic pain or irritation, depending on its size and location. Sometimes, cartilage will grow over an area of exostosis, which is called osteochondroma. These bony outgrowths often occur in the ear when they are called surfers ear, on the heel of the foot, or underneath the nail beds. 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. 2007. Removal of torus or exostosis is a relatively minor procedure with minimal discomfort. B. W. Neville, D. D. Damm, C. M. Allen, and J. E. Bouquot, Eds., Oral and Maxillofacial Pathology, W.B. An official website of the United States government. Please enable it to take advantage of the complete set of features! [9] They are strongly associated with the presence of torus mandibularis and torus palatinus.[9]. Exostosis can be painless, or it can cause severe pain and require surgical removal. Press question mark to learn the rest of the keyboard shortcuts. Most often, your dental professional will diagnose you with an exostosis during a regular checkup. Exostoses are protuberances of calcified bone which are designated according to typical anatomic location. The case reported showed a positive final outcome. The site is secure. 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 Giant Osteoma of Zygoma Mimicking Pseudo-Temporo-Mandibular Joint Ankylosis: A Case Report. government site. Occasionally they can develop some adverse effects, especially if they become large enough that they interfere with the functioning of your mouth. Routine post-operative instructions are given to the patient and occasionally antibiotics may be prescribed. 528532, 2014. Also, if you have missing teeth and are considering dentures, all types of exostosis can potentially interfere with the placement of your artificial teeth. This bone will then be sent for histopathological examination to differentiate from benign to malignant neoplastic processes. Yes for me i would say it's more aesthetic - I wanted to do invisalign for aesthetic purposes overall because my teeth weren't too bad when i started and i just wanted to straighten them out + fix my slight overjet so it's a bit disheartening to now come out with a problem i didn't even consider. Buccal Exostosis: Causes, Treatment and Care | Colgate. There is no known cause (etiology) of bone growing out of gums, the mouth's roof, or under the tongue. Boge, RDH, BS, MPA, E. (2019). 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. 3, pp. Our team adopts autologous fat grafting in the treatment of multiple pathological status beyond all scar treatment and pain syndromes. For instance, a torus mandibularus can make it difficult to speak properly if it grows to a certain size. 3, pp. They tend to appear in early adolescence and may very slowly increase in size with time. Following Colemans procedure [11], the obtained fat was processed by centrifugation at 3000rpm for 3 minutes. 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). Search worldwide, life-sciences literature Search. 8600 Rockville Pike 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. sharing sensitive information, make sure youre on a federal Exostoses have been described as nodular protuberances of mature intraoral bone. Buccal alveolar exostoses: prevalence, characteristics, and evidence for buttressing bone formation. 11301131, 2010. The overlying mucosa appears to be stretched but intact and normal in colour. 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. 465469, 2008. Buccal exostosis or osteoma These are an abnormal growth of hard lump on the back roof of the mouth. 126, no. If there is neither pain nor sensitivity, the buccal exostosis simply needs to be monitored with routine dental check-ups. I had the same procedure for 90% aesthetic reasons, but above my six upper front teeth. Buccal exostoses occur as bilateral, smooth bony growth along the facial aspect of the maxillary and/or mandibular alveolus. 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). It's not a tumor, nor is it likely to affect your quality of life. 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. Autologous fat grafting is a relatively new technique which has been recently adopted to treat various pathologic conditions in reconstructive surgery, such as scars and burn keloid [27], and pain syndromes such as postmastectomy pain syndrome (PMPS) [8, 9] and in the treatment of Arnold neuralgia [10]. 2022 Sep 11;14(9):e29020. and transmitted securely. The https:// ensures that you are connecting to the This content is not intended to be a substitute for professional medical advice, diagnosis or treatment. Orthop J Sports Med. Currently, buccal exostoses do not commonly require treatment.
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