Surgical Management Of An Atypical Case Of Multiple Mandibular Exostoses: A Case Report.

Abstract

Multiple exostosis have long being described in the literature yet there is a continuing paucity in its documentation regarding the incidence and prevalence rates. An unusual case of multiple mandibular buccal exostosis reported to our periodontal office with a chief complaint of unaesthetic appearance. The novelty lay in the situation of the multiple lesions on the buccal mandibular alveolus, both the sites of least predilection (5.1:1); in a female patient whilst the text indicates a 1.66:1 incidence. The average dimension of the lesion was found to be 8X6X4mm. Under the clinical diagnosis of multiple exostoses surgical excision was performed under local anesthesia. Histopathological evaluation revealed a mass of dense cortical bone with interspersed areas of trabecular bone suggestive of exostosis. Deep bite resulting in continual occlusal trauma with consequential reactive proliferation of the bone can be hypothesized to be the concerned etiology in the present case. Uneventful healing with no recurrence was reported.