Exostosis. Then I had a tooth pulled and had some broken bone sticking up and irritating my gum. Douglas D Damm. 2016 Sep;11(3):225-230. doi: 10.1016/j.jds.2015.10.004. Tori and exostosis are actually similar conditions, just located in different areas of the mouth. 8600 Rockville Pike Smaller but significant correlations were observed between LME and the age adjusted wear rate on lower molars, as well as between BE and indicators of oral/dental pathology, e.g. 2019 May 22;2019:3231759. doi: 10.1155/2019/3231759. HHS Vulnerability Disclosure, Help Jan 1995. We report a significant Spearman correlation between BE and LME (rho = 0.54, P < 0.00001), suggesting a partially shared aetiology of these two types of exostoses. Exostoses are benign protuberances of bone that may arise on the cortical surface of the jaws ( eFigure 2-16). Description, therapeutic approach. I might forget to check back on this site as often as I should. I could probably get on fine without having it removed, but it happens to be positioned in an uncomfortable place, so Im thinking I might as well just get it taken out. So now I am sharing my positive experience with you all. The https:// ensures that you are connecting to the Before buccal fat removal surgery, you'll meet with your healthcare provider. An 86-year-old woman had soft-tissue irritation caused by abrasion from food in the buccal posterior right quadrant. 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. Prognosis after Buccal Exostosis Resection . Alkurt MT, Peker I, Demirel O, Akay G, Gungor K, Ucok O. J Dent Sci. and i am definately a type A personality! terms and conditions. I am investigating having in implant which will necessitate a bone graft to replace the bone that was lost during and after the extraction. Buccal exostoses, the rarest of the three and seen on the upper molars on the outside of the upper arch (touching the cheek) All of these grow very slowly. Exostosis, a slow-growing, benign bony outgrowth, is a common clinical finding and not usually a concern for patients. A lack of anatomic evidence for the theory of buttressing bone formation is indicated and other factors may be of greater importance in the etiology of buccal bone enlargements, which casts doubt on the currently popular concept of abfraction. 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. You have made me feel a lot better. I do not, however, have a Type A personality, although I do sometimes grind my teeth. The highest correlations between either form of exostoses and any oral indicator of stress were found for pathology at TMJ (rho = 0.46, P < 0.0001 for both types of exostoses). J Periodontol. Well when I was in the dental field, I found it to be more common in middle aged men and women. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. Ive been really sore till today 12/14/09 and noticed that I still have half of the sharp edge coming through my gum. Etiology. I2) ncision from the mid-line where the tooth was and up over the outer gun to create a flap of gum that is lifted up to get to the bone. Buccal exostoses are benign, broad-based surface masses of the outer or facial aspect of the maxilla and less commonly, the mandible. I have a lot of extostoses on the buccal (cheek) side of both my mandible and maxilla and to a lesser extent on the lingual side of the maxilla. Exostosis is usually asymptomatic and can pose a problem when any prosthetic is being fabricated. They begin to develop in early adulthood and may very slowly enlarge over the years. Methods for Treating Cancer Using Pyrimidine and Pyridine Compounds with BTK Inhibitory Activity. Most Oral Surgeons like using the dissolvable sutures. The BS of the fiberglass posts to root dentine was not affected by the intracoronary bleaching and the use of Ca(OH)2 dressing. [0002] The invention relates to a series of pyrimidine and pyridine compounds that are useful as therapeutics in the treatment of cancer in mammals. Association between masticatory muscle activity and oral conditions in young female college students. Again, its been years since I worked as a dental assistant, so Im a bit rusty on my dental terminology. They work great. I am so thankful for joni1977 comment, after reading all the horror stories I was sure my problem was going to be disastrous But Thankful I had one positive feed back to look at that said it was basically a simple procedure and guess what ( It Was! ) An 86-year-old woman had soft-tissue irritation caused by abrasion from food in the buccal posterior right quadrant. National Library of Medicine The aim of this study is to analyse environmental factors that may stimulate the formation of exostoses on different regions of the maxilla and mandible. I asked about using some of my extostoses for the donor bone and it seems that it is likely. This case was managed by a combination of osseous resection surgery to treat exostosis and crown lengthening to remove alveolar bone and excessive gingival, resulting in poor esthetics. and transmitted securely. Buccal exostosis. It is a small, bony growth under the gum that occurs in approximately 3% of people. 1998. [14] 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. I was told by one dentist that it was a form of Elephant Man Disease. However, whether he meant neurofibromatosis or the current diagnosis of Proteus syndrome, I do not know. Buccal exostoses are hard bony protrusions on the outside of your gums and are less common. They begin to develop in early adulthood and may very slowly enlarge over years. 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. They are painless and self-limiting, but occasionally may become several centimet On Dec 1,09 just 3 days ago I had the surgery again, this time upper and lower, both outer. I have it on my entire upper, on the buccal (outer) side. Good luck with yours. caries, calculus, periodontoses, and antemortem tooth loss. MeSH Torus mandibularis is a bony overgrowth located on the lingual aspect of the mandible ( Figure 1 ), while buccal exostoses are multiple bony nodules along the buccal aspect of the maxilla or mandible ( Figures 2 and 3 ). Lets hope I never need dentures! sharing sensitive information, make sure youre on a federal While they were in there getting that they took care of the extostosis over that area. From what Im reading, they usually emerge in early adulthood, but they most commonly become a problem when people need dentures, which could explain why people needed to have them removed if they were missing several teeth. The removal of the exostosis is illustrated through the use of a device that serves as an alternative to a scalpel, offering a safe, predictable outcome. Especially if they were missing several teeth. Bookshelf Accessibility During your initial visit, your provider will examine you and likely take photographs of your face. 3) The bone was ground down with what felt like a rasp. The diagnosis is established by a combination of medical history and clinical and radiographic features of the affected region. Then finish by smoothing away any jagged bone and suturing up the gums. They begin to develop in early adulthood and may very slowly enlarge over the years. I myself once had a pain on my lower gum, which lasted for a month and it hurt very badly, especially when touched. More particularly, embodiments official website and that any information you provide is encrypted Here is the procedure: The utilization of exostosis as a source of autogenous bone for the treatment of osseous defects and bone formed in the grafted areas showed comparable clinical features to those of native bone. administering a therapeutically effective amount of a compound of the formula 1-(4-(((6-amino-5-(4-phenoxyphenyl)pyrimidin-4-yl)amino)methyl)-4-fluoropiperidin-1-yl)prop-2-en-1-one or a pharmaceutically acceptable salt thereof to the human subject. I had not heard them called exostoses (the plural of exotosis), although I have heard them referred to as tori (the singular is torus). A 24-year-old female presented with gingival enlargement on the buccal aspect of both the quadrants of the maxillary arch. How interesting. Your Name. He said in his 30 year career, my exostosis was in the top 3 worst hes seen. A torus (plural: tori) is an exostosis that occurs in one of two locations intraorally. Buccal maxillary exostosis was unusually common on the Neolithic skulls from China, which thus resemble the Sinantropus crania described by Weidenreich (1943). Buccal exostoses are hard bony protrusions on the outside of your gums and are less common. Buccal mandibular exostoses occur very rarely, may have large dimensions and change the feature of the face. Clipboard, Search History, and several other advanced features are temporarily unavailable. It's usually painless, but it might affect the way your mouth. @tinyfaery: Haha, glad I helped you figure out what it was! Buccal exostoses are typically found on the buccal surface of the maxillary or mandibular alveolar ridge adjacent to premolar teeth. Please try again. Hope this helps! View. Is it a big deal? Unauthorized use of these marks is strictly prohibited. J Coll Physicians Surg Pak. I have heard of holes on the top of gums. Buccal exostoses are benign bony protuberances that may grow over time but rarely result in functional alterations. Currently, buccal exostoses do not commonly require treatment. After he got going I was glad of that decision. Morphological and Molecular Characterization of Human Gingival Tissue Overlying Multiple Oral Exostoses. Now it seems that the extostoses might benefit me. I had a great doc, but he retired right after my procedure. Accessibility If you feel you will be too nervous under local anesthesia, it would be a good idea to ask your surgeon to sedate you. The large one that gets irritated is easily dealt with I simply dont eat the things that irritate it. @Darwin: yes, they are called tori (tor-eye). Please enable it to take advantage of the complete set of features! J Can Dent Assoc. Am J Hum Biol. Buccal exostoses have no malignant potential. . I was so happy!! The prevalence of antral exostoses in the maxillary sinuses, evaluated by cone-beam computed tomography. more money. Aug 12, 2021. We conclude that formation of exostoses is a complex process that can be invoked by any agent causing damage and inflammation of gingival tissue. How common were they? Journal of International Oral Health : JIOH, 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. While I didnt have any pain the procedure was more uncomfortable than when they broke the bone and drilled out each of the three roots when they tried to pull the tooth. All the way around way from the back left to the back right. Concurrence of torus palatinus with palatal and buccal exostoses: Case report and review of the literature . Francetti L, Dellavia C, Corbella S, Cavalli N, Moscheni C, Canciani E, Gagliano N. Case Rep Dent. The aim of this article was to describe a case report of bilateral maxillary exostosis, unusual, in a female patient, with a concomitant Cone Beam Computed Tomography performed to confirm the diagnosis. 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. The highest . Pynn BR, Kurys-Kos NS, Walker DA, Mayhall JT. Both types of exostoses tended to increase in frequency with age, although a significant trend was observed only for BE. Torus Palatinus in Taiwan Patients Receiving Peritoneal Dialysis and Hemodialysis: A Prospective Observational Study. Thanks for all the info! MeSH ahhhh! Three cases of an otherwise healthy patients from the age group of 45-65 years with Mandibular Tori, which were correlated both clinically and radiographically, are reported. 2010 Apr;61(2):102-16. doi: 10.1016/j.jchb.2010.02.002. An exostosis, also called a bony spur or osteoma, occurs when a bony growth extend beyond a bone's usual smooth surface. There are a number of examples of exostoses that occur due to local irritant stimuli: ivory exostosis. Bethesda, MD 20894, Web Policies I have a bony lump on the tongue facing part of my lower jaw, i think ive had it a while, i have always grinded my teeth, since i was little i used to wake my mum up, its been really worrying me, doesnt hurt, and when i look in my mouth its not that visable but i can feel it with my tounge!! I had this done Friday-10th-December. But dont worry. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. HHS Vulnerability Disclosure, Help Review of the literature]. They put me out with liquid Valium. The fractured bits of bone eventually worked their way out, but in the meantime the pain from that was so great I never even noticed the pain from my surgical site. It is believed to be tied to teeth-grinding. Become a Gold Supporter and see no third-party ads. Torus (tori) is genetic and is usually located on the roof and the floor of the mouth. They begin to develop in early adulthood and may very slowly. 1998 May;85(5):552-7. doi: 10.1016/s1079-2104(98)90290-6. J Coll Physicians Surg Pak. Buccal 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 Student, Department of Periodontology, Maharana Pratap College of Dentistry and Research Centre, Gwalior, Madhya Pradesh, India. official website and that any information you provide is encrypted The results support greater frequency of torus/exostosis among mongoloid ethnicities such as the Maya in comparison to other ethnicities. 2016 Nov;26(11):111-113. Buccal exostoses are benign lesions of little clinical significance. They are painless and self-limiting but may contribute to periodontal disease (gum disease / pyorrhoea) if they become too large. The worst part will only be the sore gums during the healing process. They can, however, be . An. Would you like email updates of new search results? Unable to load your collection due to an error, Unable to load your delegates due to an error. Was the person uncomfortable during the surgery? government site. What kind of doctor would be best suited to address this undiagnosed, bizarre issue. It can occur in any bone and be triggered by a number of factors. But thats not to say youre wrong. Copy and paste a set citation format, or use one of the links to import into the document management software. Buccal alveolar exostoses: prevalence, characteristics, and evidence for buttressing bone formation. 1995 Dec;61(12):1057-8, 1063-6. Based on what it felt like to heal from the accidental removal I would think long and hard before I had any others removed. Huck, Bayard R. and Goodstal, Samantha M. and Gimmi-mckim, Claude. Buccal exostosis is benign, broad-based surface masses of the outer or facial aspect of the maxilla and less commonly, the mandible. Looks like in another 4 or 5 years, Ill have to do it all over again. Responses must be helpful and on-topic. 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 ). The largest bumps are over my canines. (2021). I noticed when some patients were really nervous, the anesthesia took longer to take effect, which some will argue is not completely true. The site is secure. In this case your lower jaw will be more prone than your upper jaw. Again, you should be fine! Well, I can not give a direct answer, sorry. Epub 2010 Feb 18. Concurrence of torus palatinus with palatal and buccal exostoses: case report and review of the literature. Concurrence of Torus Palatinus, Torus Mandibularis and Buccal Exostosis. Apropos of a case. Princ G, Brassard S, Perrin A, Naman N, Vaillant JM. After surgery you can put weight on the foot but can take approximately four to six weeks before you can return to normal activities. 2021 Mar;33(2):e23446. This case report describes the surgical treatment of bilateral bone projections on the buccal surface . Oops. Methods for Treating Cancer Using Pyrimidine and Pyridine Compounds with BTK Inhibitory Activity. Full text data coming soon. The most commonly occurring bone growths are found in the mouth's roof ( torus palatinus) and beneath the tongue ( torus mandibularus ). Sixty-six well-preserved crania from Neolithic China were studied for the presence of buccal exostoses on the maxilla (BE) and lingual exostoses on the mandible (LME). Reference article, Radiopaedia.org (Accessed on 05 Mar 2023) https://doi.org/10.53347/rID-17041. Had all teeth removed bottoms first then tops 3 weeks ago.. I figured I would kill two birds with one stone, get rid of some of the extostoses and accomplish the bone graft. The made me sit for 2.5 hours on a unactive IV and, sat in a sergury chair for another two hours waiting for my turn. Do you go by referral or use the internet? eCollection 2019. US. This question is in the General Section. Postgrad Med J. Hematoma following periodontal surgery with a torus reduction: a case report. Reset. Now, they are growing back, much much faster than the 40 years or took to get them big the first time. It is not a big deal, just make sure you follow all post-operative instructions, such as proper rinsing especially after meals, avoiding spicy foods and keeping the incision area clean while the gums heal. Disclaimer. The cause is actually neoplastic (abnormal growth of cells) and not predetermined by personality type nor parafunctional habits, such as grinding. I2) ncision from the mid-line where the tooth was and up over the outer gun to create a flap of gum that is lifted up to get to the bone. I also have really large mandibular tori inside my lower jaw. Exostosis, a slow-growing, benign bony outgrowth, is a common clinical finding and not usually a concern for patients. It can occur in any bone and be triggered by a number of factors. Has anyone else got a phobia of medications? 1) Linocane injections in the palate and outer gum. Treatment Typically, no treatment for buccal exostoses is indicated. and transmitted securely. Homo. J Multidiscip Healthc. Correlations between dental wear and oral cavity characteristics: Mandibular torus, palatine torus, and oral exostoses. There are a variety of oral conditions that may be confused with exostoses. Said they drilled it and used a bone file. J Contemp Dent Pract. There are a number of examples of exostoses that occur due to local irritant stimuli: Where exostoses are capped with cartilage, they are termed osteochondromas, which can be solitary or multiple, sessile or pedunculated: The differential diagnosis for bone tumors is dependent on the age of the patient, with a very different set of differentials for the pediatric patient. 2016 Nov;26(11):111-113. 2007 Mar 1;8(3):72-80. US Patent 17232383. Alveolar bone exostoses are benign localized outgrowths of buccal or lingual bone, consisting of mature cortical and trabecular bone. @girlofscience Maybe the way her lower face is shaped? Before The .gov means its official. 2000 Jun;71(6):1032-42. doi: 10.1902/jop.2000.71.6.1032. Tooth wear and dental pathology of the Bronze-Iron Age people in Xinjiang, Northwest China: Implications for their diet and lifestyle. exostosis of the external auditory canal (surfer's ear) I was told they were wanting me to come back so to charge my ins. Fell free to contact me direct if you have further question ggoldsm590@aol.com make sure to place oral surgery in the subject line. I have a single exostosis on my upper gum. An official website of the United States government. Clipboard, Search History, and several other advanced features are temporarily unavailable. Buccal exostosis resection is performed with a local anesthetic. Unable to load your collection due to an error, Unable to load your delegates due to an error. eCollection 2020. In their rush to keep me breathing the surgical team actually cracked an exostosis. The journal of contemporary dental practice. It emerges in early adulthood and is more common in females, especially those who are stressed and have Type-A personalities. My dentist informs me that if we can do it that way it will bean buying less bottled bone and reduce my bill for the graft procedure. Most people manage fine with both conditions. document.write(unescape("%3Cspan id='cnzz_stat_icon_1280372373'%3E%3C/span%3E%3Cscript src='https://s4.cnzz.com/stat.php%3Fid%3D1280372373%26show%3Dpic' type='text/javascript'%3E%3C/script%3E")); Biblio data only below the dashed line. 11 The lesions do not have malignant transformation potential. A power grinder might have been a little less bothersome. Etiology is. I just always noticed that when she smiles her lower lip seems like its extending over somethingif that makes any sense. How do you find a good dentist/periodontist? see full revision history and disclosures, bizarre parosteal osteochondromatous proliferation (Nora lesion), conventional intramedullary chondrosarcoma, dysplasia epiphysealis hemimelica (Trevor disease), solitary bone plasmacytoma with minimal bone marrow involvement, mixed lytic and sclerotic bone metastases, Lodwick classification of lytic bone lesions, Modified Lodwick-Madewell classification of lytic bone lesions. Jerry Elmer Bouquot. It may be uncomfortable during x-rays and when the occasional chip pokes the gum tissue! Bullough PG. Check for errors and try again. . At the time the article was created Jeremy Jones had no recorded disclosures. 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. The site is secure. Ive never had it done, but I was once a dental assistant. Well, Im 46 years old male I had my first Boney Exotosis remove when I was 35, it was both lower outer gums, Suregy took about 35 min and post surgery was pretty easy, Just follow the instructions they give you, Ice on 20 min then off 20 min, we used frozen bags of peas. Unauthorized use of these marks is strictly prohibited. This article describes a surgical technique for excision of exostosis through a case presentation. 4) The flap is stitched down and you eat baby food for a week while it heals and the stitches dissolve From what I remember (thats if I remember correctly), the surgeon will expose the bony area and gently shave the excess bone away with the surgical handpiece. They are benign and in most individuals they do not cause any problems. For that reason they might constitute a diagnostic challenge. The findings lend support to the hypothesis that the etiology of exostoses involves an interplay of multifactorial genetic and environmental factors and are related to increasing age. Ivory Exostosis of the Skull. Contents . They can be removed with surgery. They'll discuss with you what you'd like to achieve from surgery, as well as what to expect during and after your procedure. If there is neither pain nor sensitivity, the buccal exostosis simply needs to be monitored with routine dental check-ups. =o). US Patent US20210244736A1, filed Apr 16, 2021, and issued Aug 12, 2021. [Surgical removable of palatine and mandibular protuberamces]. However, I did have one removed accidentally I was having surgery for another problem when I developed asthma and had to be intubated. PMC Chang PC, Hsu CL, Tai SY, Tsai AI, Wang IK, Weng CH, Huang WH, Hsu CW, Yen TH. I cant imagine what it would be like if they had used a chisel. Careers. 1 Torus palatinus is another frequently observed bony overgrowth of the oral cavity, is located in the middle of the hard . 2021 Dec 31;54(4):479-488. doi: 10.5115/acb.21.107. Rev Stomatol Chir Maxillofac. Lucky me. I had the surgery a few years ago. It tends to appear in early adolescence. I have one of those and I do grind my teeth, but I wouldnt say I am a type A personality. Unable to process the form. It was in TLCs My Shocking Story before. government site. National Library of Medicine Has anyone else had this? I do have a mouth full of stitches which are starting to come out already. The DAPs improved retention in flared root canals, and RXU was the most effective luting agent in the push-out bond strength evaluation. I never had the privilege to work with kids (Pedodontics) so I never saw them in the younger generation. ADVERTISEMENT: Radiopaedia is free thanks to our supporters and advertisers. Have you had it removed? The diagnosis of a buccal exostosis is made based on the clinical and radiographic findings. :). But they did vary from young to old adults. sharing sensitive information, make sure youre on a federal Now dentures next week and will blog about that hopefully in a positive aspect.. Before doi: 10.1002/ajhb.23446. An exostosis is an extra growth of bone that extends outward from an existing bone. The surgeon will make sure you are good and numbed before he begins and the only thing you will feel is the vibration from the surgical handpiece is he even has to use it. So thats what that thing is. Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics, Indian journal of dental research : official publication of Indian Society for Dental Research. Torus palatinus is an exostosis in the midline of the hard palate and may appear as a solitary mass or may be multilobular. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). 2020 Apr 15;13:373-379. doi: 10.2147/JMDH.S252013. 1965;41 (475): 277-81. It is also possible for the area to heal poorly. it is also asymptomatic and can pose problem when fabricating dentures. Would you like email updates of new search results? However, severe occlusal stress, which is often manifested in TMJ disorder, is the main environmental factor leading to exostosis development in genetically pre-disposed individuals. 1. Exostosis can cause chronic pain or irritation, depending on its size. C.M. Please enable it to take advantage of the complete set of features! The dentist offered removal but since the only time they bother me is when she presses her mirror on them while working on my teeth I opted to forgo the procedure and asked her to hold my lip aside in the most troublesome area with her fingers. Careers. Leave a Reply. However, when removable prosthetics must sit either adjacent to or over these areas, pressure, food abrasion, ulceration, or limited tongue space can occur. The aim of this article was to describe a case report of bilateral maxillary exostosis, unusual, in a female patient and due to the size of the exostoses a concomitant Cone Beam Computed Tomography was performed to confirm the diagnosis. SO far it hasnt been to bad I used the pain med for the first 2 day and have been able to control the post pain with OTC drugs. :-( Ill have to find a new doc to do it the next time. Allen. Other oral health indicators, such as occlusal wear on molars, pathology of temporomandibular joint (TMJ), carious lesions, calculus accretion, periodontal disease, and antemortem tooth loss were recorded. Brad W. Neville. I called the Office and told them the bone was edging my tongue and they said let it heal! I have a 'dry socket' and got the medicated dressing, but I'm still in pain? They can also use a power grinder or a chisel. This type of exostosis involves your jawbone. Journal of the Belgian Society of Radiology, Teaching point: Multiple buccal exostosis are rare but asymptomatic, unequivocal, and always benign conditions of the jaws. There is no known cause (etiology) of bone growing out of gums, the mouth's roof, or under . I havent considered having them removed as long as there is still room for my tongue in my mouth. In any case, I am glad it isnt. When I took a heavy duty prescription pain reliever that I had left over from the extraction and when that wore off I switched to normal ibuprofin. 4.6 (92.57%) 35 votes . Methods for Treating Cancer Using Pyrimidine and Pyridine Compounds with BTK Inhibitory Activity. As noted above I have extostoses and have had some of it removed which was less than a pleasant experience. lol. Bookshelf I do know and understand that others have had awful experience with dentist, when i was young they tied me to a dentist chair and trust me I have a lot issues going to one even tho i am old nowHope this helps, Guess Ill be going for round 3 removal soon. They can also use a power grinder or a chisel. Common types of exostoses include bone spurs, which are bony growths also known as osteophytes.

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before and after buccal exostosis