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Oral exostoses - Oral Mucosal Lesion
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Oral exostoses - Oral Mucosal Lesion

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Contributors: Carl Allen DDS, MSD, Sook-Bin Woo MS, DMD, MMSc
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Synopsis

Exostoses are benign localized bony protuberances of the maxilla and mandible. A form of exostosis on the midline of the palate is referred to as torus palatinus and on the lingual mandible as torus mandibularis.

Exostoses are generally noted in adults and there is no sex predilection. Exostoses occur often but not always in a symmetric distribution. However, solitary exostoses are not uncommon (eg, on the right or left of the maxillary tuberosity).

Patients are often unaware of the presence of such exostoses since they have usually been present for a long time and grow very slowly.

Some cases exhibit a "growth spurt" and patients become aware of a fairly rapidly enlarging mass.

Genetic and environmental factors (such as chronic irritation) likely play a role in the development of these lesions. Some tori may also regress or become smaller over time. Exostoses may also develop as a benign bony response to irritation (eg, beneath a pontic sub-pontine exostosis).

They are usually painless unless the areas are traumatized by mastication; since they protrude, this is a fairly frequent occurrence.

Codes

ICD10CM:
M27.8 – Other specified diseases of jaws

SNOMEDCT:
416189003 – Exostosis

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

Pleomorphic adenomas of the hard palate may sometimes contain abundant bone and feel bony hard. In general, these are noticeably growing lesions and tend to be located on either the left or right side of the palate.

Osteomas are considered true neoplasms and therefore would exhibit steady and noticeable growth over a short period of time. They are usually not symmetric.

Juxtacortical osteosarcoma presents as a rapidly growing bony mass that protrudes from the jawbones.

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Last Updated: 03/30/2017
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Oral exostoses - Oral Mucosal Lesion
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Oral exostoses : Gingival-alveolar mucosa, Hard palate, Soft palate/tonsillar, Oral nodule
Clinical image of Oral exostoses
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