before and after buccal exostosis23 Apr before and after buccal exostosis
Bookshelf 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. government site. They'll discuss with you what you'd like to achieve from surgery, as well as what to expect during and after your procedure. I do get easily stressed, hence the teeth grinding, and im a busy bee all the time, if im not i get worried, hence why im worrying about this!! more money. (2021). Please try again. 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. Tori and exostosis are actually similar conditions, just located in different areas of the mouth. Torus (tori) is genetic and is usually located on the roof and the floor of the mouth. Prognosis after Buccal Exostosis Resection . US. 1 Although theories regarding a possible role of a chronic periosteal inflammation have been suggested, the true etiology of OE remains still unclear. This case report describes the surgical treatment of bilateral bone projections on the buccal surface . They can also use a power grinder or a chisel. The most commonly occurring bone growths are found in the mouth's roof ( torus palatinus) and beneath the tongue ( torus mandibularus ). Description, therapeutic approach. Etiology Lurve. 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. Epub 2010 Feb 18. 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. Check for errors and try again. Fell free to contact me direct if you have further question ggoldsm590@aol.com make sure to place oral surgery in the subject line. [Surgical removable of palatine and mandibular protuberamces]. In their rush to keep me breathing the surgical team actually cracked an exostosis. Exostosis, a slow-growing, benign bony outgrowth, is a common clinical finding and not usually a concern for patients. They can also use a power grinder or a chisel. The present invention provides methods of treating cancer using pyrimidine and pyridine compounds which are inhibitors of Bruton's tyrosine kinase (BTK). It is believed to be tied to teeth-grinding. LOL, I know youre not middle aged and yes, its true they were definitely a problem for patients needing partials and dentures. I had the surgery a few years ago. @joni1977: I am not middle aged, and I am certainly not missing any teeth! :-( Ill have to find a new doc to do it the next time. Accessibility The exostosis presents as a hard bony mass on palpation, but the overlying mucosa will be intact and show normal color when stretched. So now I am sharing my positive experience with you all. As with any surgery, patients were very nervous, but the hardest part was getting past the anesthesia. 2021. Buccal exostoses have no malignant potential. Tori mandibularis: a case report and review of the literature. Well when I was in the dental field, I found it to be more common in middle aged men and women. Bookshelf I was told they were wanting me to come back so to charge my ins. Then I had a tooth pulled and had some broken bone sticking up and irritating my gum. 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 ). Patent No.17232383. Most people manage fine with both conditions. Here is the procedure: 1) Linocane injections in the palate and outer gum. Buccal exostosis (jaw) This is a type of abnormal growth on the upper or lower jawbone. Again, its been years since I worked as a dental assistant, so Im a bit rusty on my dental terminology. Some on the lower, but not nearly as prominent. 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. They are painless and self-limiting, but occasionally may become several centimet I have it on my entire upper, on the buccal (outer) side. An 86-year-old woman had soft-tissue irritation caused by abrasion from food in the buccal posterior right quadrant. One that the authors will refer to break the boredom in reading is choosing oral and maxillofacial pathology as the reading material. 1 Torus palatinus is another frequently observed bony overgrowth of the oral cavity, is located in the middle of the hard . =o). I just always noticed that when she smiles her lower lip seems like its extending over somethingif that makes any sense. Concurrence of torus palatinus with palatal and buccal exostoses: case report and review of the literature. Exostosis is usually asymptomatic and can pose a problem when any prosthetic is being fabricated. Torus Palatinus in Taiwan Patients Receiving Peritoneal Dialysis and Hemodialysis: A Prospective Observational Study. official website and that any information you provide is encrypted 8600 Rockville Pike Concurrence of Torus Palatinus, Torus Mandibularis and Buccal Exostosis. An official website of the United States government. Was the person uncomfortable during the surgery? Etiology. The .gov means its official. PMC 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. 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. Your Name. 13 years old and agree to the It is a small, bony growth under the gum that occurs in approximately 3% of people. I am investigating having in implant which will necessitate a bone graft to replace the bone that was lost during and after the extraction. Full text data coming soon. lol. US Patent 17232383. 2016 Nov;26(11):111-113. 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. I have a 'dry socket' and got the medicated dressing, but I'm still in pain? I asked about using some of my extostoses for the donor bone and it seems that it is likely. Ive never had it done, but I was once a dental assistant. HHS Vulnerability Disclosure, Help 8600 Rockville Pike eCollection 2019. Then finish by smoothing away any jagged bone and suturing up the gums. 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. 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 ). @Darwin: yes, they are called tori (tor-eye). 4) The flap is stitched down and you eat baby food for a week while it heals and the stitches dissolve . Apropos of a case. In this case your lower jaw will be more prone than your upper jaw. He said he worked like a dog to grind it all down and the gum tissue was paper thin. 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. The site is secure. I figured I would kill two birds with one stone, get rid of some of the extostoses and accomplish the bone graft. C.M. But the point is, the excess bone can create problems in people of all ages on the buccal/facial and lingual sides. 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. The DAPs improved retention in flared root canals, and RXU was the most effective luting agent in the push-out bond strength evaluation. official website and that any information you provide is encrypted Buccal exostosis is benign, broad-based surface masses of the outer or facial aspect of the maxilla and less commonly, the mandible. Buccal exostoses are benign, broad-based surface masses of the outer or facial aspect of the maxilla and less commonly, the mandible. Gender: Tori show gender preference, with men more affected by mandibular tori, and palatal tori more common in women. Clipboard, Search History, and several other advanced features are temporarily unavailable. They work great. An 86-year-old woman had soft-tissue irritation caused by abrasion from food in the buccal posterior right quadrant. Unauthorized use of these marks is strictly prohibited. Postgrad Med J. 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. eCollection 2020. It can occur in any bone and be triggered by a number of factors. Morphological and Molecular Characterization of Human Gingival Tissue Overlying Multiple Oral Exostoses. 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. Its a pretty cool procedure. Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics, Indian journal of dental research : official publication of Indian Society for Dental Research. Mine is somewhat uncomfortable, so I will likely have it removed by an oral surgeon. Again, you should be fine! MeSH Ive been really sore till today 12/14/09 and noticed that I still have half of the sharp edge coming through my gum. sharing sensitive information, make sure youre on a federal Chang PC, Hsu CL, Tai SY, Tsai AI, Wang IK, Weng CH, Huang WH, Hsu CW, Yen TH. I myself once had a pain on my lower gum, which lasted for a month and it hurt very badly, especially when touched. What's the coolest thing you've ever found? All the way around way from the back left to the back right. The cause is actually neoplastic (abnormal growth of cells) and not predetermined by personality type nor parafunctional habits, such as grinding. An exostosis is an extra growth of bone that extends outward from an existing bone. 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. 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! ) I was so happy!! Jerry Elmer Bouquot. Review of the literature]. and transmitted securely. 2010 Apr;61(2):102-16. doi: 10.1016/j.jchb.2010.02.002. To join, you must be at least Imaging Aspects of Palatal Torus in Cone Beam Computed Tomography and Magnetic Resonance: Case Report. 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. 2016 Sep;11(3):225-230. doi: 10.1016/j.jds.2015.10.004. Alveolar bone exostoses are benign localized outgrowths of buccal or lingual bone, consisting of mature cortical and trabecular bone. 2021 Mar;33(2):e23446. He said in his 30 year career, my exostosis was in the top 3 worst hes seen. Careers. Thanks for all the info! However, I did have one removed accidentally I was having surgery for another problem when I developed asthma and had to be intubated. More particularly, embodiments Development is influenced by four main risk factors. 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. During your initial visit, your provider will examine you and likely take photographs of your face. Before buccal fat removal surgery, you'll meet with your healthcare provider. Bone felt like it was coming out of gum and went back to dentist was very nervous with all that i read but grateful for (joni1977 dental assistant) He was right dentist filed it down with in 5 minutes and was smooth to touch with tongue and feel the difference! Had all teeth removed bottoms first then tops 3 weeks ago.. 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. I sometimes wonder if the First Lady has this problem on the lower jaw. Have you had it removed? Buccal mandibular exostoses occur very rarely, may have large dimensions and change the feature of the face. I never had the privilege to work with kids (Pedodontics) so I never saw them in the younger generation. Bethesda, MD 20894, Web Policies The https:// ensures that you are connecting to the Buccal exostosis is benign, broad-based surface masses of the outer or facial aspect of the maxilla and less commonly, the mandible. A torus (plural: tori) is an exostosis that occurs in one of two locations intraorally. Is it a big deal? Concurrence of torus palatinus with palatal and buccal exostoses: Case report and review of the literature . As noted above I have extostoses and have had some of it removed which was less than a pleasant experience. Epub 2020 Jun 14. 3) The bone was ground down with what felt like a rasp. Douglas D Damm. 1995 Dec;61(12):1057-8, 1063-6. 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. It was in TLCs My Shocking Story before. I had this done Friday-10th-December. Buccal exostosis resection is performed with a local anesthetic. 2020 Apr 15;13:373-379. doi: 10.2147/JMDH.S252013. Exostoses are benign protuberances of bone that may arise on the cortical surface of the jaws ( eFigure 2-16). Both types of exostoses tended to increase in frequency with age, although a significant trend was observed only for BE. Methods for Treating Cancer Using Pyrimidine and Pyridine Compounds with BTK Inhibitory Activity. and transmitted securely. J Multidiscip Healthc. 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. Epub 2016 Jul 2. 1) Linocane injections in the palate and outer gum. Hematoma following periodontal surgery with a torus reduction: a case report. Especially if they were missing several teeth. Reset. 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. After he got going I was glad of that decision. 2021 Dec 31;54(4):479-488. doi: 10.5115/acb.21.107. They can, however, be . 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!! They are both actually fairly common. Lucky me. 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. Tooth wear and dental pathology of the Bronze-Iron Age people in Xinjiang, Northwest China: Implications for their diet and lifestyle. Aug 12, 2021. The highest . 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. They are painless and self-limiting but may contribute to periodontal disease (gum disease / pyorrhoea) if they become too large. While they were in there getting that they took care of the extostosis over that area. 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. Disclaimer. Jan 1995. They begin to develop in early adulthood and may very slowly. National Library of Medicine I havent considered having them removed as long as there is still room for my tongue in my mouth. 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. 1, 2 Though the . Now, they are growing back, much much faster than the 40 years or took to get them big the first time. 1965;41 (475): 277-81. 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. 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. Unauthorized use of these marks is strictly prohibited. There are a number of examples of exostoses that occur due to local irritant stimuli: ivory exostosis. The removal of the exostosis is illustrated through the use of a device that serves as an alternative to a . Hope this helps! So thats what that thing is. The largest bumps are over my canines. I do have a mouth full of stitches which are starting to come out already. Ivory Exostosis of the Skull. Would you like email updates of new search results? Exostosis. I had a great doc, but he retired right after my procedure. @girlofscience Maybe the way her lower face is shaped? 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. 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. J Coll Physicians Surg Pak. The diagnosis is established by a combination of medical history and clinical and radiographic features of the affected region. 4.6 (92.57%) 35 votes . Here is the procedure: @joni1977: Thank you so much; great insight! Buccal exostoses are benign lesions of little clinical significance. They are benign and in most individuals they do not cause any problems. For that reason they might constitute a diagnostic challenge. {"url":"/signup-modal-props.json?lang=us"}, Jones J, Bell D, Gaillard F, et al. Treatment Typically, no treatment for buccal exostoses is indicated. If you remove , they wont be able to see future changes to this shared folder. Do you go by referral or use the internet? Alkurt MT, Peker I, Demirel O, Akay G, Gungor K, Ucok O. J Dent Sci. Anat Cell Biol. Copy and paste a set citation format, or use one of the links to import into the document management software. Homo. I have heard of holes on the top of gums. 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. The https:// ensures that you are connecting to the Has anyone else had this? Unable to load your collection due to an error, Unable to load your delegates due to an error. The results support greater frequency of torus/exostosis among mongoloid ethnicities such as the Maya in comparison to other ethnicities. PMC 2016 Dec;50(4):359-364. doi: 10.15644/asc50/4/10. Currently, buccal exostoses do not commonly require treatment. Federal government websites often end in .gov or .mil. Most Oral Surgeons like using the dissolvable sutures. Buccal exostoses are hard bony protrusions on the outside of your gums and are less common. Exostosesare defined as benign growths of bone extending outwards from the surface of a bone. But to make sure we are all on the same boat, I just want to say: I had not heard them called exostoses (the plural of exotosis), although I have heard them referred to as tori (the singular is torus). This question is in the General Section. I reported them to QIO of Tennessee. exostosis of the external auditory canal (surfer's ear) Would you like email updates of new search results? Huck, Bayard R. and Goodstal, Samantha M. and Gimmi-mckim, Claude. Exostosis, a slow-growing, benign bony outgrowth, is a common clinical finding and not usually a concern for patients. 1998. They put me out with liquid Valium. This site needs JavaScript to work properly. But dont worry. Allen. How do you find a good dentist/periodontist? I dont know whether to find that funny or depressing. Contents . It may be uncomfortable during x-rays and when the occasional chip pokes the gum tissue! View. 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. Methods for Treating Cancer Using Pyrimidine and Pyridine Compounds with BTK Inhibitory Activity. Please enable it to take advantage of the complete set of features! Buccal maxillary exostosis was unusually common on the Neolithic skulls from China, which thus resemble the Sinantropus crania described by Weidenreich (1943). government site. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Good luck with yours. Potential Complications from Buccal Exostosis Resection: Possible risks following buccal exostosis resection include infection, bleeding, swelling and a negative reaction to the anesthesia. We had trouble talking to the server. ahhhh! Before It is also possible for the area to heal poorly. Careers. Going to the dentist monday, but as i said imsure i had it last time i went and nothing was said! 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. I can't afford a root canal, what do I do? Huck, Bayard R. and Goodstal, Samantha M. and Gimmi-mckim, Claude. I noticed when some patients were really nervous, the anesthesia took longer to take effect, which some will argue is not completely true. 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. Hours of grinding, 29 stitches and over a week recovery. Etiology is. On Dec 1,09 just 3 days ago I had the surgery again, this time upper and lower, both outer. Well, I can not give a direct answer, sorry. Association between masticatory muscle activity and oral conditions in young female college students. 3) The bone was ground down with what felt like a rasp. The type of exostosis you have depends on its location in your mouth. Reference article, Radiopaedia.org (Accessed on 05 Mar 2023) https://doi.org/10.53347/rID-17041. The .gov means its official. I called the Office and told them the bone was edging my tongue and they said let it heal! Journal of the American Dental Association. How common were they? MeSH 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. A 24-year-old female presented with gingival enlargement on the buccal aspect of both the quadrants of the maxillary arch. 1985;86(4):230-3. Pynn BR, Kurys-Kos NS, Walker DA, Mayhall JT. Brad W. Neville. Leave a Reply. :). Exostoses on the mandible and maxilla is a frequently observed bone growth of controversial aetiology. 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. It emerges in early adulthood and is more common in females, especially those who are stressed and have Type-A personalities. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http:// creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. They begin to develop in early adulthood and may very slowly enlarge over years. 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. I cant imagine what it would be like if they had used a chisel. Buccal exostoses are benign bony protuberances that may grow over time but rarely result in functional alterations. They begin to develop in early adulthood and may very slowly enlarge over the years. Has anyone else got a phobia of medications? The diagnosis of a buccal exostosis is made based on the clinical and radiographic findings. After surgery you can put weight on the foot but can take approximately four to six weeks before you can return to normal activities. FOIA Based on what it felt like to heal from the accidental removal I would think long and hard before I had any others removed. J Can Dent Assoc. The BS of the fiberglass posts to root dentine was not affected by the intracoronary bleaching and the use of Ca(OH)2 dressing. Disclaimer. and i am definately a type A personality! Now dentures next week and will blog about that hopefully in a positive aspect.. Gingival fibromatosis, fibroma formation secondary to irritation, granulomas, abscesses, and oral neurofibromatosis located on the palate . However, when removable prosthetics must sit either adjacent to or over these areas, pressure, food abrasion, ulceration, or limited tongue space can occur. J Periodontol. Federal government websites often end in .gov or .mil. At the time the article was last revised Daniel J Bell had no recorded disclosures. HHS Vulnerability Disclosure, Help Journal of the Belgian Society of Radiology, Teaching point: Multiple buccal exostosis are rare but asymptomatic, unequivocal, and always benign conditions of the jaws. 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. [14] 1. Oral exostoses (OEs) are bony protuberances arising from the buccal or lingual cortical plates of the maxilla and/or the mandible, with a variable prevalence ranging from 8% to 51% in the maxilla and 6%-32% in the mandible. Clipboard, Search History, and several other advanced features are temporarily unavailable. Huck, Bayard R. and Goodstal, Samantha M. and Gimmi-mckim, Claude. Looks like in another 4 or 5 years, Ill have to do it all over again. But they did vary from young to old adults. By clicking accept or continuing to use the site, you agree to the terms outlined in our. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 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. ADVERTISEMENT: Radiopaedia is free thanks to our supporters and advertisers. If there is neither pain nor sensitivity, the buccal exostosis simply needs to be monitored with routine dental check-ups. ADVERTISEMENT: Supporters see fewer/no ads, Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. An official website of the United States government. Rev Stomatol Chir Maxillofac. The site is secure. There are a variety of oral conditions that may be confused with exostoses. Oops. 8-10 Radiographically, these growths appear as well-defined round or oval calcified structures over the dental roots. I might forget to check back on this site as often as I should. Unable to load your collection due to an error, Unable to load your delegates due to an error. sharing sensitive information, make sure youre on a federal It's usually painless, but it might affect the way your mouth. Before This type of exostosis involves your jawbone. Become a Gold Supporter and see no third-party ads. If the diagnosis is in question, a biopsy should be performed to rule out other bony lesions. 2019 May 22;2019:3231759. doi: 10.1155/2019/3231759. Responses must be helpful and on-topic. Lets hope I never need dentures! 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.
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