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Resective osseous surgery for multiple bony exostoses of the periodontal patient: A case report

J Korean Dent Assoc > Volume 52(12); 2014 > Article
The Journal of The Korean Dental Association 2014;52(12):762-770.
Published online December 31, 2014.
다발성 외골증을 가진 치주염 환자의 삭제형 골수술에 대한 증례 보고
이인경1, 임현창2, 이중석3, 최성호4, 채중규5, 정의원6
1연세대학교 치과대학 치주과학교실, 치주조직재생연구소
2연세대학교 치과대학 치주과학교실, 치주조직재생연구소
3연세대학교 치과대학 치주과학교실, 치주조직재생연구소
4연세대학교 치과대학 치주과학교실, 치주조직재생연구소
5연세대학교 치과대학 치주과학교실, 치주조직재생연구소
6연세대학교 치과대학 치주과학교실, 치주조직재생연구소
Resective osseous surgery for multiple bony exostoses of the periodontal patient: A case report
In-Kyeong Lee1, Hyun-Chang Lim2, Jung-Seok Lee3, Seong-Ho Choi4, Jung-Kiu Chai5, Ui-Won Jung6
1Department of Periodontology, Research Institute for Periodontal Regeneration, College of Dentistry, Yonsei University
2Department of Periodontology, Research Institute for Periodontal Regeneration, College of Dentistry, Yonsei University
3Department of Periodontology, Research Institute for Periodontal Regeneration, College of Dentistry, Yonsei University
4Department of Periodontology, Research Institute for Periodontal Regeneration, College of Dentistry, Yonsei University
5Department of Periodontology, Research Institute for Periodontal Regeneration, College of Dentistry, Yonsei University
6Department of Periodontology, Research Institute for Periodontal Regeneration, College of Dentistry, Yonsei University
Abstract
Bony exostosis, one of the osseous deformities, could act as a contributing factor of periodontal disease since it makes proper tooth brushing difficult and causes traumatic ulcer. The purpose of this case report is to show improvement of periodontal health by removal of bony exostoses and creation of physiologic osseous form. A 58 year-old female patient with recurrent ulcer and pain on bony exostoses located on left maxillary palatal area and both mandibular buccal areas was treated. Exostoses were removed and physiologically positive osseous form was created following vertical grooving, radicular blending, flattening interproximal bone and gradualizing marginal bone. The patient showed no further recurring traumatic ulcer and bone exposure. Moreover, periodontal pocket was eliminated and food impaction was decreased. In conclusion, periodontal health could be achieved through removal of multiple bony exostoses and development of ideal osseous form.
Key Words: exostoses;torus;resective osseous surgery;


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