For instance, a torus mandibularus can make it difficult to speak properly if it grows to a certain size. Buccal exostoses are hard bony protrusions on the outside of your gums and are less common. 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 feel like i can only take pictures looking towards one direction now to avoid the unevenness in my smile being seen. I also got a phrenectomy and gum contouring (very gummy smile) at the same time since they were already in there. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. I'm currently on refinements for invisalign and one thing that has been bothering me throughout this process is that on my right side, my gums are continuing to become more raised and through google searches, i've found out this is called buccal exostosis. Following surgery pressure dressing was applied over donor site for 5 days and antibiotic therapy was recommended for 5 days (cefixime 400mg 1 pill per day). eCollection 2020 Jul. 19601965, 2004. Buccal exostosis is a bony overgrowth located on the outer side of the maxilla that is facing the cheek superior to the teeth. Saunders Company, Philadelphia, Pa, USA, 1995. But make no bones about it, we'll give you all the info you need on the types, causes, and potential issues with exostoses to ensure your oral health keeps you smiling. The site is secure. 126, no. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Here are several before and after examples: Dr. H Ryan Kazemi is a board-certified oral and maxillofacial surgeon in Bethesda, MD. The most commonly occurring bone growths are found in the mouth's roof (torus palatinus) and beneath the tongue (torus mandibularus). Routine post-operative instructions are given to the patient and occasionally antibiotics may be prescribed. Teeth clenching, malocclusion or some other underlying problem can cause excess strain and tension on the teeth and jaw joints. Their etiology is still under debate. To keep the rest of your mouth healthy, brush twice daily with a toothpaste that repairs early teeth and gum damage. Our patient was informed about surgical procedure in particular regarding fat grafting unpredictable reabsorption rate and clinical results in this particular case. S. R. Coleman, Structural fat grafting: more than a permanent filler, Plastic and Reconstructive Surgery, vol. Teeth clenching, malocclusion or some other underlying problem can cause excess strain and The histologic features of exostoses are described as hyperplastic bone, consisting of mature cortical and trabecular bone [1]. eCollection 2022 Sep. See this image and copyright information in PMC. Idk how i feel about surgery lol but i'll talk to my ortho more about my concerns to get all options. 11301131, 2010. If you're unsure whether or not growth under the tissue in your mouth is bone, then it's worth having a professional take a look right away to ensure it's not something more problematic. It may be a nodular, flat or pedunculated protuberance located on the jawbones alveolar surface.1 It frequently occurs in long bones where tendons and muscles are inserted. Most common types of intraoral osseous overgrowths are TP Bonding (dont see how this could help though) ? Palatal exostoses revealed a prevalence of 30% while buccal exostoses presented a prevalence rate of 0.9 per 1000 persons [].These clinical entities could become invalidating for patients especially when they reach such a volume to 507513, 2013. 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). 2015;7:6264. L. Maione, A. Memeo, L. Pedretti et al., Autologous fat graft as treatment of post short stature surgical correction scars, Injury, vol. Numerous traumatic ulcerative lesions were present because the patient was wearing an ill-fitting mandibular removable partial denture (RPD) replacing teeth Nos. WebBuccal exostoses are benign bony protuberances that may grow over time but rarely result in functional alterations. The prevalence of buccal Exostoses are considered a variation of normal, and most often, they pose no health concern at all. Advanced Search Coronavirus articles and preprints Search examples: "breast cancer" Smith J"breast cancer" Smith J Concurrence of torus palatinus with palatal and buccal exostoses: case report and review of the literature. 3, pp. Also, if you have missing teeth and are considering dentures, all types of exostosis can potentially interfere with the placement of your artificial teeth. 1. The fat graft was injected using an 18-gauge angiographic needle with a snap-on wing (Cordis, a Johnson & Johnson Company, NV, Roden, Netherlands) under mucous membrane in the scar area at the upper right vestibule (Figure 2). Clinically, buccal exostoses appear as single, broad-based masses, usually situated bilaterally in the premolar and molar region on the facial surface of the maxillary alveolar bone. 465469, 2008. 67, no. A single ossification center for each half of the mandible arises in the region of the bifurcation of the inferior alveolar nerve into its mental and incisive branches [ 1 ]. 2014 Jan;27(1):16-22. doi: 10.3344/kjp.2014.27.1.16. Bethesda, MD 20894, Web Policies Material and Methods. Prevalence of Palatal Exostoses in Patients Who Have Received Periodontal Surgery in the Posterior Maxilla. It's not a tumor, nor is it likely to affect your quality of life. Federal government websites often end in .gov or .mil. A total of about 5 cc of adipose tissue was injected. At first ortho said just ignore it , it's normal, so I did. Accessibility YYYY Colgate-Palmolive Company. It could be hypothesized that fat grafting could inhibit inflammation and determine pain reduction and analgesia. Mesenchymal stem cells and adipose-derived stem cells could efficiently reduce T-cell activation inhibiting the proliferation of CD4 and CD8 T lymphocytes [15]. WebExostosis or hyperostoses are localized cortical bone growth on the mandible and maxilla. Results. 559561, 2006. When being symptomatic, exostosis allows the possibility of surgical removal that could be related to different drawbacks. Gum contouring? Moving from these evidences we consider autologous fat grafting as an innovative solution for pain syndromes related to scar retraction although the exact mechanism of action is still unclear. Mundada BP, Bhola ND, Mishra A, Hingnikar P, Dakshinkar P, Gaikwad P. Cureus. 3, pp. This site needs JavaScript to work properly. 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. This case report describes the surgical treatment of bilateral bone projections on the buccal surface of the maxilla that represented an undesirable esthetic alteration to the patient. Discussion. While your exostosis may have seemed at first like a cause for alarm, hopefully, you now know that they tend to be completely harmless. government site. Intraoral Clinical Picture of First patient showing maxillary buccal exostoses. Occasionally they can develop some adverse effects, especially if they become large enough that they interfere with the functioning of your mouth. Torus palatinus This is the growth of hard body structure at the midline of the palate. [12] Initial presentation usually occurs in early adolescence and the lesions may slowly enlarge up to 34cm in diameter with time, however there is no malignant potential. Nonetheless also surgical removal could be related to different drawbacks. WebThe type of exostosis you have depends on its location in your mouth. Oral Care Center articles are reviewed by an oral health medical professional. Freehill MT, Mannava S, Higgins LD, Ldermann A, Stone AV. Laboratory findings have demonstrated the presence of mesenchymal multipotent stem cells in the adipocyte cell fraction of fat graft [14]. Always seek the advice of your dentist, physician or other qualified healthcare provider. Clinical history revealed a diagnosis of Sjogren syndrome and corrective surgery of cleft palate in 1996; no other pathologic conditions were present. 284291, 1986. L. J. Draaijers, F. R. H. Tempelman, Y. Exostosis or abnormal bone growth within the ear canal is called as Surfers ear. 5, pp. More refinements to target this? 2015 May-Jun;19(3):352-5. doi: 10.4103/0972-124X.152412. The .gov means its official. The overlying mucosa appears to be stretched but intact and normal in color. The mucosa overlying the buccal exostoses typically appears intact and is normal in color. These benign growths affect both the jaws. How are you handling it now? Ask the Colgate Chatbot! J Coll Physicians Surg Pak. The case described widens the possible application of autologous fat grafting on a new anatomical site as buccal vestibule and in one specific clinical setting confirming its promising biological effects. In the rare instance where treatment is recommended, the exostosis can be removed in a dental specialist's office, usually by an oral surgeon. Thrower's Exostosis of the Shoulder: A Systematic Review With a Novel Classification. Fig. I'd do it again in a heartbeat. At the same time, malocclusion can also cause pain and discomfort. 2007 Aug;19(3):423-33, vii. Press question mark to learn the rest of the keyboard shortcuts. Found usually in the premolar and molar region. 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. This can highlight the bone structure in your face, especially your cheekbones and the hollowed-out areas between your cheeks and jawline. Youre beautiful girl! WebA torus is often obvious, presenting as several rounded protuberances or calcified multiple lobules, whereas a buccal exostosis is singular and may appear as a sharp, pointed bony Growths usually appear in the late teens or early adulthood and tend to increase in size over time. Exostoses have been described as nodular protuberances of mature intraoral bone. P. Gaetani, M. Klinger, D. Levi et al., Treatment of chronic headache of cervical origin with lipostructure: an observational study, Headache, vol. 1998. Exostosis can be painless, or it can cause severe pain and require surgical removal. Please enable it to take advantage of the complete set of features! Appointments 216.444.5725 Appointments & Locations Request an Appointment If there is any diagnostic doubt, or the patient is anxious -. WebBuccal 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 According to an article published in the Journal of International Oral Health, some causes could include genetic factors, environmental factors, excessive chewing (masticatory hyperfunction), teeth grinding (bruxism), and continued jawbone growth. They tend to appear in early adolescence and may very slowly increase in size with time. 8600 Rockville Pike [11] The mass is generally smooth although in some cases a sharp, bony prominence may be present resulting in tenderness beneath the mucosa. An official website of the United States government. WebTotal time 1h, some pain afterwards for 2-3 days, easily manageable with regular pain meds. If there is neither pain nor sensitivity, the buccal exostosis simply needs to be monitored with routine dental check-ups. 19, 20, 23 to 26, 28, and 30. Up to now no support therapy has been described to treat these weakening symptoms in this group of patients. Technique: This procedure is typically performed by an oral surgeon experienced in management of conditions related to jaw bone. The presence of buccal exostosis can be diagnosed by both clinical examination and radiological interpretation of the oral cavity. This content is not intended to be a substitute for professional medical advice, diagnosis or treatment. Do you have bony bumps in your mouth? Ulcerations may occur if the mucosa is traumatized. 108S120S, 2006. These clinical entities could become invalidating for patients especially when they reach such a volume to interfere with feeding and speaking or to alter facial mimic and contour. Create an account to follow your favorite communities and start taking part in conversations. HHS Vulnerability Disclosure, Help Exostoses are protuberances of calcified bone which are designated according to typical anatomic location. Clinical assessments were performed at 5 and 14 days, 1, 3, and 6 months, and 1 year after surgical procedure. *Other aligner company users are also welcome, but refrain from advertising, Press J to jump to the feed. Pictures above are flipped - the right side irl is showing to the left in the picture and vice versa. This is an open access article distributed under the. Clipboard, Search History, and several other advanced features are temporarily unavailable. A prosthesis, such as a denture, is required and cannot be adapted to the exostosis, This page was last edited on 6 February 2023, at 06:55. 6, pp. or am i just shit out of luck and there's nothing i can do? Both informed consent form and preoperative images were collected (Figure 1). Careers. Post-operative healing: Patient should be on liquid / soft diet for 7-10 days, rinse with saline (salt water) every 2 hours for 2 weeks, and take antibiotics for 1 week to prevent infection. The case reported showed a positive final outcome. Normal-Appearing Dental Implant with Pain, Peri-Implantitis, and Bone Loss, External Resorption of a Tooth with Pink Appearance, Closure / Repair of Oroantral Fistula (OAF) Caused by Bone Loss Around Dental Implants, Non-Invasive Extraction, Site Bone Graft, and Sinus Lift for Placement of Dental Implant, Jaw Bone Torus or Exostosis (Bony Protrusions): Diagnosis and Treatment. Medically Reviewed By Colgate Global Scientific Communications. He scheduled and later performed a surgical operation consisting of splitting open the gum, ablating the bone growth, then sewing close the gum. Surgical removal of the bony buccal exostoses is indicated if they cause pain and tenderness in the overlying mucosa or interfere with normal occlusal function. As always, practice good oral hygiene by brushing at least twice a day. and transmitted securely. 12, pp. Palatal exostoses are found on the palatal aspect of the maxilla, and the most common location is the tuberosity area. When removal is indicated, proper diagnosis, planning, and technique should be used for optimal results. We describe the case of a 47-year-old female who presented a retractile scar that adhered to deep planes at the upper right of the vestibule due to surgical removal of maxillary exostosis, which determined important pain symptoms extending till the right shoulder during both chewing and rest. There is no known cause (etiology) of bone growing out of gums, the mouth's roof, or under the tongue. Some people may want a growth removed due to aesthetic concerns. In some circumstances, patients may develop traumatic ulcers and exposure of bone (known as dehiscence) leading to pain and discomfort. So i told the ortho, he said yeah it seems to be expanding, due to the moving teeth. The diagnosis is established by a combination of medical history and clinical and radiographic features of the affected region. J Periodontol. Would you like email updates of new search results? The .gov means its official. Careers. On this Wikipedia the language links are at the top of the page across from the article title. 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. Thanks for sharing your experiences, i appreciate it!!! WebBuccal fat removal is a surgery to remove the fat in this area of your face. Treatment is only necessary when the nodules interfere with the normal functions of the mouth or become an aesthetic concern for the patient. Moving from these evidences, we decided to adopt autologous fat grafting for the treatment of postsurgical scar retraction and pain sensation related to exostoses surgical removal, in order to verify its possible beneficial effects in this new approach. Korean J Pain. 349352, 2011. F. Caviggioli, L. Maione, D. Forcellini, F. Klinger, and M. Klinger, Autologous fat graft in postmastectomy pain syndrome, Plastic and Reconstructive Surgery, vol. Persistent pain as a consequence of surgical treatment has been reported for several common surgical procedures and represents a clinical problem of great magnitude. Epub 2013 Dec 31. I noticed in December and freaked out that it was Cancer or something?! WebExostoses are bony protuberances that occur on the buccal aspect of the mandibular or maxillary alveolus (Figure 8). I feel like because of this, the right side of my smile also feels more pushed in compared to the left. Buccal exostosis or osteoma These are an abnormal growth of hard lump on the back roof of the mouth. 2000 Jun;71(6):1032-42. doi: 10.1902/jop.2000.71.6.1032. When the exostosis is covered with cartilage, it's called an osteochondroma. M. Klinger, F. Caviggioli, F. M. Klinger et al., Autologous fat graft in scar treatment, Journal of Craniofacial Surgery, vol. [3], Buccal exostoses are bony hamartomas, which are non- malignant, exophytic nodular outgrowths of dense cortical bone that are relatively avascular.[5]. Unauthorized use of these marks is strictly prohibited. They are painless and self-limiting but may contribute to periodontal disease (gum disease / TM, if very large, can inhibit proper speaking, and all types of exostosis can interfere with denture placement. Federal government websites often end in .gov or .mil. doi: 10.1016/j.coms.2007.04.003. Patients should be reassured that these growths are benign and should be encouraged to maintain good oral Although these growths are benign, occasionally they can cause problems, especially if they become large enough to interfere with functions of the mouth. official website and that any information you provide is encrypted The condition is not only benign, but also uncommon and very rarely Concurrence of Torus Palatinus, Torus Mandibularis and Buccal Exostosis. N. Pallua, A. Baroncini, Z. Alharbi, and J. P. Stromps, Improvement of facial scar appearance and microcirculation by autologous lipofilling, Journal of Plastic, Reconstructive & Aesthetic Surgery, vol. If there is neither pain nor sensitivity, the buccal exostosis simply needs to be monitored with routine dental check-ups. After collection of both clinical history and examination we proposed to our patient surgical scar tissue correction with autologous fat grafting. Oral Health, Dental Conditions & Treatments. Chandna S, Sachdeva S, Kochar D, Kapil H. J Indian Soc Periodontol. Bethesda, MD 20894, Web Policies Before Exostoses are nodular protuberances of mature bone whose precise designation depends on anatomic location. They will then suture the tissue back in place. Surgical Procedures of Buccal Exostosis Resection on orangecountysurgeons.org During buccal exostosis resection, a benign bone about the teeth, Ive never heard of that. Removing this fat can highlight the bone structure in your face, especially your cheekbones and the 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. Be diligent in checking for and removing any food particles that may get stuck between your growth and your gums, and ask your dentist if they have any specific recommendations for your needs. K. le Blanc, Mesenchymal stromal cells: tissue repair and immune modulation, Cytotherapy, vol. The most commonly occurring bone growths are found in the mouth's roof (torus palatinus) and beneath the 10331037, 2014. Buccal vestibule scar retraction showed a release after one procedure of autologous fat grafting and our patient referred to clinical remission of pain which did not need any analgesic treatment with a total follow-up of one year. 528532, 2014. She did not assume any other medications. You seem fixated with the esthetic side of the thing; I'll tell you my experience, do what you want with it. Orthop J Sports Med. Replacing a Defective Dental Bridge with Dental Implants? Lol! Your dentist and dental hygienist can detect oral problems early and suggest the best treatments for you. Buccal exostoses occur as bilateral, smooth bony growth along the facial aspect of the maxillary and/or mandibular alveolus. The adipose tissue was harvested from the right flank, which is an easy accessible and abundant reservoir of adipose tissue. I had the same procedure for 90% aesthetic reasons, but above my six upper front teeth. Following Colemans procedure [11], the obtained fat was processed by centrifugation at 3000rpm for 3 minutes. Clipboard, Search History, and several other advanced features are temporarily unavailable. Disclaimer. I don't know what could even be done to start dealing with this or if it's just something i'll have to deal with forever even though i've sunk $6000 into invisalign. Had one of these, it appeared to worsen (grow more) while I was wearing the trays. Moreover the patient declared that she stopped analgesic drug assumption immediately after operation. 38, no. 32, no. 13, no. The adjacent teeth Learn About a Treatment Sequence for Maximal Efficiency. Yeah, they really have a lot of bunnies in their hats he also performed another surgery These entities could become symptomatic when they reach such a volume to interfere with feeding and speaking or to alter facial mimic and contour. Yes for me i would say it's more aesthetic - I wanted to do invisalign for aesthetic purposes overall because my teeth weren't too bad when i started and i just wanted to straighten them out + fix my slight overjet so it's a bit disheartening to now come out with a problem i didn't even consider. Most often, your dental professional will diagnose you with an exostosis during a regular checkup. Buccal exostoses generally occur bilaterally. More commonly seen in the maxilla than the mandible, buccal exostoses are considered to be site specific. 42794295, 2002. P. A. Zuk, M. Zhu, P. Ashjian et al., Human adipose tissue is a source of multipotent stem cells, Molecular Biology of the Cell, vol. doi: 10.7759/cureus.29020. FOIA [Analysis of the effect of mesial implant position on surrounding bone stress of mandibular edentulous jaw under dynamic loads]. Oral Maxillofac Surg Clin North Am. In fact our experience could open a new route of regenerative surgery addressing a mucosal tissue as buccal one. [6] Despite buccal exostoses being generally painless and self-limiting, they may cause patient concern regarding poor aesthetics, food lodgement and compromised oral hygiene. Available at: https://www.colgate.com/en-us/oral-health/basics/mouth-and-teeth-anatomy/buccal-exostosis--causes--treatment-and-care, "Surgical management of the bilateral maxillary buccal exostosis", Hereditary benign intraepithelial dyskeratosis, Neuralgia-inducing cavitational osteonecrosis, https://en.wikipedia.org/w/index.php?title=Buccal_exostosis&oldid=1137749706, Wikipedia articles needing page number citations from January 2020, Creative Commons Attribution-ShareAlike License 3.0, Buccal exostosis along upper left alveolar ridge. My biggest question is, what can be the fix to this? Exostosis: Causes, types, and treatment - Medical News Today The site is secure. She was referred to the department for surgical removal of maxillary exostosis in 1999 and related to the surgery a scar adhered to deep planes at the upper right of the vestibule which determined important pain symptoms extending till the right shoulder both during chewing and at rest, interfering with feeding and speaking. [3] They are less common when compared with mandibular tori. Boge, RDH, BS, MPA, E. (2019). Im dealing with this problem now!! L. Maione, V. Vinci, F. Caviggioli et al., Autologous fat graft in postmastectomy pain syndrome following breast conservative surgery and radiotherapy, Aesthetic Plastic Surgery, vol. A buccal exostosis is an exostosis (bone prominence) on the buccal surface (cheek side) of the alveolar ridge of the maxilla or mandible. [11], Radiographically, buccal exostoses can be identified as round, well-defined structures which superimpose the roots of the teeth, normally in the premolar and molar region. One of the most common oral surgical procedures we perform is removal of mandibular and maxillary torus and exostosis. Persistent pain as a consequence of surgical treatment has been reported for several common surgical procedures and represents a clinical problem of great magnitude. Currently, buccal exostoses do not commonly require treatment. official website and that any information you provide is encrypted 2, pp. 3, pp. This then causes the bodys natural defense to produce extra bone material to support the teeth. Buccal exostosis: (A) Maxillary anterior region; (B) Maxillary posterior region; (C) Mandibular anterior, MeSH Clinical assessment was performed after surgical procedure at 5 and 14 days, 1, 3, and 6 months, and 1 year. WebBuccal exostoses (buttressing bone) appear as a bilateral row of smooth bony nodules along the facial alveolar process of the mandible and/or maxilla. Moreover the patient revealed chronic assumption of analgesic medication (Ibuprofen 600mg) to control pain sensation. Before Why buccal exostoses form is unclear,[8] but it may involve bruxism (tooth clenching and grinding),[8] and genetic factors. -, Shamim T. The psychosomatic disorders pertaining to dental practice with revised working type classification. It is usually found along the alveoli or on the hard palate and depending on the location and extent; they can be classified as torus mandibularis (TM), torus palatinus (TP), buccal, or lingual maxillary exostosis. buccal exostosis; osteotomy; periodontal cosmetic surgery. It's nothing more than a protrusion of bone in a roughly circular shape, which can develop on the upper or lower jaw bone. [6] In addition, it is recommended that patients who present with multiple growths showing similar characteristics but not in the classic exostoses locations should be evaluated for Gardner syndrome.[7]. 2020 Jul 14;8(7):2325967120932101. doi: 10.1177/2325967120932101. [13], An additional biopsy for diagnosis of buccal exostosis is not usually recommended, however it is important to rule out the possibility of early osteosarcomas and chondrosarcomas. 3, pp. Im on try 7 of 17. Supported by our promising results we approached with positive results also chronic headaches of cervical origin, both chronic cervicogenic and occipital neuralgia [10]. Removal of torus or exostosis is a relatively minor procedure with minimal discomfort. Zhonghua Kou Qiang Yi Xue Za Zhi. The psychosomatic disorders pertaining to dental practice with revised working type classification. Diagnosis: A CBCT (cone beam CT scan) is required for the assessment of torus / exostosis size, proximity of teeth, anatomy of the jaw bone, and vital structures such as nerves and sinuses. Bookshelf Please enable it to take advantage of the complete set of features! WebTorus 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 sharing sensitive information, make sure youre on a federal The case described widens the possible application of autologous fat grafting on a new anatomical site as buccal vestibule and in one specific clinical setting confirming its promising biological effects. We hypothesize that autologous fat graft due to the regenerative role of the stromal fraction of adipose tissue grafted could promote a reorganization of fibrotic tissue together with soft tissue regeneration, leading to scar release and reducing nerve excitatory pattern with consequent positive clinical results on pain control. Giant Osteoma of Zygoma Mimicking Pseudo-Temporo-Mandibular Joint Ankylosis: A Case Report. 2022 Sep 11;14(9):e29020. Autologous fat grafting is a relatively new technique which has been recently adopted to treat various pathologic conditions in reconstructive surgery, such as scars and burn keloid [27], and pain syndromes such as postmastectomy pain syndrome (PMPS) [8, 9] and in the treatment of Arnold neuralgia [10]. [14] Due to it being difficult to clean around the exostosis, periodontal disease can often occur as a result, and so this should be treated by the dentist or dental hygienist/therapist. If the skin overlying it is continually experiencing trauma due to sharp foods. J Int Oral Health. All rights reserved. Exostoses have been described as nodular protuberances of mature intraoral bone. There are rare circumstances when exostoses have interfered with oral function or denture placement and have required surgery, but that is not the norm. Be sure to see your dental professional for regular cleanings not only to keep your teeth pearly white and bacteria-free but also to have them check on the health and size of any hard bony lumps on your gums. The surgeon will then trim the bone using a high-speed dental tool (or with new developments in technology, possibly a dental laser, according to Dentistry Today). We observed a progressive release of scar retraction together with an important improvement of pain symptoms. Additionally, the mucosa covering them is very thin and prone to scratches and injuries from sharp food, sometimes resulting in ulcer formation from the trauma. Funny enough, before my refinements the right was the side which was doing really well because my upper and lower teeth were aligned whereas the other side they were misaligned and needed more treatment.