Bone Button

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What is a bone button?

Bone node or bone regeneration is a bony node caused by slow abnormal thickening of the bone surface (Intramembranous Bone Remodeling Process) which grows over time. And will stop growing when it grows to a certain size, depending on the individual, may be found as a single lump or several sticks together They begin to be found at a young age. Often associated with the use of mastication. For example, a group of people with habits of chewing sticky, hard food on a daily basis. or groups with a habit of clenching teeth during the day or gnashing teeth at night regularly It can also be in the group of people who have had braces as well.

The features found are curved, convex, or lumpy. which may be found as a single lump Or it may be several lumps combined to form a pool. Bergamot-like skin is hard (because it is a lump of bone). The surface of the knob is covered with pink gills. It looks like the gums in other areas of the mouth. They have different names depending on where they are found. For example:

• If found in the mid palate of the upper jaw, the palate’s appearance is called Torus palatinus.
• Bone button is on the side of the tongue of the lower jaw which can be found on both sides, both left and right It usually grows around the area of ​​the canines to the premolar teeth on both sides, known as the Torus mandibularis.
• If found on the outside of the cheek Most of them have a rough surface around the jawbone, known as exostosis.

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Bone sprout is it dangerous?

These sprouts do not pose a serious threat. but causing a nuisance or when impacted by hard food or from a toothbrush can cause wounds that can cause pain In the event that there are many lumps next to each other, there are nooks to allow food residues to remain. spoiled It is one of the causes of bad breath or inflamed gums. or may be related to beauty If the bony node comes up around the outer bony bone which is seen when smiling especially those who smile and see a lot of gum will see the gills as buttons like kaffir lime skin Which looks scary, not beautiful. Some people are so much that they don’t dare to smile. or go into society at all.

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If so, can it  treat?

in the treatment If these bony buttons are small and don’t cause any problems. It does not need treatment. But if causing problems as mentioned above, such as frequent wounds, food waste collection not pretty when smiling or if you want to wear removable dentures Then the position of the denture base structure must be placed across these bone buttons. This may cause a wound from the pressure of the denture. It is advisable to consider surgical removal of the bony denture before a removable denture can be performed, especially a traditional removable full denture.

 

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Where does the bone button occur?

We can find it anywhere that is the bone around the root of the tooth. which acts as a receptor for the occlusion transmitted from the teeth The most common are as follows:

• The palate of the upper jaw (Torus palatinus) looks like a lumpy, candy-like or lumpy palate that resembles bergamot skin, is hard. The surface of the palate  cover with pink gums. That looks like the gums in other areas of the mouth, with different sizes and shapes in different people. and may become larger with age or have other stimuli such as chewing behavior Teeth grinding, bruxism, orthodontics, etc.
• The inside of the lower jaw (Torus mandibularis) is a bony knob coming out from the inside of the tongue, coming out on both sides, left and right. It looks like a lump on the palate, i.e. 1-2 large lumps per side. or maybe a button Like kaffir lime skin, it is hard. The surface of the knob cover with pink gills. That looks like the gums in other areas of the mouth, with different sizes and shapes in different people. and may become larger with age or have other stimuli such as chewing behavior Teeth grinding, bruxism, orthodontics, etc.
• The outside (close to the cheek) of both the upper and lower jawbones (Exostosis) is a bony protrusion towards the cheek,coming out around, most of which may look like a button. The surface of the bergamot is similar to the surrounding bergamot. It is hard. The surface of the knob  cover with pink gills. That looks like the gums in other areas of the mouth, with different sizes and shapes in different people. and may become larger with age or have other stimuli such as chewing behavior Teeth grinding , bruxism , orthodontics, etc.

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If so, can it  treat or not?

Yes..if the bone button if it is small and has no impact on daily use, such as being able to swell normally, clearly, do not feel that it makes it harder to cook or others that affect the functioning of the oral organs, it may not require treatment. But if the bone node is large, it may need surgery. can  observe from these symptoms such as

• Daily use May cause the placement of the tongue to be different, so speaking, swallowing, breathing can become more difficult.

• There are food scraps stuck in the grooves, nooks and crannies of the bone on a regular basis, very difficult to clean. Especially bone sprouts that  shape like a lobe or multiple lumps, causing food scraps to get stuck in the bone germination area easily. resulting in bacteria in the mouth, bad breath, having to constantly pick up causing a bad smell from food residues Or may make tooth decay more easily as well.

• Cause inflammation, pain in the mouth on a regular basis Due to impact on things such as toothbrushes, certain foods such as bones, ice, etc., and when there is a wound in this area, it will hurt a lot and heal slowly, having difficulty eating. and may have side effects such as malnutrition

• Interferes with the insertion of removable dentures.

  Because the denture base must  cross over the part where this bone grows. has to cut out because if not surgically removed and put dentures over the bone to grow Will result in pressure and cause chronic wounds.

• Concerned that the bony node is a malignant neoplasm (cancer) in the mouth, which is actually just a normal, harmless tumor. The bony node on the roof of the mouth looks different from a malignant tumor. any abnormalities in the mouth Should hurry to come and consult a dentist.

The symptoms mentioned above This bone marrow tumor is gradually grow up slowly It makes it difficult for us to feel or notice the abnormality. May not cause any harm It just might cause side effects. Because the muscles in the mouth will gradually adjust accordingly. Most of them will find out later when doing dental work, such as wearing dentures or braces, and the dentist will inform you that there is a bone node in the mouth. And is it necessary to have surgery to remove this bone sprout?

 

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When is it necessary to treat a bony node?

If there is this bone button Don’t worry If it is not large enough to interfere with our normal life, take good care of him and take good care of his oral health. But we need to maintain this bone button only when

• The patient wants to get rid of the bony node.
• Referral for bone button removal treatment before removable dentures. by dentist wearing dentures

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Does the bone button treatment require hospitalization?

Patients can  treat for bony node surgery, which is a minor surgery under local anesthesia. But patients can request for bone marrow surgery under general anesthesia, however, it is advisable to consult with the responsible dentist first. in order to come up with a treatment plan explain the steps and explain the good, bad, and side effects that may occur before receiving further treatment.

 

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Cause of bone marrow

This bony lump, or bony protrusion,  not often see in children. But it will has evident during adolescence and up. In general, the study found oral bone will grow up with age is to grow up as you get older and also know that the common people There will be about 10-20% of the bony protrusions in the oral cavity, for both males and females equally.

Typically, the bone around the root of the tooth and the roof of the mouth undergoes a growth change as the body constantly removes old bone and creates new bone to replace it, know as the remodeling process. life But for some people, this process The process of creating new bone to replace it may not balance with the removal of the old bone. is to have a new look to replace more This causes thickening of the bone surface around the tooth root and roof of the mouth. by slowly growing the bone surface Gradually, there are no symptoms or feelings. Therefore,it  know about the abnormalities of this bone surface.

There are important factors that cause imbalance in remodeling. It  see as a bone sprout in the oral cavity.

Heavy use of the oral cavity,  ie the upper and lower jaws.  relate to chewing food In the study, it  find that a person who severely crushes food or too heavy will shorten the occlusal teeth and form a visibly thick bony ridge

Personal behavior, such as those who grit their teeth People who like to clench their teeth in the daytime People who like to chew all the time, such as squid chewing edges, gum, etc., because it is the use of molars to crush hard bites. This causes an imbalance in the remodeling of the jawbone. There will be bone germination in the mouth. side of the jaw.

Heredity. If a family member has a bone to grow out. We tend to have in other words, the remodeling imbalance of the jawbone. may be hereditary

Orthodontics

The orthodontic process stimulates the remodeling of the jawbone during tooth movement. Therefore, if patients who have braces already have risk factors for bone growth, such as hereditary preexisting Orthodontic treatment may also make it easier or more intense to grow bone lumps.

 

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Summarize

From all of the above, it can see that the bony node is just the bone that grows out. Cause by imbalance of the body’s growth and repair process only by remodeling. It’s not a dangerous tumor, however. Most of them will annoy the owners as mention above. however Sometimes if there is a very large lump The bony bumps grow in areas that are noticeable when smiling, such as the upper gum area, or when  need to wear dentures. It will have to surgically remove for good oral health and beauty.

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Specialist in Oral and Maxillofacial Surgery

Dr. Pornthip Fongcharoen (Mook) | Thor 7118

Educational record

• Bachelor of Dentistry, Chiang Mai University.
• Graduate certificate Department of Oral Surgery, Chulalongkorn University.
• Home dentist Department of Oral and Maxillofacial Surgery, Chulalongkorn University.

Dr. Anon Thao Prayoon (Non) | Thor.10302

Educational record

• Bachelor of Dentistry, Thammasat University.
• Diploma of Thai Board of Oral and Maxillofacial Surgery, Dental Council.
• Diploma Basic Implant Dentistry Association of Implant Dentistry of Thailand

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