Etiology • Focal cortical bone overgrowth of unknown cause
Clinical Presentation • Palatal: slow-growing, asymptomatic, paramedian, nodular
bony mass • Mandibular: bilateral, smooth and lobular bony masses along
lingual surface in cuspid-premolar area • Larger lesions may interfere with function or dental prosthesis. • Larger lesions may show surface ulceration and may lead to
focal osteomyelitis.
Microscopic Findings • Dense hyperplastic cortical bone with few marrow spaces
Diagnosis • Clinical presentation is usually diagnostic. • Microscopic findings
Treatment • Observation • Surgical removal under the following conditions:
• If there is interference with seating of prosthesis • If condition is excessive or symptomatic
Prognosis • Excellent
Clinical Presentation • Palatal: slow-growing, asymptomatic, paramedian, nodular
bony mass • Mandibular: bilateral, smooth and lobular bony masses along
lingual surface in cuspid-premolar area • Larger lesions may interfere with function or dental prosthesis. • Larger lesions may show surface ulceration and may lead to
focal osteomyelitis.
Microscopic Findings • Dense hyperplastic cortical bone with few marrow spaces
Diagnosis • Clinical presentation is usually diagnostic. • Microscopic findings
Treatment • Observation • Surgical removal under the following conditions:
• If there is interference with seating of prosthesis • If condition is excessive or symptomatic
Prognosis • Excellent