Abstract：
Buccal exostoses are benign bony protuberances that may grow over time but rarely result in functional alterations. The diagnosis is established by a combination of medical history and clinical and radiographic features of the affected region. 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. The surgical procedures, which were performed at separate appointments for the left and right sides, involved reflection of full-thickness flaps and careful osteotomy with a carbide spherical drill and a Rhodes chisel. At completion of the procedures, flat buccal bone ridges with a clear esthetic improvement were observed. At the follow-up examination (3 months postsurgery on the left side and 1 month on the right), the presence of stable periodontal tissue-positioned where it was located during the immediately postoperative period-indicated a satisfactory clinical result.
摘要：
颊外生骨是良性的骨突起，可能会随着时间的推移而生长，但很少导致功能改变。诊断是通过结合病史以及受影响区域的临床和影像学特征来确定的。此病例报告描述了上颌骨颊面上双侧骨突起的手术治疗，这对患者造成了不良的美学改变。外科手术,它们是在左右两侧的单独约会中进行的，涉及全层皮瓣的反射，并用硬质合金球形钻头和罗德斯凿子进行仔细的截骨术。程序完成后，观察到平坦的颊骨脊具有明显的美学改善。在随访检查时（左侧手术后3个月，右侧1个月），稳定的牙周组织的存在-位于术后即刻的位置-表明临床结果令人满意。
