Etiology and management of the alveolar bone exostosis during orthodontic treatment: A case report

Alveolar bone exostoses are benign, localized outgrowths of bone that can occur on the buccal or lingual surfaces of the alveolar ridge. These bony protuberances, which consist of mature cortical and trabecular bone, can develop during orthodontic treatment. The etiology of alveolar bone exostosis remains unclear, but potential contributing factors include genetic predisposition, masticatory hyperfunction, and environmental influences such as nutritional factors. Clinically, these exostoses can be identified through a combination of physical examination and radiographic imaging, appearing as well-defined, calcified structures. Management of alveolar bone exostosis is generally conservative, with surgical intervention reserved for cases where the exostosis causes significant discomfort, interferes with oral hygiene, or affects esthetics. This case report mentions the current understanding of the etiology of alveolar bone exostosis, diagnostic considerations, and management strategies, emphasizing the importance of individualized patient care in orthodontic practice.