When Is Exostosis Removal Necessary? Signs You Should Know

Silent yet stubborn, exostosis often begins as a small, unnoticed bony bump inside the mouth. Over time, it can interfere with chewing, speech, or even the fit of dentures. Though harmless in nature, these growths can affect daily comfort and confidence, making it vital to understand when they require professional care and possible removal.

What Causes Exostosis?

The exact cause of exostosis isn’t always clear, but several factors may contribute:

• Genetic predisposition: If family members have had bony growths in their mouths, you may be more likely to develop them.
• Repeated irritation: Chronic pressure or friction from teeth grinding, ill-fitting dentures, or cheek biting can encourage bone overgrowth.
• Cold-water exposure: In some cases, repeated exposure to cold water, common among surfers, can trigger bony growths in the ear canal and occasionally affect the mouth.
• Jaw structure and bite alignment: Excessive stress in certain areas of the jaw can stimulate bone growth as a natural defense mechanism.

Exostosis may grow slowly and go unnoticed until it interferes with oral health or dental treatments.

Common Symptoms of Exostosis

Exostosis is usually painless at first. However, as it grows, you might notice signs that it’s beginning to interfere with normal function or comfort. Common symptoms include:

• Hard, raised bumps along the gums or under the tongue
• Pressure or discomfort when chewing
• Irritation from dentures or orthodontic appliances
• Swelling or inflammation around the affected area
• Food trapping or difficulty cleaning certain spots

If you wear dentures or night guards, even a small exostosis can cause pain and poor fit. Persistent discomfort should never be ignored; it’s your body’s way of signaling that something needs attention.

When Is Exostosis Removal Necessary?

Not every case of exostosis requires removal. Many people have small, stable growths that never cause issues. However, removal may be necessary when:

• The growth interferes with speaking, chewing, or swallowing
• Dentures or retainers cannot fit properly
• The area becomes irritated or inflamed
• The bony projection traps food and increases the risk of infection
• Your dentist needs access to the underlying bone for another treatment (such as implants or gum surgery)

In these situations, your dentist may recommend evaluation by an oral surgeon near you. The goal isn’t just to remove the growth but to restore comfort and prevent further complications.

The Removal Procedure: What to Expect

Exostosis removal is a minor surgical procedure typically performed under local anesthesia. Patients seeking oral surgery in Dayton can expect modern, precise techniques that prioritize comfort and recovery. For patients with multiple growths or deeper formations, sedation or general anesthesia may be recommended for comfort.

Here’s what the process usually involves:

1. Evaluation and Imaging: Your oral surgeon takes digital X-rays or scans to assess the size and location of the growth.
2. Anesthesia and Preparation: The area is numbed, and protective measures are placed to keep the site clean.
3. Surgical Removal: The surgeon gently reshapes or removes the excess bone using precision instruments.
4. Suturing and Healing: The site is stitched closed, and healing begins within a few days.

Recovery is generally smooth, with minor swelling and tenderness that resolves in a week or two. Following your post-operative care instructions, such as using saltwater rinses and soft foods, helps ensure quick healing and reduces infection risk.

Preventing Exostosis from Returning

Although exostosis removal is effective, maintaining good oral habits is key to preventing new growths. Here are a few steps to keep in mind:

• Address grinding or clenching: Those who grind their teeth should consider asking their dentist for a professionally fitted night guard.
• Maintain good oral hygiene: Regular brushing and flossing prevent irritation that can trigger bone changes.
• Ensure proper denture fit: Ill-fitting dentures or bridges can stress the jawbone, promoting uneven growth.
• Schedule regular dental visits: Routine exams allow your dentist to monitor any early signs of bone changes before they become symptomatic.

Early detection helps you avoid more complex treatments later.

Final Thoughts: Listen to the Signs and Seek Expert Care

Exostosis may start as a harmless bump, but if it begins to cause discomfort or interfere with daily life, professional evaluation is important. A qualified oral surgeon can determine whether removal is the best solution to restore comfort and protect your oral health.

If you’re noticing new growths or irritation in your mouth, don’t wait. Visit a trusted dental clinic in Salem or schedule a consultation to learn more about your options.

Your care team at Alpha Dental is here to ensure every patient receives precise, compassionate treatment tailored to their needs. Paying attention to your body’s cues and consulting a professional early can help you maintain lasting oral health and confidence.