Balu Pratebha, Ramalingam Sudhakar, Raja Manoj, Thomas Mathew
Department of Periodontology and Implantology, Karpaga Vinayaga Inst. of Dental Sciences, Chennai, India.
Contemp Clin Dent. 2012 Jul;3(3):317-9. doi: 10.4103/0976-237X.103626.
The phenomenon of buttressing bone formation is relatively uncommon in the alveolar bone, more so in the anterior maxilla. In our case, peripheral buttressing bone formation presented as an isolated hard gingival swelling with relation to 21 in a 14-year-old girl. Radiographic presentation was normal with no evidence of bone loss or altered bone density. Therefore explorative surgery was planned. Buttressing bone formation could be appreciated, which also was the cause for swelling clinically. Osteoplasty was done and bone graft placed in the defect. On a subsequent recall visit gingivoplasty was done to reduce gingival thickness to improve esthetics. We report the case for its unusual presentation, its management with follow-up.
牙槽骨中支持性骨形成的现象相对不常见，在上颌前部更为少见。在我们的病例中，一名14岁女孩的21号牙周围出现了孤立的硬牙龈肿胀，表现为周围支持性骨形成。影像学表现正常，没有骨丢失或骨密度改变的证据。因此计划进行探查性手术。术中可以看到支持性骨形成，这也是临床上肿胀的原因。进行了骨成形术，并在缺损处植入了骨移植材料。在随后的复诊中进行了牙龈成形术，以减少牙龈厚度，改善美观。我们报告该病例是因其不寻常的表现及其后续的治疗情况。
