Rare Bilateral Maxillary Buccal Exostosis in Postmortem Forensic Odontology Examination: A Case Report
DOI:
https://doi.org/10.35790/88dre225Keywords:
forensic odontology; maxillary buccal exostosis; oral exostoses; renal osteodystrophyAbstract
Abstract: In forensic odontology the intraoral examination is usually conducted for the purpose of identification and the coincidental oral findings that can give information into the systemic health history of the deceased are easily missed out. Oral exostoses are benign alveolar bony outgrowths, but the maxillary buccal variant is uncommon, and a bilateral presentation reaching the anterior region is rarely documented. These outgrowths occur more frequently in end-stage renal disease, suggesting a link to disordered bone metabolism. We reported a 65-year-old male with a history of kidney disease received for forensic examination after being found deceased. Intraoral examination revealed bilateral hard bony protrusions on the buccal alveolar bone of the maxillary anterior to premolar region, consistent with maxillary buccal exostosis, together with porcelain-fused-to-metal restorations, generalized calculus, and poor oral hygiene. In conclusion, this case shows that a comprehensive intraoral examination can turn an easily missed finding into information about the victim's biological profile and health history. The coexisting renal disease points to a possible contribution from the mineral and bone disorder of chronic kidney disease (CKD-MBD), although confirmation was limited by the absence of laboratory, radiographic, and histopathological data.
Keywords: forensic odontology; maxillary buccal exostosis; oral exostoses; renal osteodystrophy
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