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  • Dentists
  • Dental Hygienists
  • Dental Assisting
Hours: 3 Contact Hours
Author(s): Mark J. Szarejko, DDS, FAGD
Peer Reviewer(s): Toni M. Roucka, RN, DDS, MA
Item#: L0793
Contents: 1 Course Book (30 pages)
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Maxillary and Mandibular Exostoses: A Clinical Review

Price $29.95
Item # L0793
When available, the Online Course format is included with the hard copy, eBook, or audio book formats!

Release Date: December 12, 2016

Expiration Date: December 11, 2019


Exostoses that occur intraorally are benign, asymptomatic osseous anomalies, which most commonly involve the hard palate and the alveolar bone on the lingual aspect of the mandibular arch. Less frequent are the exostoses that involve the buccal alveolar bone of the maxillary and mandibular arches or the alveolar bone of the palatal arch. Dental clinicians should not view these as merely an incidental finding during a comprehensive dental examination but rather must consider the presence of an exostoses as an integral component of the oral anatomy that can impact the patient’s oral health and his or her ability to utilize partial or complete dentures as well as being a potential impediment to the ability to maintain oral hygiene. Exostoses can also be viewed in a positive light as they are an excellent source for an autogenous bone graft that can be used to correct periodontal defects or to provide supplemental bone for the placement of implants.

This basic-level course highlights the varied clinical presentations of exostoses within the oral cavity, their clinical and radiographic presentations, their pathophysiology, their implications for oral health, and options for treatment. With this knowledge, dental professionals can address such growths if they become or could become a barrier to oral function, interfere with a patient’s ability to maintain proper oral hygiene, or preclude the ability to place partial or complete dentures.



AGD Subject Code: 741
Western Schools designates this activity for 3 continuing education credits.


Course Objectives

  • Outline the classification of exostoses of the oral cavity.
  • Describe the clinical features of exostoses.
  • Describe the radiographic features of exostoses.
  • Identify the pathophysiology of exostoses.
  • Describe the oral health implications of exostoses of the oral cavity.
  • Explain the surgical treatment and prognosis of exostoses.


Mark J. Szarejko, DDS, FAGD, received a bachelor’s degree in biology from St. John Fisher College in Rochester, New York, and a DDS from the State University of New York at Buffalo in 1985. He has been a Fellow of the Academy of General Dentistry since 1994 and a Certified Correctional Healthcare Professional since 2007. Dr. Szarejko has more than 30 years of dental experience in New York and Florida. He is currently a staff dentist at the Hillsborough County Jail in Tampa, Florida, and has been an examiner for the State of Florida dental and dental hygiene examinations since 1994. Dr. Szarejko has presented nationally on correctional health care and has authored more than 20 continuing education courses.


Toni M. Roucka, RN, DDS, MA, is an associate professor of restorative dentistry at Southern Illinois University, School of Dental Medicine, Edwardsville. She maintains an active nursing license and is a Fellow of the American College of Dentists and immediate past president of the American Society for Dental Ethics. Dr. Roucka obtained her DDS degree from the University of Illinois at Chicago College of Dentistry and a master’s degree in population health – bioethics from the Medical College of Wisconsin in Milwaukee. Dr. Roucka is a nationally recognized speaker on the subject of ethics in dentistry and has taught restorative dentistry at both Marquette University and the Southern Illinois University School of Dental Medicine. As a volunteer, she has provided dental care to underserved populations in Guatemala, Venezuela, the Dominican Republic, and Tanzania.

  • Courses must be completed on or before the expiration date noted in the course description above.
  • You must score 75% or higher on the final exam and complete the course evaluation to pass this course and receive a certificate of completion.
  • Through our review processes, Western Schools ensures that the course content is presented in a balanced, unbiased manner and is free from commercial influence. It is Western Schools’ policy not to accept commercial support.
  • All persons involved in the planning and development of this course have disclosed no relevant financial relationships or other conflicts of interest related to the course content.
  • There are no prerequisites for this course.