Protrusion of the alveolar bone is easier to determine, often due to the patient’s complaints, by asking the doctor, or when the patient is wearing dentures and the prosthodontist recommends the patient to a maxillofacial surgeon. The basis of the patient’s own judgment is usually the patient’s complaint of pain, a protruding piece that is clearly felt when wearing dentures or during the usual periodontal massage, and a particularly painful pressure on the dental bed, sometimes even producing bleeding. By the time the patient seeks out a maxillofacial surgeon, the signs are basically obvious, and a bone bulge or bone spur, or bone tip, can appear while wearing the denture. Bone spurs, bone tips, and bone protrusions usually occur in the middle-aged and elderly population.