Tori Reduction/Removal

MANDIBULAR TORUS REMOVAL

The mandibular torus is a benign bony growth on the lingual (inside) surface of the mandible in the molar and premolar region.  Tori are usually bilateral and can be singular, lobulated, or multiple.  When a mandibular denture is contemplated, these growths often require removal.  Consideration for removal may also be given if the thin overlying tissue is irritated or ulcerated.

The removal of a mandibular torus can be achieved with local or general anesthesia and those options can be discussed with Dr. Fatehi to fit your individual needs.  The surgical site is then anesthetized with local anesthetic and an incision is made over the bony protuberance, exposing the underlying bone.  Specialized instruments are used to remove the torus and the area is smoothed and sutured.  Some degree of post operative discomfort is to be expected and pain medications and antibiotics are given.  The patient is seen back in one week for a post-operative evaluation.

PALATAL TORUS REMOVAL

A palatal torus is a sessile mass of bone in the midline of the palate.  It affects 20-25% of women in the United States, twice the incidence in men.  The etiology of these protuberances is unknown.  The tori may appear bread and flat or may have a nodular or lobulated configuration.  Not all palatal tori need to be removed prior to denture fabrication.  Indications for removal are:

  • The extremely large torus, filling most of the palate
  • The torus with traumatized mucosal coverage
  • The torus with deep undercuts
  • The torus that interferes with normal speech
  • The torus that poses a psychological problem for the patient (i.e. malignancy phobia)

The removal of a palatal torus can be achieved with local or general anesthesia and a pre-operative consultation with Dr. Fatehi can help choose the type of anesthetic which fits your individual needs the best.  The surgical site is then anesthetized with local anesthetic, the  area is exposed and the excess bone is gently removed with specialized instruments.  The remaining bony surface is smoothed, irrigated and dissolvable sutures are placed.  Post operative instructions along with pain medications and antibiotics are given.  The patient is appointed for a one week post-operative evaluation by Dr. Fatehi to assess the healing of the palate.