Treatment FAQ

how can mandibular tori affect dental treatment?

by Mrs. Clara Gottlieb Jr. Published 3 years ago Updated 2 years ago
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It will cause discomfort and if the growth continues, mandibular tori can cause pain or disturbed mouths functions. The size of the tori may fluctuate throughout life, and in some cases, it can be large enough to touch each other in the midline of your mouth. This condition can complicate the fabrication of dentures.Jan 16, 2019

Can mandibular tori cause tooth pain?

Mandibular tori can be a painful condition that causes your throat and jaw to hurt, your gums to get inflamed, and even your teeth to come loose.

Should I worry about mandibular tori?

Tori are simply an abnormality; a random bone growth. They do not pose any immediate threat or harm once they have been identified in the mouth, though they do continue to grow over time, and have the potential to cause pain or discomfort if they become too large.

Can you get dentures with mandibular tori?

Large mandibular tori may prevent complete seating of impression trays and denture. The large undercuts may lock the denture into place or preclude any sort of lingual flange in the area. A healthy 63-year-old woman presented for the fabrication of a new lower complete denture.

Is it necessary to remove mandibular tori?

In most cases tori are benign and do not require treatment. However, tori will need to be surgically removed to accommodate upper or lower dentures and upper or lower partial dentures (flippers). Tori may also be removed to aid in minimizing food impaction under the excess bone, which will promote improved home care.

Can Tori get infected?

Tori palatinus can also become infected, as in our patient. It is not clear that drainage of the torus is beneficial or helps to speed up the recovery process. Instead, it can potentially introduce new pathogens into the area and cause more localized infection.

How do you stop Tori from growing?

However, if your tori cause you undue discomfort or inconvenience, you can surgically remove them. The dentist simply makes an incision, extracts the overgrowth of bone or cartilage, and then closes the incision.

How painful is Tori removal?

Though the surgery itself won't be painful, tori removal can be a bit uncomfortable. Another method of tori removal is done via lasers. Though not appropriate in all cases, this method provides excellent accuracy and less palate trauma than traditional tori surgery.

How can I get rid of mandibular tori naturally?

Because mandibular tori are bone growths, you cannot get rid of them without surgical treatment from your dentist....After your procedure, your doctor may recommend:Pain medication.Salt water rinses to control infection.A soft diet to minimize discomfort while you heal.

Can Tori cause sleep apnea?

Torus mandibularis is a structure that can appear on the inside of the mandible. Therefore, it is possible for tori to influence airway volume by occupying the space for tongue and cause sleep apnoea.

How long does it take to heal after Tori removal?

At NYC SleepWell, this surgery is typically performed in the office in less than one hour. Recovery time for mandibular tori reduction is generally one to two days. There will be some swelling, but the pain can usually be reduced with over the counter medication.

Can Tori grow back after surgery?

If the tori has to be removed, surgery can be done to reduce the bone, but it may grow back again in cases where there is local stress, such as excessive forces from an unbalanced bite. There are many reasons behind tori development.

What causes extra bone growth in the mouth?

Malocclusion. One reason for bony growths in your mouth is due to a poor bite, or malocclusion. When your bite is off, it leads to an uneven distribution of pressure throughout your jaw. Some areas receive greater pressure than normal.

Are mandibular tori normal?

It is a bony growth that develops on the lower jaw, beneath and on the side of the tongue. Tori affects about 27 out of every 1,000 adults, reports the National Institutes of Health, though it's not as well-known as other oral health conditions.

Can mandibular tori be cancerous?

Tori palatini are not dangerous. The growths do not cause cancer, infections, or other serious complications. However, like any growth in the body, it can interfere with normal functioning. Very large growths and those located near other structures are more likely to cause complications.

Why do I have mandibular tori?

Torus mandibularis is thought to be caused mainly by environmental factors, such as bruxism, vitamin deficiencies and calcium-rich supplements, although genetic background also plays a key role. 1 Clinical diagnosis is usually straightforward, and investigations are generally not required.

Does grinding teeth cause Tori?

Believe it or not, clenching and grinding can actually change the shape of your bone. Though not particularly common, some people with bruxism develop bony growths on the inside of their lower jaw, under the tongue. These growths are called mandibular tori, and they are harmless and benign.

What are the two most common types of tori?

The two most common types of tori are mandibular and palatal. Mandibular tori – or mandibular to rus if it's a single bump – show up in the lower jawbone. About six percent of the U.S. population experience this condition, notes the Cleveland Clinic.

What surgeon removes tori?

If the tori must be extracted, a maxillofacial surgeon will be the specialist to remove the bony growth, usually during out-patient surgery. This procedure has the same risks as any surgery.

How to prevent gum disease?

The best thing to do daily is to avoid irritating any growths during your dental routine. Stick to brushing with a soft-bristled toothbrush. This toothbrush will help remove bacteria from teeth, tongue, cheeks, and gums. Tori or not, keeping your mouth clean and healthy is the best way to avoid oral health issues.

What happens if you get a scraped tori?

Cause other oral health problems. In the event of scraped tori, decrease bacteria in your mouth while the area heals.

Can oral tori be developed?

A combination of multiple factors could be in play for someone to develop oral tori, according to the American Academy of Otolaryngology-Head and Neck Surgery, the Cleveland Clinic, and a Stomatologij study.

Is a torus in your mouth cancerous?

If you notice any torus in your mouth, rest assured that it's a benign growth that's not cancerous, nor will it evolve into cancer. However, if you detect any areas in your mouth that experience changes or concern you, it's always best to consult your dentist.

Where is the tori located?

population. The third type of dental tori is buccal exostoses, which occur on the outside area of the upper or lower jaw ridge in your mouth.

What causes a torus mandibularis?

Torus mandibularis is thought to be caused mainly by environmental factors, such as bruxism, vitamin deficiencies and calcium-rich supplements, although genetic background also plays a key role.1Clinical diagnosis is usually straightforward, and investigations are generally not required. However, peripheral ossifying fibroma, osteoma, osteochondroma, osteoid osteoma, osteoblastoma and osteosarcoma should also be considered in the differential diagnosis of a unilateral, growing lesion.4In particular, the presence of pain or paresthesia should prompt further investigation.

Where is Torus Mandibularis located?

Torus mandibularis is a nontender, bony outgrowth located on the lingual side of the mandible, in the canine or premolar region, above the attachment of the mylohyoid muscle. In most cases, bilateral tori are present.1Torus mandibularis is usually asymptomatic and discovered incidentally. The prevalence varies substantially between ethnic groups, with lower prevalence in whites (about 8%) and blacks (about 16%) and higher prevalence in Asian and Inuit populations.2Torus mandibularis is slightly more common in males than in females.3Histologic examination shows dense bony tissue, with normal osteocytes and lacunae.3

Why do dentists do surgery on tori?

Surgery is an option when the tori begin to interfere with speech. Or in the case of using a dental denture, your dentist could consider surgery because the overgrowth bone will interfere with denture placement. A visit to your dentist is necessary for a complete diagnosis.

Where is the torus on the jaw?

This condition occurs on the inner side of the lower jaw. Torus or Tori (plural) is a benign bone growth in the mouth, and in 90 percent of cases, there is a torus on both the left and right sides of your oral cavity, making this an overwhelmingly bilateral condition.

Can you have growths on both sides of your mouth?

You may have one growth or multiple growths, and they can develop on one side of your mouth or on both sides. While it’s usually asymptomatic, this condition can sometimes cause problems. If you wear dentures, the growth can interfere with the fit of your lower denture.

Is mandibular tori genetic?

This condition is more common in early adult life, and consequently, it is believed that mandibular tori are the result of local stresses and not solely on genetic influences. The genetic influence can best be seen in studies of twins.

Is mandibular tori more common in men?

There can be several factors associated with mandibular tori. Starting with genetics, this condition is more common in men than in women and can be passed down from father to son. Stress in the jaw bone and bruxism are other factors. This condition is more common in early adult life, and consequently, it is believed that mandibular tori are ...

Can a mandibular tori cause pain?

It will cause discomfort and if the growth continues , mandibular tori can cause pain or disturbed mouths functions. The size of the tori may fluctuate throughout life, and in some cases, it can be large enough to touch each other in the midline of your mouth. This condition can complicate the fabrication of dentures.

What percentage of the population has oral disease?

Did you know there’s an oral disease that affects between 5 and 7 percent of the U.S. adult population? This condition is called Mandibular Tori, which causes pain and discomfort, and some of its symptoms are almost unnoticeable. It is a bony growth that develops on the lower jaw, beneath and on the side of the tongue.

What are the risks of mandibular tori?

Complications & Risks from Mandibular Tori. 1) Injury. Since tori bone jet out away from your teeth and smooth mandibular structure, they’re at significant risk for injury. Typically, the injuries are coming from normal daily activities, as op posed to some type of accident that would hurt your teeth.

Where is the mandibular tori bone?

It occurs just near the floor of your mouth on the tongue-side surfaces of your mandible (lower jaw bone.) Depending on what literature you read, mandibular tori occur in 5-10% of the population (but some studies show it as high as 40%).

Can you remove tori growth?

Fortunately, tori-type growths usually don’t have to be removed. In most cases, you can just leave them where they’re at and they’ll never both you. But on the rare occasion that the growth is extensive and problematic, your dentist may refer you to a specialist to have them removed.

Can you have a mandibular tori removed?

When someone’s mandibular tori are severe enough that something has to be done about them, the only option that’s really available is to have the tori surgically removed. This treatment is typically reserved for the most aggressive cases and only if they’re interfering with eating or smile reconstruction.

What is the best treatment for a mandibular torus?

The most common treatment for a mandibular torus is the “watch and wait” option. Unless your tori bone is extremely large and interfering with normal everyday life, your dentist probably won’t recommend any type of treatment. However, there are always exceptions to the rule.

Does lingual tori affect speech?

However, lingual tori (the ones next to your tongue in the floor of your mouth) usually don’t affect speech patterns that much. Side Note: On the other hand, mandibular tori can serve as a source for bone grafts (like when your implant specialist or oral surgeon needs to perform a sinus lift).

Can a tori grow over time?

Or the tori may grow over time (even if by fractions of a millimeter) causing severe chafing or an ill-fitting denture. 4) Speech. Some people have extremely large palatal tori, which is the torus version in the roof of your mouth.

What is a torus in the mouth?

Many people develop noticeable bumps or lumps known as tori, with a single lump referred to as a torus.

Where do tori appear?

Palatal tori typically appear on or near the midline of the hard palate. Other tori usually develop on both sides of the mouth, although you may also feel their presence on only one side. Tori grow so slowly that you may discover them only after years of development. 2. Tori Have Nothing to Do With Oral Cancer.

Can you live without a tori?

You may live your whole life without needing to do anything about your dental tori. However, if your tori cause you undue discomfort or inconvenience, you can surgically remove them. The dentist simply makes an incision, extracts the overgrowth of bone or cartilage, and then closes the incision.

Can palatal tori be used to hold a dental plate in place?

Palatal tori can interfere with the suction necessary to hold an upper dental plate in place. Rarely, they can grow so large that they interfere with normal breathing or speech.

Can braces cause tori?

If you need to have braces or dentures fitted, tori can get in the way of these appliances. Both braces and dentures can cause chronic irritation of tori. Dentures may also fit imperfectly, which not only sets the stage for public embarrassment but also permits food to lodge painfully between the dentures and your gums.

Can a tori burn?

Even if your tori don't pose a direct threat to your health, they can still cause problems. The thin skin stretched over the hard tissue offers little protection against jagged or rough foods, resulting in painful abrasions. Additionally, hot foods can easily burn this tissue.

Does tori have a genetic component?

Most cases of tori seem to have a genetic component. Studies of twins have indicated that if one twin develops tori, the other probably will also develop tori 93 percent of the time. Gender may also prove a factor, since women tend to develop palatal tori more often than men. 3. Tori Can Cause Annoying Symptoms.

How to remove mandibular tori?

Mandibular tori removal can be done with traditional surgical techniques or with a laser. Traditional surgical mandibular tori removal requires general anesthesia, with traditional surgical techniques to remove the growth. Waterlase tori removal uses a laser and a stream of water to remove the bony growths without drilling.

What is mandibular tori?

Mandibular tori is a dental condition that affects an estimated 10% of the U.S., and most patients don’t even know it. If complications arise, though, you will definitely want to know more about mandibular tori removal. This is what to expect.

How does a dentist remove a tori?

The patient receives general anesthesia, and the dentist uses a scalpel to access the bone and a drill to remove it.

How does Waterlase tori removal work?

Waterlase tori removal uses a laser and a stream of water to remove the bony growths without drilling. This is a less invasive procedure that cuts post-operative pain dramatically, reduces swelling and bleeding, and minimizes the need for pain medications, both during and after the procedure.

Can a blow to the jaw cause tori?

Injury: Injury seems to prompt bone growth as well, so any blow to the jaw or head can cause tori to develop.

What happens if your parents have a tori?

Genetics: If your parents had tori of any kind, your risk increases. Approximately 40-60% of children whose parents have tori develop them also. Bruxism: In addition to creating a host of other dental issues, teeth grinding and jaw clenching stimulates bone growth, often in the form of tori.

What are the risk factors for a tori?

All of these grow very slowly. Development is influenced by four main risk factors. Gender: Tori show gender preference, with men more affected by mandibular tori, and palatal tori more common in women. Genetics: If your parents had tori of any kind, your risk increases.

Why does mandibular tori occur?

Injury or trauma to the mouth. It is not known why injury to the mouth causes mandibular tori. One theory is that the injury stimulates the body to produce more bone to heal. This can cause overproduction of bone and, consequently, mandibular tori.

Where is the mandible located?

Mandibular tori is a symmetrical bony growth that occurs in the lower jaw (the mandible) inside the lower arch of your teeth. Open your mouth and look in the space under your tongue near where the base of your teeth and the floor of your mouth connect.

Is mandibular tori painless?

Finally, cancerous growths typically cause pain and numbness as they progress, but tori are painless unless injured.

Can mandibular tori be mistaken for oral cancer?

Many people who discover they have mandibular tori may mistake it for oral cancer. There is good news here. Cancerous growths tend to be softer when palpated and most often occur in the soft tissues of the mouth.

Is tori a risk factor for children?

Children whose parents have any type of tori are at higher risk for developing tori themselves.

Is palatal tori more common in women?

Gender. Mandibular tori and palatal tori seem to have some gender preference. Palatal tori are more common in women, and mandibular tori are more common in men. Turning that on its head, buccal exostoses normally affect men who also have palatal tori (which, as noted, is more common in women).

What is a hard bump covered in soft gum tissue called?

If there are hard bumps covered in soft gum tissue, they may be mandibular tori. Mandibular tori is just one of three types of torus (the plural form of the condition). The other two are:

Where is the mandibular tori?

Mandibular tori, also known as torus mandibularis, usually arise on the tongue side of the lower jaw. They normally only need to be removed if a lower denture or partial denture needs to be constructed.

How to remove tori?

Once you are cleared, a local anesthetic (mainly Lidocaine) will be used to numb your mouth and gum tissue. After the anesthetic has taken effect, the surgery team will use a blade to open the gum tissue that is overlying the excess bone (tori). Once a full thickness flap is open and the gum tissue is reflected, instruments and hand-pieces will be used to remove and smooth down the extra bone tissue. Once all the extra bone has been removed, a local irritant like saline will be used to clean the area. Afterwards, the surgery team will use sutures to close the wound. These sutures may be dissolvable in nature. The last step is the healing, which will take approximately 6-8 weeks to complete.

How long does it take for a tori to heal?

Expect to be sore and swollen after your tori removal surgery for approximately 1 week. Complete healing after tori removal will take approximately 8 weeks. Remember, salt water rinses will help accelerate the healing process. Remember to also finish your medications, as both antibiotics and pain medications shorten the recovery time as well.

Can you regrowth after a tori?

After tori removal, regrowth of the extra bone is very rare. In most cases, you will only need one surgery to remove the extra bone. There are cases where bone growth will recur, but these are rare, and are usually linked to genetic diseases that will require medical attention. Regrowth of these secondary tori is normally very slow.

Does dental insurance cover tori removal?

Most dental insurances will cover a portion of your costs, but check with your carrier to be sure if you are needing tori removal surgery. Medical insurances normally do not cover tori removal, but it is always prudent to check with your carrier just to make sure.

How much does a tori removal cost?

Most single tori removal procedures cost around $600. Prices may vary depending on the treating surgeon and the complexity of your individual procedure. Some tori are larger than other, and will require more extensive work to for their removal. Most dental insurances will cover a portion of your costs, but check with your carrier to be sure if you are needing tori removal surgery. Medical insurances normally do not cover tori removal, but it is always prudent to check with your carrier just to make sure.

Can lower tori be removed?

Food Impaction: Some lower tori are so large that many patients will get food entrapped underneath them. This can be a health hazard, and will require them to be removed by your oral surgery team. This food impaction can contribute to oral health problems such as gingivitis, and possible periodontitis if not removed early on in life.

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