It can also affect the roof of the mouth (palate) and is known as torus palatinus. A tori mandibularis removal (or tori reduction) surgical procedure may be recommended by your dentist if the growth is painful or interferes with the fitting of dentures and causes ulcers or sores.
You can have mandibular tori on one side or both sides of your mouth. Torus mandibularis generally doesn't require treatment unless it interferes with chewing, speaking or other functions. You can be born with the condition or develop it later in life. Dental tori vary in number and size.
They normally only need to be removed if a lower denture or partial denture needs to be constructed. As mentioned, these tori are benign in nature, so unless they are risk to your oral health, most clinicians will recommend just watching them over time.
Mandibular tori removal complications
Common side effects may include bleeding, swelling, and some pain. Generally, you can control these with the guidelines above. If you experience excessive pain, additional bleeding, and swelling that won't go down, this could indicate a possible infection.
Due to laser technology, tori dental removal can be virtually pain-free.
The size of the tori can increase slowly and continuously through the life of an individual. 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.
In certain cases tori may contribute to plaque accumulation and periodontal pockets, and therefore will require removal to improve oral hygiene by allowing better angulation of the toothbrush. Once tori are removed, recurrence is rare. In situations where tori do reappear, regrowth is typically very slow.
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. Clinical diagnosis is usually straightforward, and investigations are generally not required.
The size of the tori may fluctuate throughout life but they do tend to get bigger over time. In some cases the tori can be large enough to touch each other in the midline of mouth. Consequently, it is believed that mandibular tori are the result of local stresses and not solely on genetic influences.
In all cases, the entire torus must be exposed to allow its removal. The morphology of a given torus dictates the incisions required to expose it. The most commonly used incision design is a “double-Y.” A midline incision is made anteroposteriorly from a point several millimeters anterior to the margin of the torus.
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.
Maintain normal oral hygiene measures in the areas of your mouth not affected by the surgery. In areas where there is dressing, lightly brush only the biting surfaces of the teeth. Please chew on the opposite side of your mouth and try to avoid the dressing as much as possible.
Mandibular tori are very slow-growing, so much so that it can be challenging to identify what causes tori to grow. There is some evidence that bruxism can speed up the growth of tori. Diet may play a role in the growth cycle. Some tori also grow for a period of time, shrink, and then begin to grow again.
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.
Is mandibular tori caused by stress? The causes of mandibular tori are not fully understood, although environmental factors and diet are generally thought to be factors in developing these growths. Jaw stress is also related to tori growth, and emotional stress can be a contributor to jaw stress.
The existence of torus mandibularis is not all too common — it's estimated that 12 to 25% of the adult population has these bony overgrowths in the lower jaw. People who have this tori mandibularis usually have two, but they can exist on their own.
Tori usually become apparent during the second or third decade of life. Tori may develop at the midline of palate (torus palatinus [TP]) or the lingual aspect of the mandible (torus mandibularis [TM]).
After roughly a week, most of the pain from your tori removal should subside. Directly following your procedure you can expect some swelling. Your surgeon might prescribe you some pain management or suggest over-the-counter pain medication. You may also be advised to rinse your mouth out with saltwater.
Sensitivity usually decreases within several weeks after surgery and can be minimized by keeping the area as free of plaque as possible. If the sensitivity is extreme, contact the doctor for recommendations or medications to relieve the discomfort.
TP forms along the midline of the hard palate, whereas TMs form along the lingual aspect of the mandible and is usually bilateral. Tori typically develop during late adolescence and gradually increase in size throughout adulthood.
In most cases, the tori will develop on both sides of the mouth, though there are cases in which the tori will only develop on one side. Tori is not relatively common: currently, it is estimated that anywhere from 5-40% of the population have distinguishable tori present in the mouth.
Different incisions can be made in order to remove the TP. The most common type of incision is the double Y incision, one linear incision at the middle line of the torus and two oblique anteroposterior at its both borders.
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. Also, when your bite is off, your body tries to unconsciously realign it properly.