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Tori Bone Removal in Oral Surgery

Oral Tori

Oral Tori Definition: Oral tori are benign bony outgrowths in the mouth, typically covered by normal gum tissue. They are slow-growing and usually present no symptoms. They can occur in the midline of the palate of the upper jaw (torus palatinus) or along the inside of the lower jaw just lateral to the tongue often near the premolar region (torus mandibularis.)

Causes: The exact cause is unknown but is believed to be a combination of genetic and environmental factors. They are more common in certain populations and can be triggered by repeated stress or trauma to the area.

Symptoms: The majority of people with tori experience no symptoms. However, large tori can sometimes interfere with oral functions like chewing or speaking and may make it difficult to fit dentures. 

Treatment: Usually, no treatment is needed unless they cause significant discomfort or interfere with oral function. In such cases, surgical removal may be recommended.

Oral Extosis

Oral Exostoses Definition: Exostoses are similar to tori but can occur in other parts of the mouth. They are benign bony outgrowths that can develop on the alveolar ridges (the bone that supports the teeth).

Causes: Exostoses are often related to local irritation or stress on the bone, such as from teeth grinding (bruxism) or other chronic trauma.

Symptoms: Like tori, exostoses are usually asymptomatic. However, they can sometimes cause discomfort, especially if they grow large or are located in areas prone to irritation.

Treatment: Treatment is generally unnecessary unless they cause problems with oral hygiene, fitting of dental appliances, or other functional issues. Surgical removal can be performed if needed.

Prognosis: Both conditions are benign and do not turn into cancer. They generally remain stable in size, although they can slowly enlarge over many years. Tori removal refers to the surgical procedure involving the removal of these bony outgrowths from the upper and lower jaw. 

The process of tori removal and recovery typically involves the following steps:

Anesthesia:

The tori removal procedure is typically performed under intravenous sedation with additional local anesthesia. This means that you would typically be asleep during this procedure. 

Surgical Removal:

These bony growths are removed carefully using specialized surgical instruments.

Postoperative Care:

There area minimal postoperative restrictions.

Recovery:

Patients can often resume normal activities within two to three days.

Postoperative Discomfort and Suturing:

Generally speaking, following tori or exostoses removal, there is minimal pain and discomfort and suture removal is not necessary. 

Follow-up Appointments:

Dr. Akin typically will see you back in 2-3 weeks or as needed sooner. All patients receive his cell phone number.