Unfortunately, tori do not shrink over time. They will grow to a certain point, and then stop growing. A surgical team will need to remove them if your dentist deems it necessary.
In mandibular tori reduction surgery, the surgeon exposes the bone by making a small incision in the gums overlying the tori, and gently shaves the bone to remove it. Once the surgeon confirms that the bone contour is smooth and the tori have been removed, the gums are stitched back together.
This oral abnormality normally does not cause any serious damage. It will cause discomfort and if the growth continues, mandibular tori can cause pain or disturbed mouths functions.
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.
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.
Due to laser technology, tori dental removal can be virtually pain-free.
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.
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.
Mandibular tori are usually present on the tongue side of the jaw near the bicuspids ( also known as premolars). They usually – 90% of the time – occur on both sides of the mouth (bilaterally). Mandibular tori are not particularly common – about 5 – 10% of the population will have noticeable mandibular tori.
Unfortunately, the tori will not go away on its own because once you have it, it will usually stay for life. After all it is made of bone and bone does not simply disappear on its own without any cause. However, the size and shape of the tori may change throughout your life albeit very slowly.
I was given an I.V. for the 1.5-hour procedure on a Thursday. Before I knew it, I was coming out of the anesthesia, and they were helping me up. My mouth was packed with gauze. I wasn't feeling much pain at the time.
The prevalence of mandibular tori ranges from 5-40%. It is less common than bony growths occurring on the palate, known as torus palatinus. Mandibular tori are more common in Asian and Inuit populations, and slightly more common in males. In the United States, the prevalence is 7-10% of the population.
Generally, surgical resection is not required for mandibular torus, as long as the condition remains asymptomatic. However, treatment is indicated when subjective symptoms such as discomfort, pain, articulation disorder or problems in the insertion of dentures are present.
The two most common forms are torus palatinus (TP) and torus mandibularis (TM). 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.
Osteonecrosis of the jaw (ONJ) is a condition in which one or more parts of the jawbones become dead (necrotic) and exposed in the mouth. These fragments of bone poke through the gums and may easily be mistaken for broken teeth. Both the upper (maxilla) and lower (mandible) jaw can be affected.
What are Oral Tori? Tori (or a single torus) are bumps in the mouth made of bone tissue covered by gum tissue. They grow slowly and some people have them without ever noticing them!
When many people notice tori for the first time, they are worried that they have oral cancer. It is good to be aware of the risk of oral cancer, but the torus mandibularis are not cancerous.
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.
If only an upper or lower jaw requires surgery, your surgery will typically last between 1.5 to 2 hours. If both upper and lower jaws need orthognathic surgery then the procedure will take between 3 and 4 hours to perform.
A general dentist or oral surgeon can excise the tori and then stitch up the surrounding gum tissue. While tori can be removed under local anesthetic, some offices opt for IV sedation - especially if you have a poor gag reflex. The surgery is like a tooth extraction in terms of recovery.
The speed at which tori grow is slow, and they usually don't cause any problems until they become large. But they do continue to grow over time.
Conclusion. The most common bony outgrowth was torus mandibularis. Our results show that the genetic factor is dominant in the etiology of oral bony outgrowths.
There is no definitive cause for bony growths in the mouth. It is possible that genetics may play a role in why a person develops the bony growths. It could also be due to stress and environmental reasons. There is a possible connection between bruxism and the tori.