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.
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.
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.
Mandibular tori are almost always harmless, but they can cause pain and irritation in the area around them or make it hard to chew or wear a dental prosthetic. In these cases, the growths can be surgically removed. In the meantime, people can treat any irritation in their mouths with some simple home remedies.
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.
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.
Due to laser technology, tori dental removal can be virtually pain-free.
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.
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.
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.
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.
Genetics: A 2015 study of twins suggests a strong genetic link for bony outgrowths in the mouth, even in those who have other risk factors. Tooth grinding: People who grind their teeth may be more likely to experience these bony growths. Bone mineral density: Changes in bone mineral density may cause a torus palatinus.
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.
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.
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.
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.
Stitches: if any were placed, they will likely fall out in 7-10 days on their own. Water getting into your nose when rinsing or drinking: This may be a sign of a sinus communication between the extraction socket of an upper tooth and the maxillary sinus.
Abstract. In this study the presence of mandibular tori was related to conditions associated with parafunctional activity. Parafunction in the form of tooth clenching or grinding has been associated with temporomandibular disorders (TMD) and recently migraine.
The prevalence of mandibular tori in the population can range from 5%-40% and is less common than tori on the palate. Tori has been shown to be more common in Asian, Native American, and Inuit populations.
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.
Torus palatinus is a harmless, painless bony growth located on the roof of the mouth (the hard palate). The mass appears in the middle of the hard palate and can vary in size and shape. About 20 to 30 percent of the population has torus palatinus. It occurs most frequently in women and those of Asian descent.
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.
Treating Tori
The oral surgeon will expose the bone tissue, remove it, and level the mouth surface. As with any surgery, you'll be sore for a while afterward, and you'll see the dentist about a week later for a post-op checkup.
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.
Surgery for tori reduction
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.