Tori are a dental condition where excess bone masses form either on the mandible or the maxilla. The removal of Tori requires mouth reconstruction surgery to eliminate it. The Tori will always be located on the bony protuberance in the mouth that originates from the cortical plates.
To determine if you have Tori that needs to be corrected by mouth reconstruction surgery you will have to see an oral surgeon, and preferably one that has had some success in treating the condition. The shapes of the bony protuberances are how the different types of Tori are identified.
• Flat torus forms with a broad base and always has a slightly convex and smooth surface. Flat torus is generally symmetrical on both sides of the mouth.
• Spindle torus will present in the mouth on the midline ridge.
• Nodular torus forms individually, but there will likely be many of the protuberances.
• Lobular torus has only one base, but it will be a lobulated mass.
The mouth reconstruction surgery to correct torus mandibularis requires the surgeon to slice the tissue covering the bony protuberance and then chisel this bone away. This is a slow process and would be very painful so the patient is put to sleep under a general anesthesia until the procedure is completed.
Mouth reconstruction surgery is not necessary for every patient that has this condition. The most common reason for people to have the procedure done is because they are getting dentures and the bony growths will not allow for the dentures to be seated properly in the mouth. Unless a person is expecting to get dentures they generally have no problems with the torus and they do not seek treatment for it.
There are cases where the condition can begin to make it hard for the individual to chew their food and eat properly. When the Tori interfere with the patient eating and chewing their food properly they may have it removed to correct the problem.
This bony growth is seen more frequently in Asian males than in any other race of people. The causes for the growth of bone include bruxism, genetic pre-disposition for the disease, and some believe that there are environmental factors that contribute to the condition.
The removal of the Tori is often a very expensive procedure and this is one of the reasons why so many people chose to live with the condition rather than have the bones chiseled away. The Torus is not generally painful and some patients do not even realize they have the condition until they go to get their teeth pulled for dentures.
The Tori can return if it was caused by the patient gnashing and gnawing their teeth. If the problematic gnashing is not stopped the Tori can return after the surgery has healed. There are different treatments the dentist can recommend to help you stop from biting down on your teeth and applying the pressure that result in the excess bone growth.
Source by Afshin Nejad