Exodontia.Info
Torus, Exostosis & Osteomata  
Removal
Occasionally, the oral bony swelling (torus, exostosis or
This can be for a number of reasons:

  • Interference with construction of dentures
  • Interference with the wearing of dentures
  • Obstructive Sleep Apnœa
  • Problems eating
  • Problems speaking
  • Aesthetic problems
  • Psychological (cancerophobia)
  • Exceptionally large torus
  • Use LA to help “balloon” thin tissue (tumescent
    technique)
  • Overlying mucosa is thin and is easily torn
  • It is easier to remove tori when the dento-alveolus is
    œdentulous

Remove Tori with:

•Surgical drill / bur
•Osteotome and hammer
•A combination of both

Assure a dry field and inspect wound before closure
Useful Website:

Wikipedia
Potential Pitfalls / Problems:

Palatal Tori

  • Thin mucosa over tori that can tear very easily
  • Post-operative redundant tissue
  • Oro-antral / nasal communication / fistula
  • Arterial bleeding (from the greater palatine artery)
  • Hæmatoma
  • Post-op dehiscence (pulling apart of the wound margins)
Potential complications - Lingual Tori

  • Lingual nerve damage
  • Hæmatoma
  • Damage to floor of mouth structures
  • Post-op dehiscence (pulling apart of the wound margins)
Last Updated 2nd March 2011