| Exodontia.Info |
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| Torus, Exostosis & Osteomata Removal |
Occasionally, the oral bony swelling (torus, exostosis or
osteoma) needs to be removed.
This can be for a number of reasons:
osteoma) needs to be removed.
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 local anæsthetic to help “balloon” thin tissue
(tumescent technique) - Reflecting the flap is the most tedious portion
- 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 Websites:
Wikipedia
Wikipedia
Operative Pitfalls / Problems:
Palatal Tori
- Pneumatisation of palatal torus
- Thin mucosa over tori that can tear very easily
- Post-operative redundant tissue
Palatal Tori
- Oro-antral / nasal communication / fistula
- Arterial bleeding (from the greater palatine artery)
- Hæmatoma
- Post-op dehiscence (pulling apart of the wound margins)
Potential Complications - Mandibular (Lingual) Tori
• Lingual plate fracture
• Lingual nerve damage
• Hæmatoma
• Damage to floor of mouth structures
• Post-op dehiscence (pulling apart of the wound margins)
• Lingual plate fracture
• Lingual nerve damage
• Hæmatoma
• Damage to floor of mouth structures
• Post-op dehiscence (pulling apart of the wound margins)
| Last Updated 9th November 2010 |