Exodontia.Info
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:

  • 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
Operative Pitfalls / Problems:

  • Pneumatisation of palatal torus
  • Thin mucosa over tori that can tear very easily
  • Post-operative redundant tissue


Palatal Tori

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)
Last Updated 9th November 2010