Yes, tori can be removed through a surgical procedure, especially when they cause functional problems or compromise oral health.
Tori are benign bony growths that can occur in the mouth, most commonly on the roof of the mouth (torus palatinus) or on the inner side of the lower jaw (torus mandibularis). While often harmless, they may require removal if they interfere with daily activities, oral hygiene, or dental treatments.
Why Tori Removal Might Be Necessary
While not every torus needs removal, a dental professional may recommend surgery if the growth causes specific issues. The decision to remove tori is usually based on how they impact a patient's quality of life and oral health.
Here are the primary reasons for considering tori removal:
| Reason for Removal | Description |
|---|---|
| Denture Interference | Tori can significantly impede the proper fit and stability of dentures or partial dentures. Their presence can create pressure points, lead to instability, or make it impossible for a prosthetic to seat correctly, thus requiring removal for successful denture fabrication. |
| Food Impaction | Excess bone may also be removed to aid in minimizing food impaction under the excess bone, which will promote improved home care. These areas can become difficult to clean, leading to plaque accumulation and potential dental issues. |
| Oral Hygiene Challenges | In certain cases, tori may contribute to plaque accumulation and periodontal pockets, and therefore will require removal to improve oral hygiene by allowing better angulation of the toothbrush. This makes it challenging to maintain effective brushing and flossing, increasing the risk of gum disease and cavities. |
| Speech or Eating Issues | Particularly large tori, especially those on the palate, can interfere with normal speech patterns, making certain sounds difficult to pronounce. They can also make chewing and swallowing uncomfortable or awkward, especially with certain foods. |
| Trauma or Discomfort | Tori are covered by a thin layer of gum tissue, making them susceptible to irritation or injury. Repeated trauma from hard foods, sharp objects, or even accidental bites can lead to chronic soreness, ulcers, or pain. |
| Orthodontic Needs | In rare instances, tori might need to be removed to create necessary space or facilitate the movement of teeth during orthodontic treatment, ensuring optimal results. |
The Surgical Removal Procedure (Torusectomy)
The surgical procedure to remove tori, known as a torusectomy, is typically performed by an oral and maxillofacial surgeon or a periodontist. It is a common outpatient procedure.
What to Expect:
- Anesthesia: The procedure is usually done under local anesthesia, meaning the area will be numbed while the patient remains awake. Sedation options may also be available for patient comfort.
- Incision: A small incision is made in the gum tissue over the torus to expose the underlying bone.
- Bone Reshaping: Specialized instruments are used to carefully reduce or remove the excess bone. This process, known as osteoplasty, reshapes the bone to create a smoother contour.
- Suturing: After the bone is reshaped, the gum tissue is repositioned and secured with sutures (stitches).
- Duration: The procedure can take anywhere from 30 minutes to an hour or more, depending on the size and number of tori being removed.
What to Expect During Recovery
Recovery from tori removal generally involves a few days to a couple of weeks of healing. Following post-operative instructions carefully is crucial for a smooth recovery and to prevent complications.
Recovery Tips:
- Pain Management: Mild to moderate pain is common and can usually be managed with over-the-counter pain relievers or prescribed medication.
- Diet: A soft diet is recommended for the first few days to a week to avoid irritating the surgical site. Avoid spicy, acidic, or very hot foods.
- Oral Hygiene: Gentle brushing and rinsing with an antiseptic mouthwash (as advised by your surgeon) are important to keep the area clean and prevent infection.
- Swelling and Bruising: Some swelling and bruising are normal and can be minimized with cold compresses applied to the outside of the face.
- Avoid Strenuous Activity: Rest and avoid strenuous physical activity for a few days to allow proper healing.
- Follow-up: A follow-up appointment will be scheduled to remove sutures (if non-dissolvable) and monitor healing.
For more detailed information, you can consult reputable sources such as the American Association of Oral and Maxillofacial Surgeons or discuss your specific case with an oral health professional.
