Removing tori bone, more accurately referred to as oral tori, is a routine outpatient surgical procedure performed by an oral surgeon to address these benign bony growths in the mouth.
Understanding Oral Tori
Oral tori are common, non-cancerous bony protrusions that can develop in various areas of the mouth. They are typically slow-growing and often remain unnoticed unless they become large or cause symptoms.
There are two primary types:
- Torus Palatinus: A bony growth located on the roof of the mouth (palate).
- Torus Mandibularis: Bony growths found on the inside surface of the lower jaw, near the tongue.
When Is Tori Removal Necessary?
While tori are generally harmless, removal becomes necessary when they interfere with oral function or quality of life. An oral surgeon may recommend removal in cases such as:
- Denture Fabrication: Large tori can prevent the proper fitting and stability of full or partial dentures.
- Chronic Irritation: Repeated trauma from food or speech can cause sores or ulcers on the overlying gum tissue.
- Speech Impairment: Extremely large tori might interfere with tongue movement, affecting speech.
- Oral Hygiene Challenges: In rare cases, tori can make it difficult to clean certain areas of the mouth, leading to plaque buildup.
- Preparation for Other Procedures: If tori obstruct access for other necessary dental treatments.
- Rapid Growth or Unusual Appearance: While rare, any sudden change or unusual appearance may warrant investigation and removal.
The Tori Removal Procedure
The removal of oral tori is a straightforward outpatient surgical procedure designed to carefully reduce or eliminate the bony growths.
- Anesthesia: The procedure typically begins with the administration of local anesthesia to thoroughly numb the area, ensuring you remain comfortable and pain-free throughout the surgery.
- Incision: The oral surgeon will carefully make an incision in the gum tissue that covers the tori. This allows them to expose the underlying bony growth.
- Bone Removal: Using specialized instruments, such as dental drills or chisels, the excess bone is then gently and precisely removed. The goal is to reshape the area to a smooth contour, eliminating the protrusion.
- Reshaping and Smoothing: After the primary removal, the remaining bone is meticulously smoothed to prevent any sharp edges that could irritate the overlying tissue once it heals.
- Suturing: Finally, the gum tissue is carefully repositioned over the treated area and secured with sutures (stitches). These sutures may be dissolvable, meaning they will disappear on their own, or they may need to be removed during a follow-up appointment.
Recovery and Aftercare
Following tori removal, proper aftercare is crucial for a smooth recovery and to minimize complications.
- Pain Management: Mild discomfort is common. Over-the-counter pain relievers are usually sufficient, though your surgeon may prescribe stronger medication if needed.
- Swelling and Bruising: Expect some swelling and possibly bruising, which can be managed with cold compresses applied to the outside of the face.
- Diet: A soft, cool diet is recommended for the first few days to avoid irritating the surgical site. Gradually reintroduce solid foods as comfort allows.
- Oral Hygiene: Gentle rinsing with salt water (one-half teaspoon of salt in eight ounces of warm water) several times a day can help keep the area clean. Avoid aggressive brushing directly over the surgical site initially.
- Activity: Rest is important. Avoid strenuous physical activity for several days post-surgery to prevent increased bleeding or swelling.
- Follow-Up: Attend all scheduled follow-up appointments to monitor healing and remove non-dissolvable sutures if necessary.
Potential Risks and Considerations
While tori removal is generally safe, like any surgical procedure, there are potential risks, though they are rare. These can include:
- Infection at the surgical site.
- Persistent swelling or bruising.
- Temporary or, in very rare cases, permanent numbness due to nerve irritation.
- Recurrence of the tori, though this is uncommon.
Always discuss any concerns or questions with your oral surgeon to understand the procedure and potential outcomes fully. For more detailed information on oral tori and their management, you can consult reliable sources like Healthline's guide to dental tori.
Pre- and Post-Operative Care at a Glance
A summary of key considerations before and after your tori removal surgery.
| Aspect | Before Surgery | After Surgery |
|---|---|---|
| Preparation | Discuss all medications with your surgeon; arrange for transportation home. | Follow pain management instructions; rest and avoid strenuous activity. |
| Diet | Eat a light meal, unless instructed otherwise by your surgeon. | Begin with soft, cool foods; gradually advance your diet as tolerated. |
| Oral Hygiene | Brush and floss thoroughly before your appointment. | Rinse gently with warm salt water; avoid direct brushing of the surgical site. |
| Activity | Avoid alcohol and smoking for at least 24 hours prior. | Avoid vigorous exercise or heavy lifting for several days. |
| Expected | Consultation, medical history review, possibly imaging. | Mild swelling, discomfort, and possibly light bruising. |
