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Should I Have Surgery to Remove My Tori?

April 27, 2017

Filed under: Tori or Dental Tori — Tags: — Dr Gillis @ 6:05 pm

Should I Have Surgery to Remove My Tori?

Tori are extra bone that is present on the upper or lower jaw that may or may not require surgery.  Many people do not even know that they have tori!  Once the tori are ‘discovered’ they may cause concerns.  Because they tend to grow very slowly, they can often go unnoticed by people that have them.  Often it is a dentist who is the first to point out the presence of the tori.  This blog will show a couple examples of upper and lower tori and the surgical removal of a tori.

Tori on the upper jaw. Most common location is on the middle of the palate or roof of the mouth.

Tori on the upper jaw. Most common location is on the middle of the palate or roof of the mouth.

Tori on the lower jaw. Most common location is on the tongue side, or lingual side, of the jaw.

Tori on the lower jaw. Most common location is on the tongue side, or lingual side, of the jaw.

Tori have the following characteristics:

  • Very firm lump due to the underlying bone
  • Very slow growing
  • Painless except when bumped
  • Usually of unknown origin

 

 

 

Tori may interfere with dental appliances in which case they must be removed or the appliance modified to fit around the tori.  A partial denture is used to replace missing teeth.  If the partial denture covers the tori and the tori continues to grow, the partial may not fit as well over time.  If a major portion of a dental appliance covers a tori it may not be able to be modified sufficiently to allow continued wear of the appliance.

Tori may be present on one side of the jaw only like this one that is seen on the lower right on the tongue side of the teeth.

Tori may be present on one side of the jaw only like this one that is seen on the lower right on the tongue side of the teeth.

This tori is present on the lip side or buccal side of the teeth.

This tori is present on the lip side or buccal side of the teeth.

 

Surgery usually is completed in the office of an oral surgeon.  You can often sleep though this surgery if desired.  Prior to completing surgery to remove a tori, you should have a three dimensional xray taken of your jaws to determine the safety of completing the surgery.

 

Palatal Tori before removal

Palatal Tori before removal

Same area after removal of palatal tori.

Same area after removal of palatal tori.

Shown are before and after images of a palatal tori that was removed by an oral surgeon for patient comfort.

Our office will refer you to the office of an oral surgeon familiar with this procedure.  It is in your best interest to achieve the best result possible!

Yikes! What is That Lump In My Mouth?

March 12, 2014

Filed under: Customer Service,Oral Cancer screening,Tori or Dental Tori — Tags: , — Dr Gillis @ 12:16 am
Tori midline of palate.

Tori midline of palate.

That hard lump could be a harmless bone growth called a tori!

Tori are also known as Torus or exostoses.

It is always a good idea to examine your mouth thoroughly looking for anything unusual:

  • Check for growths – are they hard, soft? Note the size.
  • Check for sores – especially sores that do not heal within two weeks.
  • Check for any inflammation usually noted as redness
  • Check for discolored areas – note color, size, and are they changing?
  • Check for areas that look irritated, and
  • Check for any areas that look ‘different’!

If you notice a hard swelling and you are not sure how long it has been present it may be a tori. Hard lumps along your upper or lower  jaw on the  gums by your teeth or on the top of your mouth may be a ‘normal’ bone growth called a Tori or dental tori.  If a tori occurs on the palate of the upper jaw, it is known as a torus palatinus and they are usually near the midline of the palate.  Tori can also occur on the cheek side (buccal side) of upper and lower teeth as well and they are usually seen by the molars and premolars. In these areas tori are almost always present on both sides (bilaterally).  Tori are slightly more common in males.

Note tori on the cheek side of the teeth as well as on the tongue side.

Note tori on the cheek side of the teeth as well as on the tongue side.

This unusual tori is just present on one side of the mouth and the patient believes she had a gum graft in this area.

This unusual tori is just present on one side of the mouth and the patient believes she had a gum graft in this area.

 

 

 

 

 

 

 

 

 

Usually, tori will occur  in approximately the same areas on both sides of the mouth. Or the tori will occur at the midline of the palate as shown above.  Occasionally tori will be much more prominent on one side of the mouth.  These should always be evaluated by your dentist or by an oral surgeon.

This tori present on just one side of the mouth is much more unusual!

This tori present on just one side of the mouth is much more unusual!

Our office would be happy to answer your questions about dental tori or other conditions in your mouth! We are located in Grand Junction, Colorado.  We would love to have you LIKE us on Facebook! (see https://www.facebook.com/juliegillisddspc?ref=br_tf)

Our office website is www.juliegillisds.com.  For further information, please contact us at (970) 242-3635.

If teeth are lost it may be difficult to place a partial over tori. Best to keep your teeth healthy!

If teeth are lost it may be difficult to place a partial denture over a tori. Best plan is to keep your teeth healthy!

Yours for better health,

Julie Gillis, DDS

“Restoring Smiles – Restoring Health”

What are Tori, And Why Do I Have Them?

December 12, 2013

Filed under: Oral Cancer screening,Tori or Dental Tori — Tags: , — Dr Gillis @ 5:34 pm

 

Tori midline of palate.

Tori midline of palate.

More prominent lingual mandibular tori

More prominent lingual mandibular tori

What are Tori, And Why Do I Have Them?

Tori are simply bony growths in the upper or lower jaws. A Torus mandibularis (pl. tori mandibular) (or mandibular torus (pl. mandibular tori) in English) is a bony growth on the Mandible or the lower jaw.  Mandibular tori are usually present on the tongue side of the jaw near the bicuspids ( also known as premolars).  They usually – 90% of the time – occur on both sides of the mouth (bilaterally).

Mandibular tori are not particularly common – about 5 – 10% of the population will have noticeable mandibular tori.  Some estimates are as high as 40% but we are not seeing that in our office.  If a tori occurs on the palate of the upper jaw, it is known as a torus palatinus and they are usually near the midline of the palate.  Tori can also occur on the cheek side (buccal side) of upper and lower teeth as well and they are usually seen by the molars and premolars. In these areas tori are almost always present on both sides (bilaterally).  Tori are slightly more common in males.

It is believed that tori are caused by several factors but there is not one thing that always causes tori.  They may be associated with bruxism or tooth clenching and grinding however no.  The size of the tori may fluctuate throughout life but they do tend to get bigger over time.  In some cases the tori can be large enough to touch each other in the midline of mouth. Consequently, it is believed that mandibular tori are the result of local stresses and not solely on genetic influences.

Tori are usually a clinical finding with no treatment necessary. It is possible for ulcers to form on the area of the tori due to trauma and rubbing against other things like food.  Chips are a common culprit. Hard foods, such as crusty bread, or hot foods, such as pizza, may cause problems. Large palatal and lingual tori can interfere with speech. The tori may make it difficult to make dentures if this is needed as the bone may interfere with the seating of the denture or the tori may be irritated by the denture.  We usually tell our patients this is just another reason to maintain their healthy teeth so that dentures are not ever needed!  If the tori must be removed, an oral surgeon or your dentist can do this for you.

Tori on lower jaw below tongue (see lingual frenum or attachment of tongue to floor of mouth).

A torus (plural “tori”) is a harmless growth of bone. Tori tend to grow in three parts of  the mouth:

  • The roof of the mouth (tori palatini)
  • The inside of the lower jaw (tori mandibulari, or lingual tori)
  • The cheek side of the upper molars (buccal exostoses)

Lingual tori almost always appear on both sides of the lower jaw at the same time.

Tori are slow-growing and vary in size. Most of them do not interfere with eating or speech. Many people have tori without knowing it. Your dentist may find a torus during an exam, or you might notice one on your own.

Many people who notice tori are concerned about oral cancer. Tori are not cancerous. They also do not turn into cancer.  A torus is normal bone covered with normal tissue. However, other types of growths in the mouth can turn out to be oral cancer. You should have your dentist check any growths you find.

 

A common place for tori is below the tongue.

Tori may continue to grow over time and may become irritated easily with food.

 

If you would like more information our office would be happy to help! Our office is located in Grand Junction, Colorado.  Our phone number is (970) 242-3635.  Please visit us on Facebook (https://www.facebook.com/juliegillisddspc) or call us if you have any questions or concerns.  You can also email our office at jgillis@juliegillisdds.com for further information.

If teeth are lost it may be difficult to place a partial over tori. Best to keep your teeth healthy!

This information shared with you by Julie Gillis, DDS PC .  We feel that your dental health is the top priority, and if we can make your smile more attractive while improving your health that is wonderful! Dr. Gillis practices restorative and cosmetic dentistry including porcelain veneers, tooth whitening, implants, crowns, bridges and periodontal care.  Our office website is www.juliegillisds.com.  For further information, please contact us at (970) 242-3635.

Yours for better health,

Julie Gillis, DDS,

“Restoring Smiles – Restoring Health”

1190 Bookcliff Ave. Suite 201, Grand Junction, CO 81501 USA
Julie M Gillis DDS Grand Junction, CO cosmetic, general, & restorative dentist. (970) 242-3635 (970) 242-8479 jgillis@juliegillisdds.com