Tori palatinus , tori madibularis and treatment Cases

1. B y

2. are common benign outgrowths of bone from the
maxilla and mandible .
in max. may project both inwards or outwards from
the alveolar bone.
or They typically also arise from the hard palate in the
midline, in which case they are called tori palatini.
in mand. , bony outgrowth located on the lingual side
of the mandible, in the canine or premolar region,
above the attachment of the mylohyoid muscle.
In most cases, bilateral tori are present.
You can be born with tori or develop it later in life
max and mand tori

3. CLINICAL PRESENTATION

4. Radiographic features
The core of TP and TM will appear radioopaque as a dense
and lobulated exostosis on radiographs and CT images

5. types of maxillary tori

6. types of madibular tori

7. HISTOLOGY
Histology

8. Pathology

9. if tori begin painful , make eating and drinking
difficult
or become a problem when a person needs denture
In this cases , tori removal is recommended
There are two primary
treatment options for tori
removal, through traditional
surgery and laser removal.
treatment

10. surgical removal of max. Tori
(a) A midline incision is made across the bony mass with lateral extensions anteriorly
and posteriorly.
(b) The mucoperiosteal flaps are reflected to expose the bony mass.
(c) A bur is used to divide the torus into small pieces.
(d) A chisel is used to elevate the small fragments of bone from the hard palate.
(e) The wound is debrided and the bone is smoothed with a bur, then sutures are
placed to close the wound.

11. surgical removal of mandibular tori
a) A lingual torus is covered by thin oral mucosa and considerable care is required to
avoid accidental perforation of the flap.
(b) The muco-periosteal flap is raised to expose the entire bony mass.
(c) A surgical bur or chisel may be used to remove the bony torus.
(d) The wound is closed with multiple resorbable sutures.

12. Thank you