What is tori removal? Many people who visit their dentists are told by their clinician that they have tori inside their mouth. At first, most people wonder what tori actually are.
Tori are essentially extra bone deposits that have formed in your upper or lower jawbones. When the extra bone is found in your hard palate, it is called your torus palatinus. If the tori are found on your lower jaw, they are considered to be mandibular tori (as the lower jaw is known as the mandible). The good news is that most tori are actually benign (not cancerous) in nature, and don’t need any treatment. There are times that tori will need to be removed as will be mentioned later in this article.
How do tori form?
There are many factors that can lead to the formation of maxillary or mandibular tori. The following is a list of the causes:
- Grinding and Bruxing habits
- Misaligned teeth
- Cross-bites and other occlusion problems
Will my tori continue to grow?
Most tori grow to a certain point and stop growing. Most growth stops after our jaws have developed in our late teenage years. Tori, as mentioned, are benign in nature. So, if your oral health providers don’t see any need to remove them, they will continue to monitor them.
Do tori ever shrink?
Unfortunately, tori do not shrink over time. They will grow to a certain point, and then stop growing. A surgical team will need to remove them if your dentist deems it necessary.
What are some factors that will require tori removal?
- Complete Denture formation: If you are needing to have your existing teeth removed, or are currently edentulous, your dentist will more than likely recommend that you remove your tori. These tori (whether they are in your upper jaw or lower jaw) will prevent any complete dentures from seating completely, and will contribute in severe irritation of your gum tissue if dentures rest upon them. If you have a denture that was made without your tori being removed, there is a strong possible that a new denture will need to be fabricated after your tori have been removed.
- Partial Denture Formation: Similarly to a full denture, partial dentures may also be a reason why your tori will need to be removed. These tori will get in the way of complete partial denture fabrication and function.
- Food Impaction: Some lower tori are so large that many patients will get food entrapped underneath them. This can be a health hazard, and will require them to be removed by your oral surgery team. This food impaction can contribute to oral health problems such as gingivitis, and possible periodontitis if not removed early on in life.
What is the cost of tori removal?
Most single tori removal procedures cost around $600. Prices may vary depending on the treating surgeon and the complexity of your individual procedure. Some tori are larger than other, and will require more extensive work to for their removal. Most dental insurances will cover a portion of your costs, but check with your carrier to be sure if you are needing tori removal surgery. Medical insurances normally do not cover tori removal, but it is always prudent to check with your carrier just to make sure.
How are tori removed?
The tori removal process is straight forward for most surgical teams. First, your health history will be reviewed by your clinician team. Once you are cleared, a local anesthetic (mainly Lidocaine) will be used to numb your mouth and gum tissue. After the anesthetic has taken effect, the surgery team will use a blade to open the gum tissue that is overlying the excess bone (tori). Once a full thickness flap is open and the gum tissue is reflected, instruments and hand-pieces will be used to remove and smooth down the extra bone tissue. Once all the extra bone has been removed, a local irritant like saline will be used to clean the area. Afterwards, the surgery team will use sutures to close the wound. These sutures may be dissolvable in nature. The last step is the healing, which will take approximately 6-8 weeks to complete.
After my tori are removed, is there a chance that they will regrow?
After tori removal, regrowth of the extra bone is very rare. In most cases, you will only need one surgery to remove the extra bone. There are cases where bone growth will recur, but these are rare, and are usually linked to genetic diseases that will require medical attention. Regrowth of these secondary tori is normally very slow.
What medications will I need after tori removal?
Your surgical team will recommend antibiotics and pain medications after your surgery. In Most cases, amoxicillin and Ibuprofen will be sufficient until your body can heal itself. In some cases where pain is a little more severe a stronger narcotic such as Norco or Vicodin may be prescribed. Remember if you are prescribed these stronger pain medications, they can make you drowsy, so do not operate heavy machinery while you are taking them.
Will I have any discomfort after my tori removal surgery?
Expect to be sore and swollen after your tori removal surgery for approximately 1 week. Complete healing after tori removal will take approximately 8 weeks. Remember, salt water rinses will help accelerate the healing process. Remember to also finish your medications, as both antibiotics and pain medications shorten the recovery time as well.
Do mandibular tori need to be removed?
Mandibular tori, also known as torus mandibularis, usually arise on the tongue side of the lower jaw. They normally only need to be removed if a lower denture or partial denture needs to be constructed. As mentioned, these tori are benign in nature, so unless they are risk to your oral health, most clinicians will recommend just watching them over time.
We hope this article provided the valuable information you need about tori removal. If you or a family member have any questions for our team, contact us today!