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| Torus, Exostosis & Osteomata Removal |
This can be for a number of reasons:
- Interference with construction of dentures
- Interference with the wearing of dentures
- Obstructive Sleep Apnoea
- Problems eating
- Problems speaking
- Aesthetic problems
- Psychological (cancerophobia)
- Exceptionally large torus
- Use LA to help “balloon” thin tissue (tumescent
technique) - Reflecting the flap is the most tedious portion
- Overlying mucosa is thin and is easily torn
- It is easier to remove tori when the dento-alveolus is
oedentulous
•Surgical drill / bur
•Osteotome and Mallet
•A combination of both
Assure a dry field and inspect wound before closure
| Surgical-Dentistry.Info |
Operative Pitfalls / Problems:
Palatal Tori
- Pneumatisation of palatal torus
- Thin mucosa over tori that can tear very easily
- Post-operative redundant tissue
Palatal Tori
- Oro-antral / nasal communication / fistula
- Arterial bleeding (from the greater palatine artery)
- Hæmatoma
- Post-op dehiscence (pulling apart of the wound margins)
Potential Complications - Mandibular (Lingual) Tori
- Lingual plate fracture
- Lingual nerve damage
- Hæmatoma
- Damage to floor of mouth structures
- Post-op dehiscence (pulling apart of the wound margins)