Gentle and effective removal of excess bone (Tori)

Tori are common, benign bony growths that develop in the mouth, either on the roof or beneath the tongue. While generally harmless, they can interfere with dentures, speech, or cause discomfort, making surgical removal necessary for improved oral function.

When is it time to remove bony growths (Tori)

What is it?

Tori are dense, benign bony lumps that can develop on the palate (torus palatinus) or on the inner side of the lower jaw beneath the tongue (torus mandibularis). They are relatively common and often grow very slowly. While they are not cancerous and do not typically require treatment, they can become problematic over time.

The Tori Removal is a straightforward surgical contouring process. The oral surgeon skillfully reduces or eliminates the excess bone, smoothing the underlying jaw and creating a uniform surface.

When do you need it?

Removal is necessary when the tori interfere with the function of the mouth or the fit of dental prosthetics. Common reasons for removal include preventing chronic trauma (if food or brushing causes constant irritation); improving speech or swallowing; or to create a smooth surface necessary for fabricating comfortable and stable full or partial dentures. Without tori removal, dentures cannot seat properly, leading to instability and pain.

Benefits

Your Tori Reduction and Removal procedure

Your surgeon will conduct a thorough examination and take X-Rays to assess the size and extent of the bony growths. We will discuss the impact the tori are having on your oral health (e.g., denture fit or irritation) and confirm the necessity of the removal. You will receive pre-operative instructions, including guidelines on eating and drinking, and arrangements will need to be made for a ride home if you choose to have Sedation for your comfort during the procedure.

Tori Removal is performed in our office, typically under Local Anesthesia combined with IV Sedation for patient comfort. The surgeon makes a small incision in the gum tissue over the bony growth to expose the torus. Specialized instruments are then used to gently reduce or shave down the excess bone until a smooth, uniform contour is achieved. The bone is smoothed, and the soft tissue is repositioned and closed with small sutures. The procedure usually takes less than an hour, depending on the number and size of the tori.

Following the procedure, you will experience some swelling and potential bruising. Post-operative care involves managing discomfort with medication and adhering to a soft, bland diet to avoid irritation of the surgical sites. It is especially important to be gentle when brushing or rinsing the area. Initial healing takes about 10 days, during which time the sutures will dissolve or be removed. Full recovery of the soft tissue is usually complete within a few weeks.

FAQs about Tori Removal Surgery

No, tori are benign (non-cancerous) growths of bone and are generally considered harmless. They are simply normal variations of bone anatomy. They only become a concern when they interfere with oral function, such as the fitting of a denture, or cause chronic irritation when they are rubbed or bumped during eating.
Tori Removal is a surgical process where the surgeon makes an incision over the bony growth, gently exposes the excess bone, and then uses specialized surgical burs and files to shave the bone down until the surface is smooth. The gum tissue is then repositioned and sutured back into place.
It is very rare for tori to significantly regrow after they have been properly removed by a skilled oral surgeon. Once the excess bone is surgically reduced and the underlying area smoothed, the likelihood of a noticeable recurrence is minimal.
No, if the tori are small and do not cause discomfort or interfere with any planned dental work (such as dentures or partials), they can be safely left alone. Removal is only recommended when they pose a functional problem or are chronically irritating the surrounding soft tissue.
Most patients feel comfortable returning to normal activities within 2 to 3 days. The soft tissues heal within 1 to 2 weeks, during which time a soft diet is recommended. Swelling is common during the first few days but subsides quickly. Total healing before a final denture can be made is typically about 4 to 6 weeks.
You should eat only soft, bland foods during the first week to avoid irritating the surgical sites. This includes mashed potatoes, yogurt, soft eggs, smoothies, and soft-cooked pasta. Avoid anything crunchy, hard, sharp, or extremely hot or spicy until the tissue is fully healed.