Mandibular Tori Removal: Surgical Options & Recovery
What Are Mandibular Tori?
Tori are benign, slow-growing bony protrusions on the lingual (tongue-side) surface of the mandible. They are common, often bilateral, and usually asymptomatic unless they interfere with dentures, oral hygiene, speech, or trauma.
Treatment Options
Observation is appropriate for small, asymptomatic tori. Removal is indicated for:
- Denture fabrication/wear
- Recurrent ulceration/trauma
- Periodontal compromise
- Patient preference
Surgical Techniques
| Method | Description | Best For | Recovery |
|---|---|---|---|
| Surgical Excision (Scalpel/Periosteal Elevator) | Full-thickness flap, bone removal with burs/osteotomes, primary closure. | Large tori; definitive removal | 7–14 days |
| Electrosurgery | High-frequency current cuts/coagulates; less bleeding. | Small to medium tori | 5–7 days |
| Laser (Er:YAG, CO₂) | Precise ablation; minimal thermal damage. | Hard-to-reach areas; bloodless field | 5–7 days |
| Burring (Rotary Instrument) | Conservative reduction under irrigation. | Small tori; minimal invasion | 3–5 days |
Postoperative Care
- Soft diet, avoid trauma to site
- Chlorhexidine rinses 2×/day
- Analgesics (NSAIDs ± opioid PRN)
- Suture removal (if non-resorbable) at 7–10 days
Recurrence
Low if periosteum is completely removed; higher if only reduced. Discuss expectations with your oral surgeon.
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