The first thing that comes to any person's mind while speaking about their mouth is their teeth. However, the mouth is made up of multiple organs that help us eat, talk, taste, and look good.

The primary organs that make up the mouth other than the teeth include the upper and lower jaws, tongue, uvula, gums, and oral mucosa. Sometimes, people develop various diseases of the mouth that have nothing to do with their teeth. A rare one, known as mandibular tori, affects the lower jaw and the tongue and appears under the tongue on both sides of the mouth in most cases.

Luckily, treatments for the condition and even terrific electric toothbrushes you can use if you have it. In many minor cases, you should be able to deal with mandibular tori right in the comfort of your own home with some simple home remedies. But, if you find that your mouth changes in ways that are foreign to you, then you need to be sure to visit your dentist as soon as possible.

It should be noted that if you do happen to have this condition, speaking with your dentist before you do anything is the best first step to take when you are looking for a course of treatment. Have you ever considered the importance of the lower jaw in your life? Apart from making you look good, the lower jaw performs essential functions to keep your body up and running.

For starters, the lower jaw also known as the mandible, couples with the upper jaw to form the basic structure of the mouth. The mandible's movements allow for the opening of the mouth and chewing of the food.

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It seats the roots of the lower teeth. Another neglected part of the mouth is the tongue. The muscular organ sits in the middle of the mouth and helps in the crushing and tasting of food. Furthermore, it enables speech in humans and serves as a natural means of cleaning teeth.

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A torus is harmless bone growth in the mouth. Plurally known as tori, these bone growths can often confuse people. Most of you misinterpret it as an appearance of a cancerous tumor. It is easy to see why as a sudden, hard bump in your mouth could be a cause for concern. However, these are mostly harmless and natural. The protrusions are classified into three types based on their location of occurrence. In this condition, the roof of the mouth also known as the palate hard palate develops a bony mass.I have a single exostosis on my upper gum.

It emerges in early adulthood and is more common in females, especially those who are stressed and have Type-A personalities. It is believed to be tied to teeth-grinding. Has anyone else had this? Have you had it removed? What was the surgery and healing process like? Then finish by smoothing away any jagged bone and suturing up the gums. The surgeon will make sure you are good and numbed before he begins and the only thing you will feel is the vibration from the surgical handpiece — is he even has to use it.

The worst part will only be the sore gums during the healing process. Most Oral Surgeons like using the dissolvable sutures.

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Hope this helps! How common were they? Was the person uncomfortable during the surgery?

What are Tori, And Why Do I Have Them?

Is it a big deal? Well when I was in the dental field, I found it to be more common in middle aged men and women. Especially if they were missing several teeth. As with any surgery, patients were very nervous, but the hardest part was getting past the anesthesia.

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If you feel you will be too nervous under local anesthesia, it would be a good idea to ask your surgeon to sedate you. I noticed when some patients were really nervous, the anesthesia took longer to take effect, which some will argue is not completely true.

It is not a big deal, just make sure you follow all post-operative instructions, such as proper rinsing — especially after meals, avoiding spicy foods and keeping the incision area clean while the gums heal. Again, you should be fine! I never had the privilege to work with kids Pedodontics so I never saw them in the younger generation.

But they did vary from young to old adults. Well, I can not give a direct answer, sorry. But to make sure we are all on the same boat, I just want to say: I have heard of holes on the top of gums.

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I myself once had a pain on my lower gum, which lasted for a month and it hurt very badly, especially when touched. How interesting. I had not heard them called exostoses the plural of exotosisalthough I have heard them referred to as tori the singular is torus. The reason why I have heard of them at all is because I have had them most of my life in several parts of my mouth. I have buccal exostoses all the way along all of my upper and lower molars, with one particular one being really a problem.

I also have really large mandibular tori inside my lower jaw.

buccal tori

I do not, however, have a Type A personality, although I do sometimes grind my teeth. However, I did have one removed accidentally — I was having surgery for another problem when I developed asthma and had to be intubated.Etiology is still not established, but it has been suggested that the bony overgrowth can be because of abnormally increased masticatory forces to the teeth. They tend to appear in early adolescence and may very slowly increase in size with time. They are painless, self-limiting and may increase patient concern about poor esthetics, inability to perform oral hygiene procedures, and compromised periodontal health by causing food lodgment.

The following article presents a very rare case of bilateral buccal-sided maxillary exostoses and its management with surgical exploration. Tori and exostoses are nodular protuberances of calcified bone and are designated according to their anatomic location.

TM is bony protuberance found on the lingual aspect of the mandible, in the canine and premolar region. Buccal and palatal exostoses are multiple bony nodular masses found less frequently than tori. Commonly found to appear in the premolar-molar region. On palpation, the exostoses are hard bony mass. The overlying mucosa appears to be stretched but intact and normal in color.

buccal tori

Ulcerations may be seen as a result of trauma or any injury to the mucosa. They tend to develop during adolescence and gradually enlarge over the years.

They are normally self-limiting and painless. Their size may increase to several centimeters thus contributing to periodontal disease of adjoining teeth by retaining food during chewing instead of flushing away.

Usually no treatment is required, but for those possibly affecting the periodontal condition, or when the protruberances cause pain or discomfort to the patient, or when these bony enlargements cause pseudo swelling over the lip, then conservative surgical excision can be performed.

The etiology of tori has been not been established yet. Some of the suggested causes include genetic factors, environmental factors, masticatory hyperfunction and continued jaw bone growth.

The histologic features of tori and exostoses are identical. The diagnosis of a buccal exostosis is based on the clinical examination along with radiographic interpretations.

Clinically, the torus may appear as numerous rounded protruberanes or calcified multiple lobules, whereas the exostosis is a single, smooth broad-based mass, may have a sharp, pointed bony projection producing tenderness just beneath the mucosa. Buccal exostoses are usually found only on the facial surface of the maxillary alveolar bone, especially in the posterior segment.

Radiographically, exostosis appears as well-defined round or oval calcified structure superimposing the roots of teeth. Biopsy should be performed if there is any dilemma regarding diagnosis. The patients are having multiple bony growths or lesions which are not in the classic torus or buccal exostosis locations should be evaluated for Gardner syndrome.

This autosomal dominant syndrome shows other features such as intestinal polyposis and cutaneous cysts or fibromas. No bony exostosis or tori requires treatment unless it becomes large enough to interfere with periodontal health, denture placement, or cause recurrent traumatic ulcerations. When treatment is elected, the lesions should be cut-off or removed from the cortex using bone cutting bur or hand instruments.Torus mandibularis is a bony growth in the mandible along the surface nearest to the tongue.

Mandibular tori are usually present near the premolars and above the location of the mylohyoid muscle 's attachment to the mandible. It is less common than bony growths occurring on the palateknown as torus palatinus.

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Mandibular tori are more common in Asian and Inuit populations, and slightly more common in males. It is believed that mandibular tori are caused by several factors. The size of the tori may fluctuate throughout life, and in some cases the tori can be large enough to touch each other in the midline of mouth. Consequently, it is believed that mandibular tori are the result of local stresses and not due solely to genetic influences.

Mandibular tori are usually a clinical finding with no treatment necessary. It is possible for ulcers to form in the area of the tori due to trauma. The tori may also complicate the fabrication of dentures.

If removal of the tori is needed, surgery can be done to reduce the amount of bone, but the tori may reform in cases where nearby teeth still receive local stresses. From Wikipedia, the free encyclopedia. Torus mandibularis Other names Tori mandibulares, mandibular torus, mandibular tori Mandibular torus in premolar area Specialty ENT surgery.

CS1 maint: multiple names: authors list link. ICD - 10 : K Dental disease involving the jaw K07—K10— Jaw abnormality malocclusion Orthodontics Gnathitis.

Micrognathism Maxillary hypoplasia.

Buccal-sided mandibular angle exostosis – A rare case report

Cherubism Congenital epulis Torus mandibularis Torus palatinus. Medicine portal. Categories : Jaw disorders. Hidden categories: CS1 maint: uses authors parameter CS1 maint: multiple names: authors list. Namespaces Article Talk. Views Read Edit View history. In other projects Wikimedia Commons. By using this site, you agree to the Terms of Use and Privacy Policy.A buccal exostosis is an exostosis bone prominence on the buccal surface cheek side of the alveolar ridge of the maxilla or mandible.

More commonly seen in the maxilla than the mandible, buccal exostoses are considered to be site specific. Bone is thought to become hyperplastic, consisting of mature cortical and trabecular bone with a smooth outer surface. Buccal exostoses are bony hamartomas, which are non- malignant, exophytic nodular outgrowths of dense cortical bone that are relatively avascular. Buccal exostoses generally tend to be asymptomatic and are usually painless.

However, they may increase patient concern about poor aesthetics, inability to perform oral hygiene procedures due to difficulty in cleaning around the area with a toothbrush, and compromised periodontal health by causing food lodgement, which could lead to patients reporting increased bleeding when tooth brushing.

Why buccal exostoses form is unclear, [8] but it may involve bruxism tooth clenching and grinding[8] and genetic factors. The presence of buccal exostosis can be diagnosed by both clinical examination and radiological interpretation of the oral cavity. Clinically, buccal exostoses appear as single, broad-based masses, usually situated bilaterally in the premolar and molar region on the facial surface of the maxillary alveolar bone.

Their tendency to grow in size may also contribute to periodontal disease as a result of food build up in the area of the lesion. Radiographically, buccal exostoses can be identified as round, well-defined structures which superimpose the roots of the teeth, normally in the premolar and molar region.

Dental panoramic tomography and cone beam tomography can be used to confirm diagnosis.

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An additional biopsy for diagnosis of buccal exostosis is not usually recommended, however it is important to rule out the possibility of early osseosarcomas and chondrosarcomas.

Currently, buccal exostoses do not commonly require treatment. If there is neither pain nor sensitivity, the buccal exostosis simply needs to be monitored with routine dental check-ups. Patients are given oral hygiene advice and are advised to cleanse above and below the growth with a mouthwash once a day to remove any food debris.

There are, however, some occasions were treatment is required, for example. If the growth needs to be removed then a simple surgical procedure can be carried out under local anaesthetic with no recurrence in the long-term follow up.

This bone will then be sent for histopathological examination to differentiate from benign to malignant neoplastic processes. Routine post-operative instructions are given to the patient and occasionally antibiotics may be prescribed.

They are more common in males than females, occurring in a ratio of about From Wikipedia, the free encyclopedia. Buccal exostosis Other names Slveolar exostosis [1] Buccal exostosis along upper left alveolar ridge Specialty Oral medicine A buccal exostosis is an exostosis bone prominence on the buccal surface cheek side of the alveolar ridge of the maxilla or mandible.

Head and Neck Imaging Cases. McGraw Hill Professional. Elsevier Health Sciences.Tori are simply bony growths in the upper or lower jaws. A Torus mandibularis pl. Mandibular tori are usually present on the tongue side of the jaw near the bicuspids also known as premolars. Tori are slightly more common in males.

They may be associated with bruxism or tooth clenching and grinding however no. The size of the to ri may fluctuate throughout life but they do tend to get bigger over time. In some cases the tori can be large enough to touch each other in the midline of mouth. Consequently, it is believed that mandibular tori are the result of local stresses and not solely on genetic influences.

Tori are usually a clinical finding with no treatment necessary. It is possible for ulcers to form on the area of the tori due to trauma and rubbing against other things like food. Chips are a common culprit.

Large palatal and lingual tori can interfere with speech. We usually tell our patients this is just another reason to maintain their healthy teeth so that dentures are not ever needed! If the tori must be removed, an oral surgeon or your dentist can do this for you. Tori on lower jaw below tongue see lingual frenum or attachment of tongue to floor of mouth. Lingual tori almost always appear on both sides of the lower jaw at the same time. Tori are slow-growing and vary in size. Most of them do not interfere with eating or speech.

Many people have tori without knowing it.

buccal tori

Your dentist may find a torus during an exam, or you might notice one on your own. Many people who notice tori are concerned about oral cancer. Tori are not cancerous. They also do not turn into cancer.Buccal exostoses are benign, broad-based surface masses of the outer or facial aspect of the maxilla and less commonly, the mandible. They begin to develop in early adulthood and may very slowly enlarge over the years.

They are painless and self-limiting, but occasionally may become several centimeters across and then contribute to periodontal disease of the adjacent teeth by forcing food during chewing in toward the teeth instead of away from them, as is normally the case. The following paper presents a very rare case of buccal-sided mandibular angle exoxtosis and its management with surgical exploration.

Oral tori have been defined as slow growing, osseous outgrowths at the midline of the hard palate and at the lingual surfaces of the mandible. An exostosis is a nonpathologic outgrowth of the bone. It is believed that this is one way bone responds to stresses applied to it.

The suggested aetiologic factors are masticatory hyperfunction,[ 4 — 6 ] genetic factors,[ 6 ] environmental factors,[ 47 ] and continuous growth. Exostoses are more common in the maxilla than in the mandible in the ratio of 5.

A female patient aged 35 years, reported to our department with the chief complaint of vague facial pain extending from the angle of mandible to retromolar trigone since 3 months. The patient illicited a history of swelling on the angle of the mandible on the right side of the face, which gradually went onto increase in size. On clinical examination intraorally, the patient's overall oral hygiene was fair to poor. Generalized moderate gingivitis was present with only minimal bone loss and severe attrition on all teeth surfaces.

Gingival tissues were erythematous and edematous. The patient had a large, exostosis [ Figure 1 ]. It extended from the area adjacent to the second molar to a point beyond the junction angle of mandible.

The exostosis was oblong in shape, measuring 1.

Buccal Exostosis: Causes, Treatment and Care

It was covered with thin mucosal tissue and did not interfere with speech, chewing, or other oral functions. Radiographic investigation were carried out by an orthopantogram OPG. On observation, the OPG revealed a radio-opaque mass oblong in shape near the angle of mandible on the right side [ Figure 2 ].

The treatment was planned to explore the swelling under local anesthesia. Mandibular nerve block was given with lots of infiltration using 1 : lignocaine with adrenaline. Incision was made similar to the standard Ward's incision used in the third molar surgery.

The operator included a few modifications to expose the exostosis adequately. The lesion was exposed, a molt periosteal elevator was placed below the exostosis in the lower border of mandible, and the growth was cut from superior end with SS white bur [ Figure 3 ]. At the lower border, a fine chisel was used and with two to three soft blows with mallet 8 pounds. The exostosis was completely dislodged. The dislodged exostosis was collected on the periosteal elevator and taken out.

The rough bone was smoothened with an acrylic trimming bur. Bleeding was negligible and was controlled. This excised mass was sent for histopathological investigation. Biopsy report stated it as a benign osteiod mass [ Figure 4 ]. Postoperatively patient was appropriately prescribed medication and chlorhexidine mouth wash was advised. No obvious postoperative complications were noted.

Slight swelling and decrease in mouth opening was observed following surgery and it subsequently subsided in 5 days. The patient returned 2 weeks after surgery to check healing, and sutures were still present. There was no inflammation, and the patient indicated that she had minimal discomfort after surgery and that the area felt normal 3 days after surgery. A follow-up appointment was scheduled after the next 2 weeks after surgery to check the site.


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