Torus Palatinus


Torus Palatinus is a bony protrusion occurring on the palate. Although palatal tori are present on the midline of hard palate in mouth, they are usually less than 2 cm— though the size may change over time. Palatal tori are usually more common than torus mandibularis.

Torus Palatinus is the name that identifies exostoses developing in hard palate along midline of the palatine sature. Torus Palatinus is completely benign meaning it is just harmless bony growth.

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The growth of Torus Palatinus is very slow and is often considered to be a normal anatomical feature. Although it is not a pathological condition, when the growths are noticed, attention may be needed regarding their management. At times, surgical removal may be needed if the patients persistently traumatize the area during speech or mastication, or if there is need for rehabilitating upper arcade using dentures.

When a growth manifests on roof of mouth, it is often referred to as palatal or maxillary torus, and it may interfere with partial or full dentures. At times, when a patient requires prosthesis, it may compel a dental surgeon to remove the tori and do away with undercuts that are making denture construction to be difficult.

Oral exostoses such as torus maxillaries or Torus Palatinus is not a sign of disease but when they become too large, there may be problems in wearing and constructing dentures. These exostoses are mainly made up of mature dense cancellous bone or meshwork of spongy tissue of variable thickness. Although babies and infants can have maxillary torus at birth, in most cases, the palatal tori will appear at age of 6 to 12 months.

While these bony growths are common among older patients, the young patients like babies and children can still develop them because of rare genetic growths of upper palate. They may also develop the growth because of cleft palate.


Causes of torus palatinus

Palatal tori or Torus Palatinus are bony growths that emerge on the hard palate and they tend to increase in size as one ages or due to hereditary factors. Although the cause of torus palatinus hasn’t yet been established, scientists believe they are due to genetic influences.

Palatal tori aren’t bone structures but bony growths that occur inside of the palate. Sometimes, ulcers can form on area of tori growth due to repeated trauma. Tori may also create complex issues in the fabrication of dentures. When removal is needed, a surgery may be performed to reduce the bony growth.

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Symptoms of torus palatines

One potential problem with Torus Palatinus is that a person can injure the tissue around and it is harder for an individual to get dentures when needed. Torus Palatinus may also make it difficult for one to eat and drink, and this is the main symptom. At times, Torus Palatinus may combine and form a growth that resembles a tumor, but in most cases, it is usually a benign growth.

Unless the growth is so large that it prevents proper oral hygiene, it may not cause discoloring of teeth. A palatal torus that is large may prevent an individual from brushing their teeth, and this is an indication that a surgery is needed to reduce or correct the torus.

Removal of torus palatinus

When you have torus palatinus, there may be no need to remove them especially if they are not causing problems. Unless they are quite big or they are interfering with dentures and other prosthesis, you can leave them alone. However, these bony growths can hinder placements of prostheses, and at times, an infection may spread to palate or the bone.

Most people don’t need to remove them. And, when removal is necessary, it requires a surgery procedure by maxillofacial surgeon. A Maxillary Tori reduction surgery helps reduce the size of the growth. Surgical anesthesia is required during the procedure. A surgical removal entails a midpalatal cut as well as a reflection of soft tissue.

A staining may be needed on the palatal torus to make it easily visible in time of surgery. A majority of patients will do well following removal of the excess bony growth. They also do well with immediate dentures. After surgery, some complications may occur which include infections, bleeding, adverse reactions to anesthetic substances, swelling, and poor healing.

It may take about three to four weeks for the wound and tissue to recover. Many people do not know if they have this growth until they are told by dentists during a clinical or dental examination. When there is a new growth or an existing one it is growing fast, you should make an appointment to see a dentist. Whenever you have something, which resembles or looks like a growth of any kind, see a doctor immediately to rule out the possibility of it being oral cancer.

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