Abstract

The prevalence of torus mandibularis, Eagle’s syndrome and parafunctional activity was reported to be higher in patients with temporomandibular joint dysfunction and might be useful as an indicator of increased risk of temporomandibular disorders. This study case report was to evaluate a 62-year-old female patient, with limited mandibular and cervical movements, articular and muscular pain, ear fullness, irritation of the lingual mucosa, discomfort associated with movement of her tongue, involving temporomandibular dysfunction, torus mandibularis and Eagle’s syndrome. The treatment comprehended the collection of data of Helkimo’s Clinical Dysfunction Index, electromyographic activity of the masseter and temporalis muscles in rest position and bite force, masticatory efficiency, speech evaluation and oclusal splint, after the excision of the stylohyoid process and mandibularis torus. The authors found a decrease in electromyographic activity of masticatory muscles, a reduction of painful symptoms throughout the region muscular and joint pains, an increase in the amplitude of mandibular movements, an improvement in masticatory efficiency and an increase in bite force.

Highlights

  • Torus mandibularis (TM) is an exophytic bone growth that usually occurs bilaterally along the lingual surface of the premolar area of the mandible, superior to the mylohyoid ridge [1,2]

  • The prevalence of torus mandibularis, Eagle’s syndrome and parafunctional activity was reported to be higher in patients with temporomandibular joint dysfunction and might be useful as an indicator of increased risk of temporomandibular disorders

  • This study case report was to evaluate a 62-year-old female patient, with limited mandibular and cervical movements, articular and muscular pain, ear fullness, irritation of the lingual mucosa, discomfort associated with movement of her tongue, involving temporomandibular dysfunction, torus mandibularis and Eagle’s syndrome

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Summary

Introduction

Torus mandibularis (TM) is an exophytic bone growth that usually occurs bilaterally along the lingual surface of the premolar area of the mandible, superior to the mylohyoid ridge [1,2]. In patients who are completely or partially edentulous, the occurrence of TM can interfere with the prosthetic treatment plan in dentate patients. TM can interfere with masticatory and speech functions. Even when asymptomatic, the surgical removal of the tori is indicated in these cases [3,4]. The etiology of TM has been investigated by several authors; no consensus has been reached. It is generally accepted that genetic factors contribute to the occurrence of TM [5,6,7,8]

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