Abstract
Introduction: Tori are benign hamartoma-like bone excrescences, usually asymptomatic. Their removal should not be systematic. Observation: A 62-year-old patient showed bilateral tori only leaving a 1.5 mm space for the lingual frenulum path between them. The direct functional consequence was a frequent blockage of the salivary caruncles below the tori. Tori resection was performed under local anaesthesia. Surgical outcome was simple with conventional analgesic treatment and oral care. Comfort and function were immediately restored. Discussion: The originality of this case does not lie in the nature of the lesions but in the uncommon size of their hypertrophy, which caused a lingual functional impairment. We have not found a similar case described in the literature.
Highlights
Abstract -- Introduction: Tori are benign hamartoma-like bone excrescences, usually asymptomatic
The intervention was performed under local anaesthesia (Articaine 4% with epinephrine 1/200,000)
Tori are mostly present in the oral sphere, but can be found in other bony parts of the human body. The originality of this case does not lie in the nature of the lesions but in the size of their hypertrophy (40 mm in the antero-posterior direction and 12 mm in the lateral one), which lead to a deficit in lingual function
Summary
Abstract -- Introduction: Tori are benign hamartoma-like bone excrescences, usually asymptomatic. The reported clinical case concerns a 62-year-old Caucasian male, referred by his dental surgeon because of a significant increase in the volume of his mandibular tori, known since childhood. There were bilateral tori, approximately 12 mm thick in the transverse plane, and only leaving a 1.5 mm space for the lingual frenulum path between them (Fig. 1). The direct functional consequence was a frequent blockage of the salivary caruncles underneath the tori (Fig. 1).
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