Imaging Aspects of Palatal Torus in Cone Beam Computed Tomography and Magnetic Resonance: Case Report

Batista

RGO, Rev. Gaúch. Odontol.

et al. 2020

Exostoses or hyperostoses are benign bony outgrowths originating from the cortical bone and depend on their location for a more precise designation. The most common types found in the oral cavity are the torus palatinus and the torus mandibularis. Buccal and palatal exostoses are located along the buccal aspect of the maxilla and/or the mandible (commonly in the premolar and molar areas) and on the palatal aspect of the maxilla (usually in the tuberosity area), respectively. The etiology of exostoses still hasn’t been enlightened but an interaction between environmental and genetic factors is accredited. They are usually asymptomatic, unless the mucosa becomes ulcerated. The frequency of exostoses increases with age, having their biggest prevalence from 60 years old, being more common in men and suffering ethnic influences. A thorough evaluation is important for the correct diagnosis since other lesions have similar clinical characteristics to the exostoses such as osteomas. The majority of exostoses are diagnosed clinically along with radiographic interpretations, making the biopsy dispensable and the treatment is usually unnecessary. The aim of this article was to describe a case report of bilateral maxillary exostosis, unusual, in a female patient. If an excessive amount of bone is present the exostoses may exhibit a relative radiopacity on dental radiographs. Initially, periapical and panoramic radiographs were performed to evaluate the alterations. Due to the size of the exostoses a concomitant Cone Beam Computed Tomography was performed to confirm the diagnosis. The patient is in follow-up.

Section: Discussionmentioning

confidence: 99%

Uncommon bilateral maxillary exostosis: case report

Batista

RGO, Rev. Gaúch. Odontol.

et al. 2020

“…Local anesthesia is indicated in most cases, with large palatal and nasopalatal nerve blocks allowing complete analgesia in the intervention area. However, in cases of large palatal tori or a very posterior localization, general anesthesia may be considered [7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24] . Various techniques have been used in the conventional surgical treatment of these lesions 25,26,27,17,18,28,29 , since the technique will depend on the extent and location of the lesion, and the epidemiological profile of the patient.…”

Section: Discussionmentioning

confidence: 99%

Torus palatinus: clinical aspect and therapeuthic strategy

Kacarska¹

2020

MSP

Torus palatinus is an exostosis of the hard palate located along the median palatine suture. With slow growth and usually asymptomatic, torus is usually diagnosed by accident. Surgical treatment is necessary when it presents an obstacle for prosthetic stabilization. This article presents clinical and therapeutical aspects of torus palatinus. The clinical manifestation of palatal torus was oval in shape with longer sagittal projection and normal gingival appearance. The surgical approach depended on its size and morphology. Local infiltrative anesthesia was used. After palatal Y incision and mobilization, the torus was sectioned in smaller fractions and removed. The rough bone surface was remolded, and the primary closure was reached with simple sutures. The sutures were removed seven days after the procedure showing signs of wound dehiscence. The wound healing was postponed and follow ups were scheduled to facilitate the healing by secondary intention.

Palatal torus: etiology, clinical aspect, and therapeutic strategy

Bouchet

Hervé

Lescaille

et al. 2019

J Oral Med Oral Surg

Introduction: Maxillary palatal tori are benign bone tumors that elevate the median of the palate. Although there are clinical variations, palatal tori are characterized by pathognomonic clinical and radiographic criteria. Observations: Here, we present the cases of two patients with a voluminous palatal torus that caused functional problems in one and formed an anatomical obstacle to the fitting of a removable prosthetic in the other. Given their size, these tori were surgically removed under general anesthesia. The postoperative course was simple. Discussion: The etiology of palatal torus is usually multifactorial: genetic factors, masticatory forces, and para-functions could all be factors in their development and growth. Considered as anatomical variations, palatal tori are asymptomatic in most cases and require no intervention. Conclusion: Surgical management is sometimes necessary to restore physiological orofacial functions or to allow the fitting of a prosthetic without harmful compromise.