Torus palatinus: clinical aspect and therapeuthic strategy

Abstract

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.