Surgical approach to a wide palatal torus
Keywords:
exostosis, osteotomy, palate, hard.Abstract
Introduction: Maxillary torus are rare, asymptomatic and slowly progressive benign bony exostoses. Their exaggerated growth could affect swallowing, phonetics and the making of removable prostheses.
Objective: To present the clinical case of the surgical approach of a wide palatal torus.
Clinical Case: A 40-year-old female patient came to the dentistry service to consult about the presence of an elevated area in the midline of the hard palate, with a firm consistency. On clinical evaluation she was asymptomatic. A cone beam computed tomography was requested and a diagnosis of palatal torus was made. A double Y-shaped incision was made and the torus was sectioned in 6 parts to later remove the fragments with a percussive chisel. It was sutured and a containment splint was placed to keep the flap fixed. The evolution of the case was favorable.
Conclusion: Palatal torus can disrupt some oral functions and their presence and size can be of concern to patients. A correct diagnosis and tomographic analysis can indicate to the clinician an adequate surgical approach when the case requires it.
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References
1. Costa A, Batista A, Costa S, Bastos J, Milagres R, Amaral T. Uncommon bilateral maxillary exostosis: case report [Internet]. RGO - Revista Gaúcha de Odontologia. 2020;68: [aprox. 6 pant.]. DOI: 10.1590/1981-863720200002420180026
2. Bernaola-Paredes W, Mesquita A, Albuquerque T, Solani I,Fidencio F, Vallejo-Rosero K. An atypical presentation of gigantiform torus palatinus: A case report: Atypical tori palatine and surgical management [Internet]. 2020;75:66-70. DOI: 10.1016/j.ijscr.2020.08.049
3. Kang T, Kong Y, Chen X, Huang S, Shao J. Variability of Exostoses on Human Jaws During the Past Six Millennia in Northern China [Internet]. International Journal of Morphology. 2021;39(5):1311-5. DOI:10.4067/S0717-95022021000501311
4. Chua S, Mahfuzah N, Wern S, Pi S. Evaluation of oral stereognosis in completely edentulous patients with palatal tori [Internet]. Journal of Oral Research. 2021;10(1):1-8. DOI: 10.17126/joralres.2021.009
5. Rossello V, Andrade M, López V, Blanzari M, Gómez M, del Valle M. Toro Palatino [Internet]. Med Cután Ibero Lat Am. 2019; 47(3):216-8. DOI: 10.35366/91762
6. AlZarea B. Prevalence and pattern of torus palatinus and torus mandibularis among edentulous patients of Saudi Arabia [Internet]. Clinical interventions in aging. 2016;11: 209-13. DOI: 10.2147/CIA.S100282
7. Ling C, Jiang Q, Ding X. Cone-Beam Computed Tomography Study on Morphologic Characteristics of the Posterior Region in Hard Palate [Internet]. J Craniofac Surg. 2019; 30(3):921-5. DOI:10.1097/SCS.0000000000005157
8. Oliván-Gonzalo G. Torus palatinus in a 13-years-old Spanish girl [Internet]. Iberoamerican Journal of Medicine.2021; 3(4):356-8. DOI: 10.53986/ibjm.2021.0051
9. Sedeño-Jimenez A, Aguilera-Molina N, Castillo-Jimenez D. Resección de torus palatino y colocación post-quirúrgica de placa contensora de colgajo. Reporte de caso [Internet]. Odontología Activa. 2019; 4:69-74. DOI: 10.31984/oactiva.v4iEsp.400
10. Mohammed A, Bushra M, Sabreen W. Prevalence of Torus Palatinus among Iraqi Population in Samawah City. J Res Med Dent Sci. 2022 [acceso: 08/11/2023]; 10(5): 97-100. Disponible en: https://www.jrmds.in/articles/prevalence-of-torus-palatinus-among-iraqi-population-in-samawah-city.pdf
11. El Sergani A, Anderton J, Brandebura S, Obniski M, Ginart M , Padilla C. et al. Prevalence of Torus Palatinus and association with dental arch shape in a multi-ethnic cohort [Internet]. Homo. 2020;71(4): 273-80. DOI:10.1127/homo/2020/1316
12. Telang L, Telang A, Nerali J, Pradeep P. Tori in a Malaysian population: Morphological and ethnic variations [Internet]. J Forensic Dent Sci. 2019;11(2):107-12. DOI: 10.4103/jfo.jfds_66_19
13. Parepady G, Prakash T, Bylapudi B, Shetty V, Castellino C, Rai A et al. Effectiveness of the Greater Palatine Nerve Block for Anaesthetising Anterior Palate: A Prospective Study [Internet]. Journal of Clinical and Diagnostic Research. 2020;14(7): ZC07-ZC09. DOI: 10.7860/JCDR/2020/43673.13815
14. Worl Medical Association. WMA Declaration Of Helsinki - Ethical Principles For Medical Research Involving Human Subjects [Internet]. Forteza: WMA; 2022. [acceso:15/02/2024]. Disponible en: https://www.wma.net/policies-post/wma-declaration-of-helsinki-ethical-principles-for-medical-research-involving-human-subjects
15. Limongelli L, Tempesta A, Capodiferro S, Maiorano E, Favia G. Oral maxillary exostosis [Internet]. Clin Case Rep. 2019;7(1):222-3. DOI: 10.1002/ccr3.1918
16. Siddiqui R, Sayeed S, Sarwar G, Bey A. Outcomes of Crevicular Incision on Periodontal Health When Used in Open Reduction and Internal Fixation in Case of Mandibular Fractures [Internet]. Saudi J Oral Dent Res. 2019; 4(3):140-5. DOI: 10.21276/sjodr.2019.4.3.7
17. John B. Preprosthetic Surgery. Oral and Maxillofacial Surgery for the Clinician [Internet]. Singapore: Springer; 2021. DOI: 10.1007/978-981-15-1346-6_17
18. Chien A, Stehle N, Karian B. The Use of Chisels in the Extraction of Mandibular Third Molars: A Technique That May Prevent the Aerosolization of Severe Acute Respiratory Syndrome Coronavirus 2 [Internet]. J Cirugía Oral Maxilofac. 2021; 79(6):1199-206. DOI: 10.1016/j.joms.2021.01.035
19. Madhulaxmi Marimuthu, SohaibShahzan. Post Extraction Complications - An Institution Based Retrospective Study [Internet]. Int J Dentistry Oral Sci. 2021;08(03):1911-14. DOI:10.19070/2377-8075-21000379
20. Sagana M, Ahmed N, Ganapathy D, Maiti S, Pandurangan KK. Awareness of usage of Vicryl suture material in oral surgical procedures [Internet]. J Adv Pharm Technol Res. 2022;13(Suppl 2):S397-S401. DOI:10.4103/japtr.japtr_381_22
2. Bernaola-Paredes W, Mesquita A, Albuquerque T, Solani I,Fidencio F, Vallejo-Rosero K. An atypical presentation of gigantiform torus palatinus: A case report: Atypical tori palatine and surgical management [Internet]. 2020;75:66-70. DOI: 10.1016/j.ijscr.2020.08.049
3. Kang T, Kong Y, Chen X, Huang S, Shao J. Variability of Exostoses on Human Jaws During the Past Six Millennia in Northern China [Internet]. International Journal of Morphology. 2021;39(5):1311-5. DOI:10.4067/S0717-95022021000501311
4. Chua S, Mahfuzah N, Wern S, Pi S. Evaluation of oral stereognosis in completely edentulous patients with palatal tori [Internet]. Journal of Oral Research. 2021;10(1):1-8. DOI: 10.17126/joralres.2021.009
5. Rossello V, Andrade M, López V, Blanzari M, Gómez M, del Valle M. Toro Palatino [Internet]. Med Cután Ibero Lat Am. 2019; 47(3):216-8. DOI: 10.35366/91762
6. AlZarea B. Prevalence and pattern of torus palatinus and torus mandibularis among edentulous patients of Saudi Arabia [Internet]. Clinical interventions in aging. 2016;11: 209-13. DOI: 10.2147/CIA.S100282
7. Ling C, Jiang Q, Ding X. Cone-Beam Computed Tomography Study on Morphologic Characteristics of the Posterior Region in Hard Palate [Internet]. J Craniofac Surg. 2019; 30(3):921-5. DOI:10.1097/SCS.0000000000005157
8. Oliván-Gonzalo G. Torus palatinus in a 13-years-old Spanish girl [Internet]. Iberoamerican Journal of Medicine.2021; 3(4):356-8. DOI: 10.53986/ibjm.2021.0051
9. Sedeño-Jimenez A, Aguilera-Molina N, Castillo-Jimenez D. Resección de torus palatino y colocación post-quirúrgica de placa contensora de colgajo. Reporte de caso [Internet]. Odontología Activa. 2019; 4:69-74. DOI: 10.31984/oactiva.v4iEsp.400
10. Mohammed A, Bushra M, Sabreen W. Prevalence of Torus Palatinus among Iraqi Population in Samawah City. J Res Med Dent Sci. 2022 [acceso: 08/11/2023]; 10(5): 97-100. Disponible en: https://www.jrmds.in/articles/prevalence-of-torus-palatinus-among-iraqi-population-in-samawah-city.pdf
11. El Sergani A, Anderton J, Brandebura S, Obniski M, Ginart M , Padilla C. et al. Prevalence of Torus Palatinus and association with dental arch shape in a multi-ethnic cohort [Internet]. Homo. 2020;71(4): 273-80. DOI:10.1127/homo/2020/1316
12. Telang L, Telang A, Nerali J, Pradeep P. Tori in a Malaysian population: Morphological and ethnic variations [Internet]. J Forensic Dent Sci. 2019;11(2):107-12. DOI: 10.4103/jfo.jfds_66_19
13. Parepady G, Prakash T, Bylapudi B, Shetty V, Castellino C, Rai A et al. Effectiveness of the Greater Palatine Nerve Block for Anaesthetising Anterior Palate: A Prospective Study [Internet]. Journal of Clinical and Diagnostic Research. 2020;14(7): ZC07-ZC09. DOI: 10.7860/JCDR/2020/43673.13815
14. Worl Medical Association. WMA Declaration Of Helsinki - Ethical Principles For Medical Research Involving Human Subjects [Internet]. Forteza: WMA; 2022. [acceso:15/02/2024]. Disponible en: https://www.wma.net/policies-post/wma-declaration-of-helsinki-ethical-principles-for-medical-research-involving-human-subjects
15. Limongelli L, Tempesta A, Capodiferro S, Maiorano E, Favia G. Oral maxillary exostosis [Internet]. Clin Case Rep. 2019;7(1):222-3. DOI: 10.1002/ccr3.1918
16. Siddiqui R, Sayeed S, Sarwar G, Bey A. Outcomes of Crevicular Incision on Periodontal Health When Used in Open Reduction and Internal Fixation in Case of Mandibular Fractures [Internet]. Saudi J Oral Dent Res. 2019; 4(3):140-5. DOI: 10.21276/sjodr.2019.4.3.7
17. John B. Preprosthetic Surgery. Oral and Maxillofacial Surgery for the Clinician [Internet]. Singapore: Springer; 2021. DOI: 10.1007/978-981-15-1346-6_17
18. Chien A, Stehle N, Karian B. The Use of Chisels in the Extraction of Mandibular Third Molars: A Technique That May Prevent the Aerosolization of Severe Acute Respiratory Syndrome Coronavirus 2 [Internet]. J Cirugía Oral Maxilofac. 2021; 79(6):1199-206. DOI: 10.1016/j.joms.2021.01.035
19. Madhulaxmi Marimuthu, SohaibShahzan. Post Extraction Complications - An Institution Based Retrospective Study [Internet]. Int J Dentistry Oral Sci. 2021;08(03):1911-14. DOI:10.19070/2377-8075-21000379
20. Sagana M, Ahmed N, Ganapathy D, Maiti S, Pandurangan KK. Awareness of usage of Vicryl suture material in oral surgical procedures [Internet]. J Adv Pharm Technol Res. 2022;13(Suppl 2):S397-S401. DOI:10.4103/japtr.japtr_381_22
Published
2024-06-05
How to Cite
1.
Herrera Plasencia PM, Prada-Vidarte OE, Campoverde Alberca JA, Teque Silupu VM, Zapata Aguirre EDP, Cossio-Alva BA. Surgical approach to a wide palatal torus. Rev Cubana Med Milit [Internet]. 2024 Jun. 5 [cited 2025 Feb. 20];53(2):e024035788. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/35788
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