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Stomatologija 2025; 27 (2): 43-5 37 KB

Bilateral mandibular tori: A case report and review of literature

Karthik Shunmugavelu¹, Shanmugam Arasu², Jeevanandam Loganathan³, Evangeline Cynthia⁴

Summary

Objective. To present a case where bilateral mandibular tori complicated prosthetic rehabilitation and to discuss the etiology, clinical features and management of this anatomical variant based on a review of current literature.

Case report. A 45-year-old female presented with gingival bleeding and lower anterior tooth mobility. Clinical and radiographic examination revealed chronic periodontitis, missing teeth (#35, #36, #37, #46) and bilateral, lobulated mandibular tori. The left torus was surgically removed under local anesthesia using a chisel and mallet to facilitate the fabrication of a removable partial denture. Postoperative healing was uneventful, with complete mucosal healing observed at one month. The prosthesis was subsequently delivered successfully.

Conclusions. While often asymptomatic, mandibular tori can impede prosthetic treatment. Surgical removal is a predictable procedure when indicated, leading to favorable functional and prosthetic outcomes. This case underscores the importance of interdisciplinary management in oral healthcare.

Key words: mandibular tori, exostosis, pre-prosthetic surgery, oral surgery, case report.

Received: 26 02 2022

Accepted for publishing: 20 06 2025

¹Department of Dentistry, PSP medical college hospital and research institute, Tamilnadu, India

²Fortis Hospital, Vadapalani, Chennai, Tamil Nadu, India

³Institute of Dental Sciences, Puducherry, India

⁴Mercy Multispeciality Dental Centre, Chennai, Tamil Nadu, India

Address correspondence to Karthik Shunmugavelu, PSP medical college hospital and research institute, Tambaram Kanchipuram main road, Oragadam Panruti Kanchipuram district, Tamilnadu 631604, India.

E-mail address: drkarthiks1981@gmail.com



	Baltic Dental and Maxillofacial Journal

2025, Vol. 27, No. 2 CONTENTS SCIENTIFIC ARTICLES The influence of two different rotary file systems on the incidence of GuttaCore overextension in curved root canals Martyna Medunecke, Guoste Pupalaigyte-Salte, Greta Lodiene 27-32 Prevalence of Sinus Pathology in Dentistry: Retrospective Observational Pilot Study Elena Gutiérrez-Muñoz, Patricia Padilla-Martín, Carlos M. Cobo-Vázquez, Luis Miguel Sáez-Alcaide, Juan López-Quiles, Cristina Meniz-García 33-42 CASE REPORTS Bilateral mandibular tori: A case report and review of literature Karthik Shunmugavelu, Shanmugam Arasu, Jeevanandam Loganathan, Evangeline Cynthia 43-45 Osteoma of mandible: A case report Supriyo Pal, Ashok Kumar, Ravi Kumar, T. R. Marimallappa, Mahesh Kumar 46-48 © 2025 Stomatologija		Stomatologija 2025; 27 (2): 43-5 37 KB Bilateral mandibular tori: A case report and review of literature Karthik Shunmugavelu¹, Shanmugam Arasu², Jeevanandam Loganathan³, Evangeline Cynthia⁴ Summary Objective. To present a case where bilateral mandibular tori complicated prosthetic rehabilitation and to discuss the etiology, clinical features and management of this anatomical variant based on a review of current literature. Case report. A 45-year-old female presented with gingival bleeding and lower anterior tooth mobility. Clinical and radiographic examination revealed chronic periodontitis, missing teeth (#35, #36, #37, #46) and bilateral, lobulated mandibular tori. The left torus was surgically removed under local anesthesia using a chisel and mallet to facilitate the fabrication of a removable partial denture. Postoperative healing was uneventful, with complete mucosal healing observed at one month. The prosthesis was subsequently delivered successfully. Conclusions. While often asymptomatic, mandibular tori can impede prosthetic treatment. Surgical removal is a predictable procedure when indicated, leading to favorable functional and prosthetic outcomes. This case underscores the importance of interdisciplinary management in oral healthcare. Key words: mandibular tori, exostosis, pre-prosthetic surgery, oral surgery, case report. Received: 26 02 2022 Accepted for publishing: 20 06 2025 ¹Department of Dentistry, PSP medical college hospital and research institute, Tamilnadu, India ²Fortis Hospital, Vadapalani, Chennai, Tamil Nadu, India ³Institute of Dental Sciences, Puducherry, India ⁴Mercy Multispeciality Dental Centre, Chennai, Tamil Nadu, India Address correspondence to Karthik Shunmugavelu, PSP medical college hospital and research institute, Tambaram Kanchipuram main road, Oragadam Panruti Kanchipuram district, Tamilnadu 631604, India. E-mail address: drkarthiks1981@gmail.com