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re: The bones (tori?) under my tongue freak me out

Posted on 5/9/20 at 9:35 pm to
Posted by NewIberiaHaircut
Lafayette
Member since May 2013
11559 posts
Posted on 5/9/20 at 9:35 pm to
Mine are big. And when I have to bite down on the sensor for X-rays it cuts into my tori and hurts like hell.
Posted by LaFleurDeLis
Member since May 2009
18 posts
Posted on 5/9/20 at 9:38 pm to
Those are called exostosis/es. They are tori, just in the buccal location instead of lingual location. I have seen some so large, they form a "shelf" and can trap food above or below them in the vestibule. All types of tori have a hereditary component but yes, clenching can also contribute to extra bony growths.

Eta: more info
This post was edited on 5/9/20 at 9:41 pm
Posted by LaFleurDeLis
Member since May 2009
18 posts
Posted on 5/9/20 at 9:42 pm to
I mostly just visit for the comments and quick wit of the OT.
Posted by Jim Rockford
Member since May 2011
98188 posts
Posted on 5/9/20 at 9:44 pm to
quote:

I had no idea this existed. Weird.


Me either. I'm glad I don't have this genetic malformation.
Posted by LouisianaLady
Member since Mar 2009
81210 posts
Posted on 5/9/20 at 10:28 pm to
quote:

My best friend has them, though, and they are so large that I can see them when she talks and sometimes, it even sounds like she has marbles in her mouth while she is talking because they take up room where her tongue should go.


Wow! I'd be tempted to get them removed at that point, but I'm sure that is a painful healing process.

EDIT - Well shite. I just realized the very small hard bump on the roof of my mouth must be this. I thought it was an old boo boo or something. Its just a bump the size of like a BB
This post was edited on 5/9/20 at 10:34 pm
Posted by ClientNumber9
Member since Feb 2009
9316 posts
Posted on 5/9/20 at 10:28 pm to
Haha, fair enough.
Posted by IAmNERD
Member since May 2017
19245 posts
Posted on 5/9/20 at 10:33 pm to
quote:

They are called tori (multiple) or torus (singular).


Uhhh, holy shite. The Google image search of "Tori bones" is fricking gross.
Posted by LouisianaLady
Member since Mar 2009
81210 posts
Posted on 5/9/20 at 10:34 pm to
I did the same thing. Very gross.
Posted by Sidicous
Middle of Nowhere
Member since Aug 2015
17177 posts
Posted on 5/9/20 at 10:43 pm to
quote:

That and a soft foot diet.
Think I'd rather have the bat soup than a foot diet.
Posted by TigerstuckinMS
Member since Nov 2005
33687 posts
Posted on 5/9/20 at 10:52 pm to
There are very few days anymore where I am introduced to something that I had never before heard of. Today is one of those days. I thought OP was drunk or making shite up.
Posted by dkreller
Laffy
Member since Jan 2009
30305 posts
Posted on 5/9/20 at 11:10 pm to
Yeah I’ve got some shelf action going on.
Posted by Errerrerrwere
Member since Aug 2015
38286 posts
Posted on 5/9/20 at 11:26 pm to
I always pictured you as a guy with no teeth.
Posted by TrimTab
North County Coastal San Diego
Member since Mar 2019
7777 posts
Posted on 5/9/20 at 11:27 pm to
quote:

There are very few days anymore where I am introduced to something that I had never before heard of.

Google "teratoma." I dare you.
Posted by toofache
Kansas City
Member since Feb 2015
118 posts
Posted on 5/9/20 at 11:32 pm to
One of my favorite procedures to do is tori removal. Generally not too difficult, not a ton of post op issues, pts are always happy they are gone.
Posted by NakaTrash
Texas Hill Country
Member since Dec 2013
6139 posts
Posted on 5/9/20 at 11:32 pm to
quote:

tori?

Posted by TrimTab
North County Coastal San Diego
Member since Mar 2019
7777 posts
Posted on 5/9/20 at 11:46 pm to
We need dentists posting more often!

quote:

One of my favorite procedures


marsupialization of ranula

One of the more interesting procedures I've learned about through my profession.
This post was edited on 5/9/20 at 11:48 pm
Posted by Obtuse1
Westside Bodymore Yo
Member since Sep 2016
25655 posts
Posted on 5/10/20 at 12:02 am to
quote:

The bones (tori?) under my tongue freak me out


When I slide my bone under your mom's tongue she becomes a freak.
Posted by LaFleurDeLis
Member since May 2009
18 posts
Posted on 5/10/20 at 12:08 am to
Those google images tend to be worst case scenarios. Most tori are on the smaller to medium side and, like a lot of you in this thread, most people aren't even aware they have them or of their existence unless they are told they have them. I've had a few patients who had unbelievably large ones and had them removed. Their end result is worth the discomfort of the removal and they cannot believe how much room is present in their mouth without them. Word of caution, though - after removal, the tissue in the mouth looks like raw hamburger meat until it's healed. And they do have a tendency to grow back, slowly, over time.
Posted by Tigershatebama
New Orleans
Member since Feb 2006
263 posts
Posted on 5/10/20 at 1:35 am to
quote:

Word of caution, though - after removal, the tissue in the mouth looks like raw hamburger meat until it's healed.


Nope. Simple procedure with same healing timeframe and appearance as most periodontal surgeries. Other than the sutures and some minor inflammatory response, you mostly would not even know that a surgery has been done.

They do tend to grow back. I'm not so sure how much is genetic rather than physiologic. The prevailing thought is that it's due to clenching or other parafunction. Due to increased chewing forces, the body responds by laying more bone in the area for more support.
Posted by LaFleurDeLis
Member since May 2009
18 posts
Posted on 5/10/20 at 2:58 am to
quote:

Nope. Simple procedure with same healing timeframe and appearance as most periodontal surgeries. Other than the sutures and some minor inflammatory response, you mostly would not even know that a surgery has been done. 



Yep. I've seen many patients who were in the process of recovering from tori removal and there was definitely the appearance of trauma to tissues at the sites of the tori, as would be expected after a fairly extensive oral surgery. The sites looked like raw flesh to me, even with suturing. And the patient was DEFINITELY aware that surgery was done. After they were healed, though, every single one told me that the recovery was very uncomfortable, but worth it. And I'm also aware of the etiology of tori and exostoses, as a clencher/grinder myself, with small tori.

Perhaps you had patients tell you otherwise regarding recovery. That doesn't mean that my experience and visual observation was incorrect, it just means we had different patients and have different eyes.

Thanks for your contribution to the discussion.
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