Surgical approach to a wide palatal torus

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.

Keywords

• exostosis
• osteotomía
• paladar duro.