BILATERAL MANDIBULAR TORUS EXCISION - CASE REPORT

Abstract

MANDIBULAR TORUS (TM) IS A MILDLY GROWING BONE EXOSTOSIS, USUALLY OVAL AND BILATERAL, DIAGNOSED BY CLINICAL AND RADIOGRAPHIC MEANS. IT HAS A MULTIFACTORIAL ETIOLOGY, WHICH MAY BE OF GENETIC ORIGIN, RELATED TO ENVIRONMENTAL FACTORS. IT IS USUALLY ASYMPTOMATIC AND, IN SOME CASES, PRESENTS ULCERATION AND SECONDARY TRAUMA. SURGICAL REMOVAL IS NECESSARY WHEN THERE IS PROSTHETIC INDICATION, TRAUMA AND SPEECH AND MASTICATION DISORDERS. FOR THIS WORK, THE SURGERY ITSELF WAS PERFORMED, IN ADDITION TO A BIBLIOGRAPHIC RESEARCH FOR BASEMENT IN DATABASES SUCH AS PUBMED, LILACS AND GOOGLE ACADEMIC, PUBLISHED BETWEEN 2016-2022. THE OBJECTIVE OF THE PRESENT STUDY IS TO PRESENT A CASE REPORT OF A SURGICAL PROCEDURE TO REMOVE A TM FOR PROSTHETIC PURPOSES IN A MALE PATIENT, F.A.M., 53 YEARS OLD, WHO ATTENDED THE DENTAL CLINIC FOR REHABILITATION WITH A REMOVABLE PARTIAL DENTURE. FROM CLINICAL AND RADIOGRAPHIC EXAMINATIONS, IT WAS OBSERVED THE NEED TO REMOVE BILATERAL MANDIBULAR TORUS TO ALLOW ADAPTATION OF THE PROSTHETIC PIECE. INITIALLY, THE EXTRACTION OF DENTAL ELEMENTS 32 AND 41, WHICH PRESENTED GRADE 3 MOBILITY, WITH EXTENSIVE LOSS OF ATTACHMENT TISSUE, WAS CARRIED OUT AND, THEREFORE, PERIODONTALLY CONDEMNED. THE PROCEDURE CONTINUED WITH INTRA-SULCULAR INCISIONS AND TOTAL DETACHMENT OF THE FLAP, WITH THE AIM OF ALLOWING BETTER ACCESS FOR BILATERAL TORUS REMOVAL. EXCISION WAS PERFORMED USING HIGH ROTATION UNDER ABUNDANT IRRIGATION WITH SALINE. SUBSEQUENTLY, THE TISSUE WAS REPOSITIONED AND STABILIZED USING CONTINUOUS SCALLOPED SUTURES. THE PATIENT WAS PRESCRIBED ANTIBIOTICS, ANTI-INFLAMMATORIES AND ANALGESICS IN THE POSTOPERATIVE PERIOD. THE FIRST RETURN VISIT WAS PERFORMED AFTER 10 DAYS, WHERE THE SUTURES WERE REMOVED. THE PATIENT HAD NO COMPLAINTS AND WAS SATISFIED WITH THE RESULT. THE TREATMENT ENDED WITH THE FABRICATION OF THE PROSTHESIS, FOLLOWED BY ITS INSTALLATION. IN CONCLUSION, THE SURGICAL REMOVAL OF TM IS A SAFE AND PREDICTABLE PROCEDURE THAT HELPS TO AVOID PROSTHETIC AND FUNCTIONAL COMPLICATIONS, THUS RESTORING STABILIZATION TO THE STOMATOGNATHIC SYSTEM.