Mandibular Tori

Mandibular tori are painless bony growths on the tongue surface of the lower jaw near the canine or premolar teeth.It may be because of environmental factors like teeth grinding, the stress in the jawbone, vitamin deficiencies and calcium-rich supplements, and genetic impairment. Tori does not need surgical removal unless discomfort occurs. However, it should be treated when there is pain, articulation problems in the insertion of dentures are present.

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I have a 3 to 4 mm, round, hard, and flat lump on the floor of the mouth. Is it a mandibular tori?

Query: Hi doctor, For around six months, I have felt a small lump on the floor of my mouth. I would say that it is around 3 to 4 mm, round, hard, and flat. It is located where the floor of my mouth meets my teeth, and when I look in the mirror, it is not visible. I had braces for 4 to 5 years; my front bot...  Read Full »

Dr. Bhargav Gutha

Answer: Hi, Welcome to Upon review, these were the findings- a) 3 to 4mm round, the hard and flat swelling floor of the mouth, lingual to lower anterior teeth. b) Gap closure with braces after lower anterior tooth extraction (single tooth) and stress. Due to single tooth extraction and brac...  Read Full »

What are mandibular tori?

Query: Hi doctor, I am 64 years old, and I have extremely large, lower, bilateral, buccal exostoses in the outer area and not behind the teeth. It is present as quite a large "ledge" for all my adult life. I had the lower molar removed three months back. I have developed a spicule-type bony sharp protrusi...  Read Full »

Dr. Krishna Swaroop Achanta

Answer: Hi, Welcome to It is good that you know about your exostosis, which is usually uncommon as a finding for many patients. The exostosis or tori are just bony outgrowths with a rare genetic cause. Unless they interfere with your daily activities like talking, chewing, or wearing denture...  Read Full »

How can X-rays be taken painlessly with a large mandibular tori?

Query: Hi doctor, I have relatively large mandibular tori, which are nearly touching. They have always been rather sensitive, like when I am eating chips, a sharp piece pokes them. I just went to the dentist and got those new digital bitewing x-rays, which hurt my tori as there is less room in my mouth. I ...  Read Full »

Dr. Naveen Thomas

Answer: Hi, Welcome to Sorry to hear that, but you can avoid x-rays if it hurts you really bad. Maybe because they wanted to see the tori in x-ray, so they would have placed film pressed to the area. I can assure you it is never this painful, so hopefully next time just tell them in advance abo...  Read Full »

Should I consult a dentist for gingival thickening at a particular area?

Query: Hello doctor, On my lower gum below the roots of my front teeth, I have a pale area that looks slightly thicker than the surrounding gum line. At first, I thought it could be a mouth ulcer, but it does not taste like an ulcer and does not hurt. I noticed it a month ago, but it could have been there...  Read Full »

Dr. Mousam Chattopadhyay

Answer: Hello, Welcome to I went through your query and also seen the attached images (attachment removed to protect patient identity). Although the images could be much clear and as you have used the flash the image is brighter than normal. But as a specialist, I can assure you nothing t...  Read Full »

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