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periodontal procedures

What are Tori?

Tori are excess bone that develops either in the upper or lower jaw. When present in the roof of the mouth (palate), the condition is referred to as torus palatinus. When present in the lower jaw, it is called torus mandibularis. Tori may develop due to genetic or environmental influences such as local irritation, grinding your teeth (bruxism), or misaligned teeth causing an uneven bite (malocclusion).

In most cases tori are benign and do not require treatment. However, tori will need to be surgically removed to accommodate upper or lower dentures and upper or lower partial dentures (flippers). Tori may also be removed to aid in minimizing food impaction under the excess bone, which will promote improved home care. In certain cases tori may contribute to plaque accumulation and periodontal pockets, and therefore will require removal to improve oral hygiene by allowing better angulation of the toothbrush. Once tori are removed, recurrence is rare. In situations where tori do reappear, regrowth is typically very slow.

Tori Removal On One Side performed by Dr. Todd Britten

Q:  I have big gums and short teeth, so when I smile you can almost only see my gums. I don’t smile very often anymore because I am so self conscious of my gums. Is there a way to improve my smile?

A: Yes, there may be a way to enhance your smile. It’s a good idea to discuss your options with a periodontist first. He or she can explain the best way to create the smile you want, as well as answer any questions that you may have. For example, one procedure that can remove excess gum tissue is called crown lengthening. After the excess gum tissue is removed, the gum line is then reshaped in order to create the right proportion between gum tissue and tooth surface. Your general dentist and periodontist may also work together to coordinate additional treatments such as veneers or crowns. However, your periodontist and general dentist will recommend the best procedure to improve your smile.

Perio.org

When you have periodontal disease, the supporting tissue and bone is destroyed, forming “pockets” around the teeth. Over time, these pockets become deeper, providing a larger space for bacteria to live. Traditionally, gum disease is treated by eliminating these gum pockets and creating a clean environment around the tooth so that the tooth or teeth can be retained rather than lost. The infected gum tissue is trimmed away and uneven bone tissue re¬contoured. Periodontal flap surgical therapy remains one of the most effective ways of treating gum disease.

For more information on the surgical procedures performed in our office, visit our website at:

Surgical Procedures

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