Prosthodontic odyssey in navigating the mandibular tori terrain with modified removable complete dentures: Case report Sikri Arpit1,*, Kalra Vaishali2, Sikri Jyotsana3, Karni Shourya4, Jassal Priya4 1Associate Professor& Post Graduate Teacher, Department of Prosthodontics, Crown & Bridge and Oral Implantology, Bhojia Dental College & Hospital, Budh (Baddi), Teh. Baddi, Distt. Solan, Himachal Pradesh, India 2Post Graduate (PG) Student, Department of Prosthodontics, Crown & Bridge and Oral Implantology, Bhojia Dental College & Hospital, Budh (Baddi), Teh. Baddi, Distt. Solan, Himachal Pradesh, India 3Associate Professor & Post Graduate Teacher, Department of Conservative Dentistry & Endodontics, Bhojia Dental College & Hospital, Budh (Baddi), Teh. Baddi, Distt. Solan, Himachal Pradesh, India 4BDS Intern, Bhojia Dental College & Hospital, Budh (Baddi), Teh. Baddi, Distt. Solan, Himachal Pradesh, India *Corresponding Author: Arpit Sikri, Associate Professor& Post Graduate Teacher, Department of Prosthodontics, Crown & Bridge and Oral Implantology, Bhojia Dental College & Hospital, Budh (Baddi), Teh. Baddi, Distt. Solan, Himachal Pradesh, India, Email: arpitsikri@gmail.com
Online published on 29 February, 2024. Abstract Torus Mandibularis typically refers to an excessive bone growth on the lingual surface of the mandibular premolar area. These mandibular tori, often asymptomatic, manifest as bony protrusions on one or both sides, comprising dense cortical bone externally and a thin layer of poorly vascularized oral mucosa. Their slow and gradual growth can spontaneously halt. Although benign, tori in the oral cavity remain inconspicuous for an extended period due to their painless nature. They become apparent during prosthesis fabrication, impacting the management of edentulous patients.The inherent nature of tori complicates complete denture fabrication and wear, causing issues like abrasion, ulceration, and restricted tongue space. Constructing a complete denture becomes challenging, especially when dealing with large mandibular tori preventing proper impression tray seating. Oral tori, if present, not only discomfort the patient but also pose challenges for the dental surgeon. Literature extensively covers the prevalence and morphology of torus mandibularis, but information regarding precise impression techniques for edentulous mandibular arches with tori is limited. Such intraoral growths pose difficulties in capturing precise impression details. The compromised ability to withstand occlusal loading necessitates optimal prosthesis design for retention and stability. To accommodate patients, dental surgeons must resort to alternative impression methods, provide relief under the denture, or modify the prosthesis design. Relief may suffice for simple tori, while others may require surgical removal. In some medically compromised cases, where surgery is not advisable, the dental surgeon faces challenges in managing the mandibular tori.Treatment is generally avoided unless it obstructs prosthetic procedures or complications arise. The present case report illustrates an innovative non-surgical approach for the successful management of a patient with a substantial mandibular torus. The non-surgical or prosthodontic approach involved the fabrication of an unconventional (modified) removable complete denture with an incorporated prefabricated metal mesh over the mandibular tori area. This process included the use of a monophase(single-phase) impression material to achieve optimal accuracy, ensuring superior retention and stability in the final prosthesis and, ultimately, a well-fitting prosthesis. In addition to this, the case report aims to scrutinize the challenges linked with lingual tori during denture fabrication. Top Keywords Asymptomatic, Bilateral, Denture construction, Edentulous patients, Elderly, Lingual tori, Mandibular tori, Oral tori, Torus mandibularis, Treatment planning. Top |