Tori exostoses can provide unique clinical challenges. The large protuberance of bony tissue on the lingual aspect of the mandible can interfere with the patient’s diet, speech, and overall life satisfaction – and removing these protuberances can be a traumatic and difficult procedure.
Typically, these bony outcroppings should remain undisturbed but there are occasions where excision becomes a clinical necessity. This usually requires referral to an oral surgeon for excision, who then turns to traditional methods that rely on invasive methods. The procedure is completed using high-speed burs, bone chisels, and other apparatuses that while efficient and effective, can result in discomfort and trauma for the patient. As a result of these factors, most patients with mandibular tori growths postpone and even avoid clinical treatment.
A more effective, atraumatic means of ablation and excision could result in patients embracing a treatment protocol that could result in greater life satisfaction and other benefits associated with the removal of these meddlesome bony growths.
The Er,Cr:YSGG all-tissue laser (BioLase, Irvine, Calif.) has been shown to safely and effectively ablate the full spectrum of oral tissues – soft tissues, hard tissue, and bone,.