Bilateral mandibular tori: A case report and review of literature.

OBJECTIVE

To present a case where bilateral mandibular tori complicated prosthetic rehabilitation and to discuss the etiology, clinical features and management of this anatomical variant based on a review of current literature.

CASE REPORT: A 45-year-old female presented with gingival bleeding and lower anterior tooth mobility. Clinical and radiographic examination revealed chronic periodontitis, missing teeth (#35, #36, #37, #46) and bilateral, lobulated mandibular tori. The left torus was surgically removed under local anesthesia using a chisel and mallet to facilitate the fabrication of a removable partial denture. Postoperative healing was uneventful, with complete mucosal healing observed at one month. The prosthesis was subsequently delivered successfully.

CONCLUSIONS

While often asymptomatic, mandibular tori can impede prosthetic treatment. Surgical removal is a predictable procedure when indicated, leading to favorable functional and prosthetic outcomes. This case underscores the importance of interdisciplinary management in oral healthcare.