Mandibular Tori Used as Bone Graft Source For Dental Implants

Mandibular Tori Used as Bone Graft Source For Dental Implants

Mandibular Tori Used as Bone Graft Source For Dental Implants

Mandibular tori (bone bumps next to your tongue) can sometimes be used as bone graft source for dental implants. The images in this post are of a patient I recently treated in Burbank.

She is missing one of her first molar teeth and the bone has shrunk because it has been a long time since she lost the tooth. She came to me for a dental implant, but was also interested in removing the bumpy nodules next to her tongue.  The plan was do have one surgery where the tori on each side would be removed and that same bone used to rebuild the area that is going to have the implant!


Burbank Dental implant tori (1)
Burbank Dental implant tori (2)

Burbank Ramsey Amin bone graft (2)
Burbank Dental bone graft (1)
After removal and healing bone graft

Mandibular tori are a bony growth (bumps) in the lower jaw  along the surface nearest to the tongue. Mandibular tori are usually present near the premolars (middle teeth) and above the location of the mylohyoid muscle’s attachment to the mandible. In 90% of cases, there is a torus on both the left and right sides.

Tori are slow-growing and vary in size. Most of them do not interfere with eating or speech. Many people have tori without knowing it. Look in the mirror; you might notice them in your own mouth!

Many people who notice tori are concerned about oral cancer. Tori are not cancerous. They also do not turn into cancer. A torus is normal bone covered with normal tissue. However, other types of growths in the mouth can turn out to be oral cancer.

The prevalence of mandibular tori ranges from 5% – 40% and are less common than bony growths occurring on the palate, known as torus palatinus. They will not disappear unless surgically removed. Tori cannot be prevented.

It is believed that mandibular tori are caused by several factors. They are more common in early adult life and are simetimes associated with grinding. The size of the tori may fluctuate throughout life, and in some cases the tori can be large enough to touch each other in the midline of mouth!

Mandibular tori are usually a clinical finding with no treatment necessary. It is possible for ulcers to form on the area of the tori due to trauma. The tori may also complicate the fabrication of dental implant or regular dentures. If removal of the tori is needed, surgery can be done to reduce the amount of bone.

Because they are on the roof of your mouth, tori palatini can be irritated by some foods. Hard foods, such as crusty bread, or hot foods, such as pizza, are most likely to cause problems. Large upper and lower tori can interfere with speech. Tori on the roof of the mouth can also be used for dental implant grafting, but there are other, easier areas to obtain your own bone if needed

Surgery can be done under IV sedation in the office.

So…do you have tori?

Feel free to comment below or join the conversation on my Facebook page.

Ramsey A. Amin, D.D.S.
Diplomate of the American Board of Oral Implantology /Implant Dentistry
Fellow of the American Academy of Implant Dentistry
Burbank, California

48 Comments

  1. maurine

    in 2006 I had a small tori on my palate. I did not know what it was and was told by a doctor it was harmless and not to have it removed. Last year I changed dentists and learned what it was. I also learned that when my wisdom teeth were removed (45 years earlier) bone had been taken as well. This was the first dentist to tell me. I also learned from this dentist that I was losing bone mass. The tori is fairly large now. I’m wondering if the loss of bone on the wisdom teeth extraction might have contributed to the more general bone loss, if the tori could be used for bone implant and if having bone implant would aid general bone growth return. Now at 70 I sense I’ll be a candidate for some tooth implants, bridgework, or dentures and wonder about the best plan of action to avoid tooth loss and/or enable replacement if needed. Thank you.

    June 7, 2019 at 1:31 pm Reply
    1. Ramsey Amin

      removal of your wisdom teeth has nothing to do with bone loss around your other teeth areas. Likely you have periodontal disease that has been slow going for many years. In general the bone from the Tori is not very good for grafting and has to be combined with human donor bone or bone taken from somewhere else in your mouth or body and transplanted to the area of need. My best advice would be for you to see somebody who is very skilled and experienced in implant dentistry… Specifically a dental implant specialist

      June 15, 2019 at 9:57 pm Reply
  2. Nicole

    Hi there.
    I had 2 implants in my lower jaw put in about 4 years ago. I had a bone graft and everything has been fantastic. This past year I have noticed my gums on the outside of those teeth receding. And now the gums on the inside of those teeth are moving up. I have very large tori on the bottom, almost touching that hasn’t been a real problem. All of the area around my implants has started hurting, it all aches like you’re getting a wisdom tooth. I have been very conscientious about keeping it all clean and free of food. My dentist explained that my tori is pushing tissue up against my implants which is causing the inflammation and pain and has to be removed. I am starting consults with surgeons now. My biggest question is if the tori after 4 years is just starting to effect my implants or if it’s something else? And if removing my tori will alleviate all of my implant woes?
    Oh I have also asked if the tissue surrounding my tori could be harvested to graft the area around my implants that was receding. I was told no, because it’s the wrong kind of tissue. But if I remove one last wisdom tooth I still have, they tissue surrounding that is the right kind and could be used for the graft. What’s your take on all of this? Does any of it sound familiar and have you dealt with this in your practice?

    January 26, 2018 at 4:37 pm Reply
    1. RamseyAminDDS

      hmmm….it sounds like you have peri-implantitis or peri-implant mucositis. This means your losing tissue and/or bone on the outside. The tori should not be an issue at all but I don’t know your unique circumstances. Generally speaking it is good to have tori on the inside of the implant because you have extra supporting bone unless you have a shelf that is too close to the gumline that came create pocketing in a moat defect. I’m assuming you had a 3-D scan? My gut is that you have peri-implantitis especially because you feel pain.

      January 29, 2018 at 1:39 am Reply
      1. Thank you so much for getting back to me so quickly. I think you are spot on with your prognosis (what your gut is telling you). I feel the same way. I am very reluctant to remove my tori if it will not resolve my dilemma and in fact it can be beneficial to my implants. I read where you said this is difficult to treat..but is it possible? After reading what you sent me I do believe it is peri-implantitis (all the symptoms are there) and my dentist is merely skating this issue. I have 2 consults scheduled so I will listen to what these docs have to say but will also be requesting my X-rays and scans. I am in Florida, is it possible for me to fly out for an exam with you and also get treated during the same trip there? What is my next move? What do you suggest? Feel free to contact me further to discuss and schedule.

        January 29, 2018 at 3:21 am Reply
        1. RamseyAminDDS

          Hello Nicole… I’m flattered that you would be willing to travel to California. I don’t think that is necessary. I’m sure you can find a skilled provider in your area. I would not be able to treat you on the same day that I see you unless I really new all the information. I would hate for you to travel all the way out here only to find out that you have a poor prognosis for trying to rescue a failing dental implant.

          Have some of the consults done and see what they say. Good luck and keep me posted

          January 31, 2018 at 11:57 pm Reply
          1. Nicole Angel

            Hi Dr. Amin,

            So I had a couple of consolations. One doc said that my pain and swelling was my tori growing after 4 years of having my implants and pushing up one of the crowns allowing bacteria to seep inside. His treatment plan was for me to remove my crowns, let the infection heal, remove the tori, clean the area and then replace the crowns.
            The second doc said there is no infection, but peri implant mucositis. He said to leave the crowns alone, remove the tori and also take out my remaining wisdom tooth and harvest the tissue surrounding that to graft on the outside of my implants where it is receding.
            The 1st doc wants to remove the wisdom tooth too, but thinks doing the graft is unnecessary.

            They both think the other is wrong. What do you think?
            Also, what do you think is the best way to remove tori? Saw, chisel or laser? Thank you so much for your input!

            February 1, 2018 at 10:09 pm
          2. RamseyAminDDS

            It sounds like you’re tori are very close to the crown surface. Whenever I see this during surgical placement of the actual implant I always reduce the tori at that time to prevent this from occurring in the first place. The best way to remove the tori is just to use a drill/chisel depending on their shape whether they be more like a mushroom stalk or a broadbase type of tori. I would highly suggest you’re sedated for this.

            If there is a moat type of defect 360° around the implant should be grafted. Typically bovine bone would work best of the area has to be decontaminated ideally with a carbon dioxide laser. If not the bone will not take to the implant. Each situation is unique and without seeing you would be very difficult to know what would work best for you. Good luck

            February 4, 2018 at 10:23 pm
  3. Rob

    I was born without tooth 20 bud.and also on the other side

    I have sysmetrical tori at the same location as my missing teeth

    Is it because I have missing teeth that these formed ( I lost my baby teeth at age 35 now I’m 50)

    And now I’m getting implants in the missing tooth location
    Dentist says bone mass is great should have no problem with implants

    Question. Should the tori be removed or will they help keep the implant sturdy?

    August 25, 2016 at 1:49 am Reply
    1. RamseyAminDDS

      Leave them alone. They add an abundance of bone for single tooth dental implants. For some full arch cases they require removal

      October 13, 2016 at 3:04 am Reply
  4. Rosie

    I just had two lingual tori removed two days ago. I also had a lingual frenectomy at the same time to help with fitting of a new denture. One was fairly large, one fairly small. This was done under sedation. Not too bad really. Pain after was bad but eased off fairly quickly. I made myself I’ll with worry over this but it is easier than you think. My tongue is now yellow and smells bad but I think that is the soft diet. I was not given antibiotics, our NHS does not like them given out too freely. just told to rinse with salt water. I hope this helps to alleviate worries if you are waiting for this procedure.

    July 15, 2016 at 12:38 pm Reply
  5. patricia Animi

    Dr. i have tori and dont know how to have them remove, they are growing gradually, h dont like at all please help me

    March 3, 2016 at 3:34 pm Reply
    1. RamseyAminDDS

      Get a referral from your dentist to have them removed. Make sure you are sedated for this procedure.

      March 11, 2016 at 4:52 am Reply
  6. Ck

    Can tori be whitish? I remember I gnashed my teeth,not sure now.
    Both sides on the lower gums(inside).

    November 5, 2015 at 1:32 pm Reply
    1. RamseyAminDDS

      yes, because the gum is generally very thin on top of them to whiten bone can shine through the thin gum..

      November 27, 2015 at 7:05 pm Reply
  7. jon

    I am a grinder and have small Tori. I’m in my 50’s and have all my teeth. I’ll keep my tori till they bug me, as a bone graft source, just in case. Maybe remove them later if they bug me.

    August 13, 2015 at 6:23 am Reply
    1. RamseyAminDDS

      YES…keep them…there is no need to remove them just because!

      August 20, 2015 at 2:33 am Reply
  8. Cindy Catellier

    I am 67 years old. My tori are huge on the inside bottom of my mouth. They ache almost constantly. I started taking cholestrol medicine (80mg) about 1 1/2 years ago and my tori have seemed to grow faster. Is there any connection between the two? My tori have met in the middle and they now are close to the top of one of my teeth on side of my mouth.. I had hand surgery a few years ago, and the doctor that administered the aesthetician told me to never have the tori removed. I didn’t ask why, but I knew that I never wanted to go thru that kind of surgery. The tori at that time was not joined at the center under my tongue.

    June 23, 2015 at 9:49 pm Reply
    1. RamseyAminDDS

      I am not aware of any connection between cholesterol medication and tori. I’m sure you can do a search on pub-Med to see if there are any publish scientific articles on the topic. They generally increase in size and patients that grind their teeth.

      Removing tori is not that difficult. If they bother you or cause pain then have them removed. Many people that have tori have gum disease on the inside of the lower teeth. Removing them will help the gum condition if you have it

      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry

      June 28, 2015 at 5:04 pm Reply
  9. Josh S.

    Dr. Amin,

    I have mandibular tori on the right and left side of my mouth. They were first spotted by my childhood dentist when I was 17. With the passage of time, both tori have grown larger. Additionally, I have noticed that I have begun snoring. Is there any correlation between mandibular tori, displacement of the tongue due to tori, and sleep apnea? Any insight you could offer would be greatly appreciated.

    I look forward to hearing from you.

    Sincerely,

    Josh S.

    November 13, 2014 at 2:50 am Reply
    1. Ramsey Amin DDS

      Hello Josh,

      This blog is intended more for patients looking to use there mandibular tori as a bone graft source for dental implants but let me see if I can help you here.

      There may be a correlation between the presence of mandibular tori and other conditions but I highly doubt they have been documented. Sleep apnea is often caused by being even slightly overweight and is often caused by having an overbite. I would suggest you see a medical doctor and have a polysomnogram which is a sleep study to determine this.

      Mandibular tori are not the cause of sleep apnea but whether there is some correlation is probably unknown. Many patients that grind their teeth have mandibular tori and other bumps of bone on the outside of their teeth called exostoses.

      I have informally diagnosed many patients with sleep apnea when they are sleeping under IV sedation in my chair for 1-4 hours at a time. It is not often you get to have a healthcare provider watch you sleep for this long. If you have been sedated by a dentist or medical Dr., they will know your airway classification.

      Oral vs. IV Sedation

      Let me know what you find out.

      Very respectfully,

      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry
      Burbank, CA

      November 17, 2014 at 12:35 am Reply
  10. Michael Battist

    Hi.

    I have large tori on my lower jaw on the inside and outside. I have semi large tori in the upper jaw both inside and outside. I had the lower ones removed twice and they just grow back over several years. Is it just pointless to kep removing them?

    November 8, 2014 at 1:09 pm Reply
    1. Ramsey Amin DDS

      Hi Michael,

      Tori are only located on the inside of the lower and the palate of your upper. If you have bumps on the outside, those are called exostosis.

      Neither of these grow back normally. The only way these can come back is if you have some type of bone tumor possibly. I would get a biopsy asap if this is this case. Of course I have never seen you, so this is only speculation.

      Stranger things have happened. Keep me posted.

      Oral Surgery

      Respectfully,

      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry
      Burbank, California

      November 9, 2014 at 1:44 am Reply
    2. Nancy

      My tori on the lower part of my mouth were removed in order to get a bottom denture. They were removed almost 2 years ago and now they are growing back causing the denture not to fit correctly. I was never told of the possibilities of them growing back. What do I do about my denture fitting right, do I have to have them removed again and could they grow back again? What is the point of having them removed only to grow back.

      August 27, 2015 at 8:57 pm Reply
      1. RamseyAminDDS

        I have never seen a tori grow back after removed it….. Make sure this was not some sort of a bone tumor. A 3-D scan should be taken right away.

        August 31, 2015 at 12:52 am Reply
  11. Sid

    Hello Ramsey. Thanks for the opportunity to ask you a question. I have bony growth on the outside of both lower gums. They have grown to the point that they push into my cheeks. I can feel it and also see a bump on each side where they press into my cheeks. Somewhat like Marlon Brando’s puffed cheeks in the Godfather.

    Although they do become scratched/cut when eating abrasive food like hard potato chips, I really want them removed for cosmetic reasons. I have consulted with an Oral Surgeon and he said they can be removed with no issue.

    My question and reason I hesitate to do it is that I’ve heard from my Dentist and a Dental hygienist that it would be painful. Is that true? Will it “hurt like hell” as one of them put it? Also I am 43yrs old and in good health. Thanks in advance for your response.

    July 4, 2014 at 12:43 am Reply
    1. Ramsey Amin DDS

      Hello Sid,

      I find it interesting that your dentist and hygienist said that removing these bumps of bone would be painful. They probably are not exposed to this procedure on a routine basis though they have no basis of knowing whether or not this is painful or not.

      These are called buccal exostoses. They are like mandibular tori but on the outside. There generally not painful to remove if done correctly. I find that patients that have IV sedation and have the benefit of intravenous steroids heal so much faster than those that do not. You will have some pain, but if you’re a patient of mine I would not expect you to need anything more than Motrin 600 mg.

      I just had a patient last week that I removed his mandibular tori and about 13 of those bone bumps on the outside.

      https://www.burbankdentalimplants.com/oral-surgery/

      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry

      July 7, 2014 at 2:17 am Reply
  12. Joy

    Yesterday I had two implants put in on my lower right jaw, I was going to get two implants on my left lower jaw but instead my dentist was able to build up the bone on the lower left so he could put a permanent bridge in later on. As. He was working he realized that he needed to remove my mandiblar tori on my right side in order for the implants to be done so he removed that tori as well as the tori on my right side. I am all stitched up on both sides where I had the bone enhancement and the two implants. I was awake for the entire procedure which took over two hours and when I left the office I was fine. I could not believe how good I felt last night. I did take an antibiotic and a Motrin but no heavy pain medication. I iced yesterday and when I woke up today I had some discomfort and a little swelling but really not what I expected. I wish I would have removed the tori a long time ago.

    June 18, 2014 at 5:13 pm Reply
    1. Ramsey Amin DDS

      Hi Joy,
      I am happy to hear about your wonderful experience. Mandibular tori removal can be very involved. Some are huge and some are tiny. It sounds like you are tougher than most patients. 😉
      Most people could not deal with that type of a long surgery next your tongue.

      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry

      June 19, 2014 at 12:45 am Reply
  13. Kim

    Ok thanks, I am seeking other opinions because from my research the food passes by the torri and causes ulcerations, this is when I cough. Since I found out what the torri were called knew this is where my cough and sore throat starts from and with research, I have been swallowing on my right side (which is not affected by the torri) and my sore throat and cough completely gone. However, one can not live their life swallowing on their right side. It is very hard to do (try it for one meal). I am working on finding a oral surgeon.

    June 1, 2014 at 4:55 pm Reply
    1. Ramsey Amin DDS

      hello Kim,

      I do removed tori when people have pain when they chew on them. The mechanical force of chewing on mandibular tori can tear the very thin gum. The torn gum turns into an ulcer. What is different here is that most people only complain about pain when the chew.

      Good luck with everything. I wish you the best

      Respectfully,

      Ramsey Amin DDS

      June 2, 2014 at 1:26 am Reply
  14. Kim S.

    Hello, I have three tori on the top of my mouth and one inside my mouth by the teeth. I have deletion 22q syndrome as well and I think my weakened immune system has made it worse with these. I have had a cough, sore throat for four years and couldn’t get any diagnosis by two ENT’s. I asked the ENT yesterday what the bumps on roof of my mouth were and he said tori. I researched them and found all this and that is my problem! I also noticed I cough when I eat. These are causing my cough and sore throat and I have had an ear ache unexplained for a year. This tori is causing all this but I have no dental insurance. They wanted too much to fix my other dental problems. I do have health insurance though. Any suggestions? I have developed loss of appetite in last year and I think this may be why.I should add for two meals so far I have been swallowing only on right side and this has helped with the pain, but obviously I cant swallow on the right side only forever. It is also quite a chore to try to do.
    Kim

    Thank you

    May 20, 2014 at 4:03 pm Reply
    1. Ramsey Amin DDS

      Hi Kim,

      I too am a very optimistic person. That being said, it is extremely unlikely that removing your Tori will help.

      The types of symptoms you describe do not align with tori.

      You should seek another opinion.

      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry

      May 21, 2014 at 10:54 pm Reply
  15. Kim S.

    Hello, I have three tori on the top of my mouth and one inside my mouth by the teeth. I have deletion 22q syndrome as well and I think my weakened immune system has made it worse with these. I have had a cough, sore throat for four years and couldn’t get any diagnosis by two ENT’s. I asked the ENT yesterday what the bumps on roof of my mouth were and he said tori. I researched them and found all this and that is my problem! I also noticed I cough when I eat. These are causing my cough and sore throat and I have had an ear ache unexplained for a year. This tori is causing all this but I have no dental insurance. They wanted too much to fix my other dental problems. I do have health insurance though. Any suggestions? I have developed loss of appetite in last year and I think this may be why.

    Thank you

    May 20, 2014 at 4:02 pm Reply
  16. Brenda Wesley

    Hello?

    April 28, 2014 at 6:43 pm Reply
  17. Brenda Wesley

    I had beautiful white teeth up to a year ago or two, I even got compliments how beautiful my smile was. Then all of a sudden, little by little my teeth start breaking off to the gum. I went to the dentist and he said, you must be a big soda drinker,, wrong I hate soda, never drink it! I drink coffee in the morning and water the rest of the day,, next….we don’t know this happened, but it did. Now I just had surgery and had 13 teeth removed and upper and lower tori removed. I searched for a year for the right dentist and don’t know after all if I found the right one. I was petrified before surgery and I called to ask questions and the woman that I was supposed to talk to was not nice! when she did call back the next day she left a message on my machine, if your thinking about canceling, we set 3 hrs for you and etc,,,,,,,,,,,,,, What!!!! Who said anything about that! I just had some questions, what to eat, how long for healing etc,, then the day of surgery, when I got there, I told them how petrified I was and HER and the others said nothing!! Not even the surgeon, whom was sitting there texting!!! I’m telling you this because no matter how long you do your research on the right dentist, you need to go with your gut feelings. I knew the first day I went there that it didn’t feel right! Now I have exposed bone fragments and a big infection on the roof of my mouth were he removed the tori. well sort of! AND a $7000 bill!!!! and I have dental insurance. so my real question is am I getting ripped off? Is this how much it really cost? I know everybody’s different but you have to be able to tell me if this is even close? Now then want more money for my new teeth,, I dont have anymore,, I’ll be paying the 7000 for years and I’m single and not rich!

    April 27, 2014 at 7:13 pm Reply
    1. Ramsey Amin DDS

      Hello Brenda,

      I’m sorry to hear about your messy situation. I always believe and going with your got also too.

      Typically before starting a major procedure, most prudent offices will give you a written treatment plan describing what will be done exactly and the associated costs. Did you not receive a full treatment plan detailing the number of teeth to be extracted, the removal of your tori, and making the teeth?

      Oral surgery is complex and can become expensive. Did you have bone grafted into the sockets at the same time? How is the infection being treated?

      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry

      April 29, 2014 at 4:08 am Reply
      1. Brenda Wesley

        Thank you for responding, I didn’t receive any treatment plan. I have a dental card called flexible spending account, and I needed to use my 2013 money by march 15th which was 1500 and then for 2014 I had 2500 on it, plus my dental insurance had 1200. So all together they had 5200 of my money. When the lady who does all the billing took me in her office, ( same lady who called me on the phone and left the nasty message) she asked for my flexible spending card and off she went!! she couldn’t type fast enough putting my money through the computer. It was making me nervous, because I thought we did this already the first day I came in and set up surgery. So I said to her while her fingers were typing away, what are taking the rest of my money for I thought I already gave you money for surgery. Not even looking up she said SHH!!! So I never even got a answer. I wanted to get up and leave, but I needed to get these bad broken teeth out of my mouth,, and she already had my money. So anyway I had know idea how many teeth they were going to take out. I just found out when I went there last. I’m pretty sure that I didn’t get any bone grafting done. I just got 13 teeth removed and the tori removed. The tori on the roof of my mouth still is all lumpy and infected. It feels to me that he didn’t remove all the bone, it feels like he dug out the middle and left the outer bone. The infection is being treated with just antibiotics and salt water rinse. It still hurts and I still feel the sandpaper feeling which is the infection. So now that you know that I didn’t get grafting done, what is the normal cost of 13 teeth and tori removal?

        April 30, 2014 at 7:09 pm Reply
        1. Ramsey Amin DDS

          Hi Brenda,

          It would be a lot easier if you would just post what you paid for each extraction and the tori removal. I would assume there was a fee for IV sedation or general anesthesia that you’re not listing. I am guessing wrapped into that fee was anesthesia, surgical stents, initial exam, cone beam 3-D x-ray.

          Please post the details and be sure to see a different dental implant specialist for the second stage of your treatment. It sounds like you these people are not nice at all and their system of financial arrangements is horrible.

          Take care,

          Dr. Amin

          April 30, 2014 at 7:44 pm Reply
  18. Verneal Maze

    I have three children, one daughter, two sons, and 2 grandchildren that have the mandibular tori and they’ve gotten very large in each of them, but I don’t know how many more of my family has them. I don’t have them, nor did my parents and neither did their father and none of the children showed any signs when they were younger. My eldest son has them and they’ve given him quite a bit of trouble, such as tooth extractions. My two grandchildren’s mandibular tori has grown much faster than their mother’s. Hers started in her late twenties and her two children in their late teens, they are now in their thirties. and they’re mother is in her fifties.

    October 12, 2013 at 4:01 pm Reply
  19. Dana

    I have large madibular tori 2-3cm (1 inch) that are scheduled for removal in a few weeks because they’ve gotten large enough that they are becoming problems. I first noticed them about 15-20 years ago as bumps, now there’s only about a half centimeter (1/4 – 3/8 inch) between them. They don’t hurt at all unluss I eat sharp foods.

    However, they are interfering with my speech. More importantly, since my tongue can’t nest properly in my jaw, I bite my tongue badly about once a week, usually in my sleep. Some of the tongue lacerations were quite severe, and after the most recent chomp, I’ve had enough.

    There will be an incision made along the top of my gums, the tissue will be peeled back, the tori shaved down, and some extra tissue excised. Then I’ll be stitched back up. Conceptually a little gruesome, but probably on par with diffucult wisdome teeth removal as far as post-operative discomfort and recovery time. I’m a little grossed out by the procedure, but not worried about it. I can’t wait to have my mouth back!

    April 14, 2013 at 2:57 pm Reply
    1. Judy Voorhees

      Im 63 and mine are now so close that the tissue under my tongue that hangs down is straining, they were always big but this is ridiculous. Probably 20 yrs ago the dentist I have now saw them and was alarmed but they werent in the way then so I blew it off. I guess Im going to have to have them removed. Did you go for your surgery, was it painful afterwards, did they put you out, how long before you can swallow without pain. Im so scared.

      June 14, 2013 at 8:45 pm Reply
      1. Ramsey Amin DDS

        Hi Judy,

        If you are going to have them removed, I suggest you have IV sedation. Most of my patients that have this done recover within a day with minimal pain or interruption of their life. If the surgical technique and your healing capability are good, this shouldn’t be so bad.

        I would definitely be sedated though. It is a bit scary.

        Ramsey A. Amin, D.D.S.
        Diplomate of the American Board of Oral Implantology /Implant Dentistry
        Fellow-American Academy of Implant Dentistry

        June 16, 2013 at 3:47 am Reply
  20. Andrea

    I live in Hawaii and I have both mandibular & palatial tori, which are all quite large. I had a problem last year when I was anesthetized for spinal surgery. The palatial one was nicked, and developed a very slow healing, painful chancre sore which later had some bone-like protrusion. I saw 3 dentists, and was told I needed oral surgery done for removal. Unfortunately, my dental doesn’t cover it, and I am financially strapped, so surgery was not done. Then about 2 weeks ago, I had gallbladder surgery, and my mandibular tori was nicked on both sides of my mouth. Now I am suffering again with painful chancres. I would like to have them all removed, but since my dental doesn’t cover that, and I don’t have the money, I guess am stuck with these tori.

    December 20, 2012 at 12:18 pm Reply
    1. RamseyAminDDS

      Hi Andrea,

      Based on what you wrote there is a chance your medical insurance might pay for the removal. There would be no guarantee, but speak to a dental surgeon that commonly bills medical. That might help.

      😉

      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry

      December 25, 2012 at 4:34 am Reply
  21. Hi Josh,
    You must have some really large tori! They should only hurt when you cut them with crunchy, sharp foods.
    If they hurt on their own, you should be looked at asap!
    The cost depends on size and how they are attached.
    Ramsey A. Amin, D.D.S.
    Diplomate of the American Board of Oral Implantology /Implant Dentistry
    Fellow of the American Academy of Implant Dentistry
    Burbank, California
    https://www.burbankdentalimplants.com

    July 16, 2011 at 12:58 pm Reply
  22. Josh

    Yeah so…it DOES hurt. i can’t even feel my jaw without being in pain…or move my tongue without hurting them…or even place my tongue properly inside my mouth…do you have any idea how annoying and tiring that is to deal with everyday? How much does it cost to have them removed? i heard it’s $1000+ for each tori removed. is this correct?

    July 7, 2011 at 9:00 pm Reply
  23. RJ

    Wow –awesome –I didnt even know those could be removed!

    November 22, 2010 at 10:29 pm Reply

Write a Comment

Monica D.
Monica D.
December 29, 2020.
There aren't enough words (and I have a lot of words) to tell you how grateful I am to have found Dr. Ramsey Amin and his wonderful staff. I had an enormous amount of bone loss and I was hopeless after being treated by a different doctor for two years. I had multiple procedures such as gum graft, extractions, and a sinus lift. After all of that, the doctor released me and told me he could not help me any longer. He sent me to a large teaching hospital - who also had no idea how to help me. I was terrified and embarrassed. I had been missing teeth due to those procedures since 2017. That sent me out on a journey of meeting with no less than five different dentist/oral surgeons. Most of them shamed me for the bone loss and wondered what I had done to cause this. In reality, I had done nothing. The bone loss is my body's immune system fighting me, as well as hereditary traits. In fact not only was I having difficulty being able to have implants, I also had so much bone loss that I was also not a candidate for dentures. I researched "what to do when you have bone loss and can't get implants" and I found Dr. Amin's website. Then I researched him, read his reviews, watched every one of his You Tube videos. I called and got an appointment, and kept going to consultations with other providers. I had long since stopped smiling and being social. Missing teeth and the shaming was affecting my life so adversely. When I met with Dr. Amin for my consultation he was ready. He had all of my records and had already reviewed my scans. But more than that, he genuinely wanted to get to know about my life. He was/is authentic, kind and extremely professional with so much success and experience in difficult cases like mine. He worked up a treatment plan & I came back two weeks later to discuss my options...and the journey began. I have had three procedures under IV sedation, no pain, no narcotics needed for aftercare. Dr. Amin is a consumate, experienced oral surgeon who cares about your health & understands your fears. He communicates every step of the way and will provide you with all the information you need to make a decision to improve your health. I am still working toward my end goal, and we had to zig from traditional implants and zag to zygomatic implants instead...which is the reason I chose him in the first place. If there was nothing else that could be done to get me healthy & smiling again, I knew he would have that option to help me. And of course 2020, the year of CV-19. Don't worry, Dr. Amin & his staff follow all health & safety protocols. This review is long, because it is important you know my journey, so you might understand how fortunate I feel to be healing. I'm torn, because this place is like a great restaurant, I want to shout from the rooftops how great it is, how great he is. And at the same time, I want to keep this all to myself. I come 75 miles each way to see him. I know people travel from all over the world for his expertise. Do yourself a favor, have a consultation. You won't regret it. Dr. Amin is amazing and so is his staff.
Jennifer B.
Jennifer B.
December 18, 2020.
I cannot speak highly enough of Dr. Amin and his professional staff. I have to start off and say that I am absolutely TERRIFIED of the dentist due to several past experiences. I found myself putting this off for YEARS until I was referred over to Dr. Amin. I was petrified on my first visit... but he along with his WONDERFUL staff made me feel so calm and at ease. I had quite a bit of work that needed to be done, but we found the perfect plan that worked out for me, and I couldn't be happier. Words cannot express my gratitude to each and every staff member that made me feel safe and comfortable. Dr. Amin was always so attentive in asking if I was ever in pain... and I never was. These are truly remarkable individuals, and I'm so lucky to have a dentist that I can trust. I ABSOLUTELY LOVE each and every one of you! Thank you,
D M.
D M.
December 17, 2020.
I cannot say enough positive things about Dr. Amin and his staff. I originally found them on Yelp about two years ago. I needed an implant, front tooth of all places, and was extremely nervous not only about surgery but about how it would turn out. Let me just say I just adore the staff. Everyone is crazy friendly and the whole office has a very positive vibe. The staff is adorable and always has me smiling by the time I leave. They are all thorough and on-point about what they do, and I truly appreciate it. They are quick to respond to my emails no matter the question, and their appointment reminders are great too. Dr. Amin is very thorough and reassuring, and answered any questions my husband or I had. My regular dentist had questions about the procedure and Dr. Amin's office even reached out to them at my request (my dentist said they never received a call, but Dr. Amin's staff had date, time and notes - love the thoroughness!). After surgery the Dr. called to leave me a message about how it went. Very minimal pain during healing, never any pain during any visits. It took a few tries to get everything just right for the permanent crown (color, etc), but the end result is beyond fantastic! At one point during healing I thought I was experiencing some looseness or wiggling but unfortunately couldn't make it to the office. When I was finally able to make it in the Dr. was so relieved, bless his heart. Luckily it was just a false alarm and everything checked out ok. They're a bit further out from me, but I wanted the best. I sure found it! I wish they were my regular dentist, and I'm looking forward to seeing them again for my check-up which was delayed due to COVID.
Melissa E.
Melissa E.
December 9, 2020.
I found Dr. Amin a few years back after I hadn't been to a dentist in a decade. Many traumatic dental experiences in childhood have made me so phobic that even getting a cleaning was a knee-knocking, heart-pounding trial. But finally I couldn't put off some things any longer. During my first anesthesia session, Dr. Amin replaced five old metal fillings, and during the second he did three more plus a crown. I was completely comfortable, and never felt a thing. Because they were extra-long sessions, I did sleep for about 12 hours after, but the next day I felt just fine. This past week, my back top tooth cracked in half and fell out of my mouth, and a couple days later the crown on the remainder of the tooth fell out too! Despite being nervous about Covid 19, I had to get it taken care of, so I called and quizzed the staff about precautions, which turned out to be even above and beyond what I would have expected. So yesterday I went for the tooth extraction and plug. After they put on the blood pressure cuff and put in the IV, I gradually got a little tired and closed my eyes. I sat there for about 10 minutes and thought Gee, I wonder if they're going to get started any time soon, and a minute later Dr. Amin said "Wake up, you're all done!" That was a short session, and I didn't have the kind of fatigue I did my first time. I stayed up most of the evening. Today, everything is good! I'm taking my antibiotic and eating soft foods, and there is surprisingly little pain now that the numbness has worn off. The tooth site and my cheek are a little sore, and the corner of my mouth, and I have a very slight headache, but nothing to any great level--I'm not even taking the acetaminophen. I feel good, and wide awake. Thanks to everyone at the office for a comfortable and professional job! I really REALLY appreciate you for giving me painless dental experiences!
Tanya S.
Tanya S.
December 3, 2020.
What can I say about Dr. Amin he is the best! I'm so grateful for him. He has literally changed my life and given me the confidence to smile more. I had major restorative dental work done and everything went smoothly. Dr. Amin is very compassionate and he really cares about his patients he made me feel comfortable and cared for. He is very knowledgeable and has a great sense of humor. His office is very clean and they take the patients health and safety very serious. His staff is also amazing they made me feel very welcomed and important. I'm so happy I did my research and found Dr. Amin.  Thank you Dr. Amin and team.
Sheila S.
Sheila S.
November 6, 2020.
Two implants done! Finished all procedures and I couldn't be happier. It's the first time in years I looked forward to going to the dentist. Even during Covid life the staff and Dr. Amin took care of me. There is a possibility I may move to Long Beach but I would still travel to keep Dr. Amin as my dentist.
Allison S.
Allison S.
November 4, 2020.
I could not ask for a more caring, exceptionally knowledgeable dental care provider. He's not just a dentist, but someone who looks after your immediate dental needs and helps you plan and prepare for the future.
Julia R.
Julia R.
October 8, 2020.
I've been going to Dr. Amin since I turned 16 and have been going since. Before going to Dr. Amin's dental office, I had 4 crowns that I was not happy with and dealt with it until finally I asked Dr. Amin and because I  feel comfortable and because I trust him with his work I recently had my crowns fixed and worked on by  Dr. Amin and have never loved my smile the way I do now, I can actually enjoy my pictures, I can enjoy my smile from either angle and that really mattered to me. Thank you so much Dr. Amin still and will be in love with MY smile
Aaron D.
Aaron D.
October 6, 2020.
I've been coming to Dr. Ramsey for about five years and I have to say, he is by far the best dentist I've had - ever. The staff is professional and kind, the office is exceptionally well maintained, and Dr. Ramsey is careful and extremely knowledgeable about current developments and research in dentistry. I recently had a dental implant which was a long process but well worth it. I required a sinus lift as well as a bone graft. The surgery went off without a hitch, I was comfortable and the healing process was quick and without complication. Highly recommend!!
Flo O.
Flo O.
September 21, 2020.
This is my 1st review of Dr. Amin, and in my over 17 years of being with him, my experiences with Dr. Amin and his staff have always been positive.  I don't recall a bad experience with the several implant procedures i have had.  They run an efficient office.  I like that they are proactive and reach out to their patients to remind us of routine care needed.  Dr. Amin's bedside care is impeccable.  They are also technologically up to date in terms of sending out texts as reminders, ability to incorporate any appointment into your mobile phone.  That is certainly a plus.  Keep up the great care!!!