What Causes Mandibular Tori and How to Manage Them
Each mouth is unique. The size and the shape of your mouth, the number of teeth you have, the alignment of your teeth and any dental health issues all differ from one person to the next. Most of these differences are no cause for concern, whereas others may require a visit to the dentist and even medical attention. Visiting your dentist on a regular basis is essential to determine which features are normal versus those that could be classified as an abnormality.
Tori are one of these concerns. They can be found in the roof of your mouth or on the bottom of your mouth, under your tongue, and what causes mandibular tori differs from patient to patient. Tori are non-cancerous bony growths which some studies suggest may affect up to 40% of the population, and they typically do not cause any issues.
A Closer Look at Mandibular Tori
Mandibular tori are more common than palatal tori, which are found on the roof of your mouth. Older patients are more likely to present with tori, some patients may have both types, and they typically differ in size and position from patient to patient. Some tori are the size of teeth whilst others can extend from one side of your mouth to the other. Smaller mandibular tori are often unnoticeable and you may not even know that you have any until your dentist carries out an examination of your mouth. Larger tori can be felt in the mouth and may be problematic.
They can present as a ridge-like growth adjacent to your teeth or as a lump inside of your mouth. Most tori do not cause any pain; however, if they are larger or in a certain position it may be uncomfortable to bite and chew certain foods and there may be a greater chance of mouth injury.
Another potential problem caused by mandibular tori are dental hygiene issues. There is a greater chance of food particles and bacteria becoming lodged around or between the tori and your teeth, potentially resulting in tooth decay and gum disease.
What Causes Mandibular Tori?
Genetics
There has been much research into what causes mandibular tori. Studies suggest that one of the causes of mandibular tori is genetic predisposition and influence, meaning that they may be hereditary. Unfortunately this is unavoidable. In most cases the tori will be asymptomatic and not require any further treatment; however, regular checkups with your dentist are needed to prevent other related complications.
Bruxism
Certain factors such as bruxism can also be what causes mandibular tori. Bruxism, also known as teeth grinding, is common in children although it usually disappears in adulthood. If it is severe and left untreated it can lead to a range of dental health complications. Studies show that continuous grinding or clenching of the teeth puts stress on the jawbone, potentially stimulating the growth of excess bone tissue. This presents in the form of tori in the mouth.
Crooked Teeth
In certain patients, misalignment issues with the teeth could be what causes mandibular tori. Many people suffer with crooked, protruding or overlapping teeth, where positioning causes stress and tension on the jawbone. This then causes mandibular tori or abnormal bony growths to develop in an effort to support the different positions of the teeth. Undergoing orthodontic treatment at an early age is an effective way of preventing the formation of tori later on in life.
Vitamin Deficiencies
Many studies suggest that a vitamin deficiency may be what causes mandibular tori in some cases. Vitamin D is essential for good dental health, helping with calcium absorption to develop strong, healthy teeth. Vitamin D deficiency is common in adults, which can result in the demineralisation of the teeth. This leaves them more prone to fracture and can also cause other dental health issues such as gum disease. Vitamin D can be purchased over the counter if a deficiency is detected or if you would like to increase the levels in your body. This can help promote better dental health and reduce the chance of developing mandibular tori. Other vitamin deficiencies which may be responsible for causing mandibular tori include vitamin C and vitamin B12 – both of which are also important for healthy teeth and gums. Adding a multivitamin into your daily routine can be a good way to prevent vitamin deficiencies and enjoy better health overall.
Managing Mandibular Tori
As mentioned above, most mandibular tori are asymptomatic and you may not even notice their existence before undergoing an examination by your dentist. In rare cases where mandibular tori do cause problems in your daily life or dental health concerns such as tooth decay or gum disease, removal is possible. Speak to your dentist to find out more if you have any concerns.