Mandibular tori interfering with the mobility of the lingual frenulum: a short case report

Casenave, Théo; Raynaud, Natacha; Muret, Marjorie; Torres, J.

doi:10.1051/mbcb/2020043

Cited by 2 publications

(4 citation statements)

References 5 publications

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“…(Springer, 1954) Since then, there were only two cases relating the interference of the tongue movement and its structures by mandibular tori. (Casenave et al, 2021;Shimahara et al, 2007) Both cases did not report which speech impairment complaint the patient had. In the present case, the patient reported difficulties to pronounce words containing the letters R, L, T, D, Z, S and N. Thus, multidisciplinary evaluation is needed for a better treatment of choice.…”

Section: Discussionmentioning

confidence: 99%

“…(Faria et al, 2019;Suzart & Carvalho, 2016;Walsh & McKenna Benoit, 2019) Given the lesion features of the case presented, greater the size of the lesion, the greater the chance of harming the positioning of the tongue and the lingual frenulum. (Auškalnis et al, 2015;Casenave et al, 2021;Mourão et al, 2019;Springer, 1954) The frenulum fold the floor of the mouth and the tongue, the lingual praxis depends on its complete function. When there is something preventing its complete functioning, problems arise in the articulatory movements of the tongue and, consequently, speech problems interfere with the quality of life.…”

Section: Discussionmentioning

confidence: 99%

“…The treatment of choice was the use of metronidazole paste and laser therapy, which show significant progress. (Casenave et al, 2021;Consolaro et al, 2019)…”

Section: Discussionmentioning

confidence: 99%

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Exeresis of bilateral mandibular torus due to speech impairment – case report

Rios

Momesso

Araújo

et al. 2021

RSD

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Mandibular torus is a slow-growing bone exostosis with well-defined borders, usually oval and bilateral in shape. Diagnosis is made through clinical and radiographic findings. Surgical removal is necessary when there is a prosthetic indication, recurrent trauma, and in rare cases, due to phonetic disorders. The interference in speech caused by the torus, is due to its size and location, which interferes with the usual positioning of the tongue, changing the articulation points, and thus making pronunciation difficult. Therefore, the aim of this study is to report a clinical case of excision of a bilateral mandibular torus due to speech impairment. A 47-year-old male patient sought dental care complaining of bone growth in the mandible. The clinical examination showed a bilateral increase in the lingual region of the mandible, which was unilobular on the right side and trilobular on the left side, measuring approximately 20x20mm. The patient underwent a surgical procedure to remove the torus under local anesthesia. In the 7-day postoperative period, suture dehiscence was observed, as well as traumatic ulcers and pain complaints. The patient reported that he did not pay attention to postoperative care. As a method of treatment of suture dehiscence, a metronidazole paste was used, as well as a laser therapy protocol, ensuring soft tissue healing. After complete healing, in the clinical evaluation, the patient did not present difficulties in pronunciation. Therefore, it is concluded that, although uncommon, the torus, due to its growth, can interfere with the positioning of the tongue and, consequently, with phonetics, which is a plausible indication for the surgical procedure. Once, the normal bony contours of the mandible are re-established, as well as repositioning and lingual function.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Exeresis of bilateral mandibular torus due to speech impairment – case report

Rios

Momesso

Araújo

et al. 2021

RSD

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“…However, in recent years, several reports have advocated that OPTPs may not deliver all anticipated effects and could be harmful. The pros and cons of using OPTPs remain to be debated [ 2 , 4 , 5 ]. During general anesthesia, a comparative study between a group using OPTPs and a group abstaining from OPTPs reported a higher incidence and severity of sore throat in the group using OPTPs, although there are probably differences due to OPTPs insertion time and insertion method [ 2 , 9 ].…”

Section: Discussionmentioning

confidence: 99%

Survey on the Awareness of the Use of Oropharyngeal Throat Packs in Dental Anesthesia: An International Online Survey

Yamaguchi,

Tsukimoto,

Kuroda

et al. 2024

Cureus

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Introduction: Oropharyngeal throat packs (OPTPs) are frequently used to administer general anesthesia during oral surgery and dental procedures. However, the use of OPTPs has remained controversial, with concerns about their effectiveness, the potential for falling short of expectations, and the inherent risk of serious oversight in removing them. This study aimed to assess the awareness of dental anesthesiologists in the United States of America (USA) and Japan regarding the use of OPTPs. Methods: An online questionnaire was distributed to 41 dental anesthesia education facilities in May 2023 and responses were obtained from 32 facilities. Results: The responses to the questionnaire indicated that dental anesthesiologists in both the USA and Japan believe that using OPTPs during general anesthesia with airway securement is of significant importance, albeit with varying primary purposes for their application. In contrast, notable disparities were observed between the USA and Japan regarding the perceived importance and routine use of OPTPs during open-airway general anesthesia. In both countries, there is a common understanding that the residual risks of OPTPs are severe and that multiple preventive procedures are required. Conclusions: The present study showed that dental anesthesiologists in the USA and Japan believed that the use of OPTPs was generally necessary for dental anesthesia. However, there was a difference in awareness between Japan and the USA regarding the importance of OPTPs for open-airway general anesthesia. Therefore, there should be a consensus among dental anesthesiologists in Japan and the USA on using OPTPs during open-airway general anesthesia in the near future.

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Mandibular tori interfering with the mobility of the lingual frenulum: a short case report

Cited by 2 publications

References 5 publications

Exeresis of bilateral mandibular torus due to speech impairment – case report

Exeresis of bilateral mandibular torus due to speech impairment – case report

Survey on the Awareness of the Use of Oropharyngeal Throat Packs in Dental Anesthesia: An International Online Survey

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