Oral Surgery/Splint


QUESTION: Hello doc
What is the purpose of the splint after mandibular torectomy?
What are the nerves involved in torus mandibularis?
Thank you

ANSWER: Jessica -  The only purpose of a splint after the removal of the torus would be to prevent a collection of blood below the tissues that were sutures.  This is a rare occurrence, but if the doctor believes that the bleeding might be excessive, he might make a splint.

There are no nerves directly involved in the mandibular torus area.  The only close by nerve is the lingual nerve going to the tongue.

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QUESTION: When performig torus removal is lingual nerve and inferior alveolar nerve block necessary?
Or is it ok if only local infiltration is to be used?  Btw, the torus is really huge. It is a  nodular type and bilateral
Thank you very much doc

Jessica-unfortunately, infiltration will not fully numb bone.  Yes the surface might be affected, but the medullary bone, below the dense surface, will not be numb.  The torus is not just superficial.  The removal penetrates the medullary bone and the sensations will be felt with pain.

So infiltration will not be adequate and only inferior alveolar and lingual block will make the area of surgery numb.

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Joel S. Teig, DMD, Diplomate ABOMS, retired


I am a board certified oral and maxillofacial surgeon available to answer questions related to tooth extractions, implant insertion, facial recontruction, facial and oral tumor removal, TMJ dysfunction and various successful treatments, including surgery if all else fails, and occlusal discrepancy requiring orthognathic or jaw surgery.


Board Certified Oral and Maxillofacial Surgeon practicing for over 20 years. Assistant Clincal Professor at State University School of Dentistry.

American Dental Association, American Association of Oral and Maxillofacial Surgeons, American Board of Oral and Maxillofacial Surgeons

BA- University of Connecticut DMD-University of Pennsylvania School of Dental Medicine Oral and Maxillofacial Surgical Residency - Roosevelt Hospital, NYC

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