Which management is recommended for torus palatinus if it is symptomatic or problematic?

• A. Observation
• B. Refer to maxillofacial surgeon for surgery if problematic
• C. Antibiotics
• D. Radiation therapy

Answer: (B)

When a torus palatinus causes symptoms or interferes with function or prosthetics, the appropriate management is surgical removal performed by a maxillofacial surgeon. This benign midline palatal bony growth is usually left alone if it’s asymptomatic, but issues like interference with denture fitting, chronic irritation or ulceration of the mucosa, pain, trauma, or esthetic concerns warrant excision. The procedure involves removing the bony prominence and smoothing the area, with generally straightforward recovery and a low chance of recurrence. Antibiotics aren’t a solution for a bony growth unless there’s an unrelated infection, and radiation therapy has no role here. Observation remains acceptable only when there are no symptoms.