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Three-dimensional evaluation of a giant torus in the maxilla and mandible that affected pronunciation: a case report
Jun Sasaki1, Kenta Suzuki1, Sho Kashihara1
1Department of Maxillofacial Surgery, Okazaki City Hospital, Aichi, Japan (Chief: Dr Terumi SAITO).
Introduction And Importance:
Tori in the maxilla and mandible are often clinically asymptomatic, but can often lead to issues such as obstruction of denture attachment and dysarthria. The authors describe a case involving a substantial torus in the maxilla and mandible that significantly affected speech articulation.
Case Presentation:
A 72-year-old woman presented with a pronounced torus in the maxilla and mandible. Surgical resection of the lesion resulted in improved tongue movement. Through both pre and postoperative assessments, the authors evaluated pronunciation, generated a three-dimensional (3D) computed tomography (CT)-based image, and quantified the extent of bone removal. A 6-month follow-up demonstrated no recurrence of the condition.
Clinical Discussion:
Surgical intervention leads to improvements in soft palate sounds. The surgical intervention proved effective in ameliorating speech articulation difficulties, and the application of 3D-CT image construction was valuable.
Conclusion:
To summarize, the authors successfully managed and treated a giant torus in the maxilla and mandible, a condition scarcely been reported in the literature. This report is the first to detail the application of 3D analysis for the evaluation a torus.
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