Nurse’s Notes: Plan of Care for Mandibular Tori

Posted: September 18, 2018 in Nurse

Mandibular Tori

It was a fine day in our departmment when a middle- aged female patient of Arabian descent came in. She conplained of a growing hard mass in the left side of her mandible, near her premolars and under her tongue. Upon examination of the surgeon, it was seen to be lingually placed and measures to about 1.5cm to 2cm in diameter. The surgeon informed the patient that she has a mandibular tori.

What is mandibular tori? Is it considered cancer? What is the management of mandibular tori?

Mandibilar Tori or Torus Mandibularis

Mandibular tori is a bony growth in the mandible found usually near the premolar area. Females, mostly Asians, and who are in their early adult life are more likely to exhibit signs of torus mandibularis than males.

Several factors such as stress and other underlying disease or conditions such as bruxism or thise with un- aligned jaw can contribute to the appearance of mandibular tori. Genetics is not commonly associated with mandibular tori. Surgeons consider mandibular tori as either benign or malignant overgrowth of bone in the mandible. Size of mandibular tori can reach to bigger diameters over a period of time, which can bring discomfort to patient.

There is no treatment necessary for mandibular tori. Surgery (reduction of bone growth in the mandible) is done when the condition hampers the patient’s oral function. But there is a possibility of recurrence with mandibular tori.

Nursing Management for Mandibular Tori

  • Assess the patient’s vital signs.
  • Obtain previous medical history such as prior oral infection.
  • Ensure patient is in calm mood when surgeon is explaining the condition.
  • Properly endorse patient to radiology and laboratory department for CT Scan and pre- op blood tests.
  • Prepare patient for possible surgery by ensuring stable vital signs, NPO status, and normal blood test results.
  • Administer intravenous solutions and medications as ordered.
  • During surgery, maintain sterility and monitor vital signs and bleeding to avoid untoward complications.
  • Give post- operative care such as monitoring of vital signs and bleeding.

And that’s it for mandibular tori, people. I’ll try to post often.

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