Majalah Kedokteran Gigi Indonesia
Vol 12, No 1 (2026): April

Torus palatinus: management of symptomatic benign bone tumor on the palate

Ibnu Rusdiarto (Oral and Maxillofacial Surgery Specialty Program, Faculty of Dentistry, Universitas Gadjah Mada, Yogyakarta, Indonesia)
Didit Istadi (Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Universitas Gadjah Mada, Yogyakarta, Indonesia)
Maria Goreti Widiastuti (Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Universitas Gadjah Mada, Yogyakarta, Indonesia)
Erdananda Haryosuwandito (Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Universitas Gadjah Mada, Yogyakarta, Indonesia)



Article Info

Publish Date
30 Apr 2026

Abstract

Torus palatinus are benign bone tumors which occur alongside the midline of the hard palate. They have a slow and progressive growth. They are often asymptomatic, but occasionally cause pain and discomfort due to their size and the sensitivity of their covering mucosa. This article aimed to report the management of symptomatic torus palatinus. A 46-year-old female patient complained about discomfort and pain on her palate when touched by her tongue or consuming hard foods. The patient reported that the mass appeared since she was a kid, but lately, the mass became larger and caused the complaints. Clinical examination showed a mass which measured about 5x3x1cm on the middle of her palate; had well-defined borders, the same color and temperature as the surrounding tissues, a hard consistency, no tendency to bleed, and pain in palpation. Radiological findings (head MSCT) showed tendency to be torus palatinus. Surgical excision was performed with general anesthesia. The double Y incision was performed. The cleavage of the bony torus was performed using low-speed burs followed by saline irrigation, then cut using chisel and mallet. After the mass was removed, a simple interrupted suture was performed alongside the line of incision. No complaints and complications were reported in the following month. The healing process progressed well. Histopathological examination confirmed the mass was torus palatinus without signs of malignancy. This case describes the surgical excision of torus palatinus that caused discomfort and irritation on its covering mucosa which has a good prognosis to eliminate patient complaints.

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