A recent study at the Department of Orthodontics at Umea University in Sweden revealed that mandibular tori size is related to sleep apnea and treatment success with an oral appliance. In addition, a study conducted by the Missouri School of Dentistry and Oral Health concluded that the reduction or removal of mandibular tori can result in better management of patients with sleep apnea. Similar to enlarged tonsils or adenoids, a large tongue, or an enlarged uvula, large mandibular tori can contribute to breathing obstructions, making one more susceptible to snoring and sleep apnea. That’s why a surgical correction should be done prior to oral appliance or CPAP machine therapy. While tori reduction is not a cure to sleep apnea by itself, the procedure may increase the success of these other treatments.
In mandibular tori reduction surgery, the surgeon exposes the bone by making a small incision in the gums overlying the tori, and gently shaves the bone to remove it. Once the surgeon confirms that the bone contour is smooth and the tori have been removed, the gums are stitched back together. At NYC SleepWell, this surgery is typically performed in the office in less than one hour. Recovery time for mandibular tori reduction is generally one to two days. There will be some swelling, but the pain can usually be reduced with over the counter medication. We also recommend gentle warm salt water rinses, and a temporary diet of soft foods.
Led by Dr. Ruben Cohen, a Board Certified Oral and Maxillofacial Surgeon, our skilled team of sleep specialists, ENT surgeons, dentists and anaesthesiologists have extensive experience in mandibular tori reduction — in addition to other in-office procedures and surgical treatments for a wide array of conditions related to sleep apnea. For your added peace-of-mind, our facility is accredited by the American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF), the Gold Standard in Accreditation. Our goal at NYC SleepWell, plain and simple, is to help you sleep well – and be healthy!