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Question:
Removing bone for bottom denture: I have full upper plate, partial lower with 6 remaining teeth of my own. They are decayed and breaking and I need full lower plate.

I was told many years ago I could not wear a lower denture without breaking and removing bones inside my mouth. They are fairly close together on the inner part. They said I would have nothing to fit a plate over.

Is this still true today or have they come out with a type of lower plate I could wear? I could not handle the pain of chipping away all this bone. I have lost half a tooth my partial hooks on to. I also have breathing problems and have to be careful with any surgery. ...Visitor from FL

Answer:
It sounds like you are describing what we call a boney exostosis or mandibular tori.

The size of these tori can vary. Sometimes they are on the hard palate and if large enough would need to be removed as well. In order to wear a lower denture, the excess bone needs to be removed.

The only other way around that situation would be to have implants placed. Tori would be a good source of autogenous bone if you needed bone to augment a deficient area. My suggestion would be to consider implants if you do not want to have the tori removed.

Mitchell Pohl, DDS
Boca Raton Cosmetic Dentist
2900 N. Military Trail, Suite 105
Boca Raton Florida FL 33431
(561) 368-3440

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