PACT Spry Menu Pages
Congenital or Other Oral Findings, continued
Bony Tori (“Torus Palatinus or Mandibularis”)
Bony tori refer to benign bony overgrowth (exostosis) in the midline of the hard palate (palatinus) or the lingual aspect of the mandible (mandibularis), where they are often bilateral and symmetric. 

Bony tori do not require intervention unless the lesion becomes painful, ulcerated, or interferes with speech or eating.

Diastema refers to the space between the central incisors associated with a prominent maxillary frenum. Diastema is normal in childhood, but a diastema greater than 3 mm after eruption of the permanent upper canines (ages 10 to 13) should be evaluated for treatment.

Macroglossia refers to enlargement of the tongue. With macroglossia, airway maintenance and feeding are paramount. Involve appropriate specialists (ENT, genetics) to ensure timely evaluation and management.

Micrognathia denotes a small jaw, commonly from hypoplasia of the mandible. This can be an isolated finding or can be associated with a number of syndromes.
Hypoplasia: A condition of arrested development in which an organ or part of an organ remains below the normal size or in an immature state.

Bony tori can develop on the hard palate or the floor of the mouth.
Diastema that persist after eruption of the permanent maxillary canines should be evaluated.
The differential diagnosis of macroglossia is broad.

View the Chapter 11 Photo Gallery.