Resolution of Peripheral Obstructive Sleep Apnea After Mandibular Torectomy

• Published in: Clinical advances in periodontics 2017-08, Vol.7 (3), p.129-135
• Main Authors: McLeod, Dwight E., Dolgov, Sergey B., Bitter, Robert N., Garcia, M. Nathalia, Binz, Elizabeth D., Omran, Mohamed T.
• Format: Article
• Language: English
• Subjects: Exostoses; mandible; sleep apnea, obstructive; tongue; upper airway resistance
• ISSN: 2573-8046; 2163-0097
• DOI: 10.1902/cap.2017.160041

Introduction: Large bilateral mandibular tori are excessive growths of bone that may hinder routine oral hygiene, normal movement of the tongue, mastication, and prosthetic dentistry procedures. Oral tissues that interfere with the passage of air in the oropharyngeal area can contribute to peripheral obstructive sleep apnea (OSA). This case report describes the resolution of a case of peripheral OSA after successful bilateral mandibular tori reduction surgery (torectomy). Case Presentation: A 57‐year‐old white male with a history of diagnosed mild OSA presented for bilateral mandibular tori reduction surgery. The tori were surgically eliminated, and the patient healed with no remarkable complications. After surgery, the patient realized that his tongue movement was no longer restricted and his OSA was improved. Resolution of his peripheral OSA was confirmed with a physician‐supervised sleep study test. Conclusions: Peripheral OSA influenced by mandibular tori may be improved with torectomy surgery. Patients undergoing sleep study tests should receive a complete oral examination to rule out contributing oral peripheral factors. Interprofessional collaboration with medical and oral healthcare providers can result in better management of some patients with OSA, thus reducing the need for continuous positive airway pressure ventilation.