How should a patient with large lingual/mandibular tori who requires a denture be treated?

In the case of a patient with large lingual or mandibular tori who requires a denture, surgical removal of the tori is often the most appropriate approach. The presence of significant tori can interfere with the fit and function of the denture. If left intact or if the denture is fitted over the tori, it can lead to discomfort, instability of the denture, potential ulceration, and irritation of the soft tissues.

Removing the tori creates a more favorable anatomy for denture placement. This ensures that the denture base can sit properly and securely on the alveolar ridge, enhances the stability of the denture, and minimizes the risk of complications related to irritation or sore spots. After surgical removal, the tissues can heal, allowing for an optimal denture fit that can be adjusted as needed for comfort and functionality.

Other options, such as leaving the tori intact or fitting the denture over them, may provide immediate solutions but can lead to long-term complications and discomfort. While using a soft liner might provide temporary relief, it does not address the underlying issue of the tori affecting the denture's fit, hence surgical removal is considered the most definitive treatment for ensuring successful denture function.