What is the most appropriate first step in treating lingual tori before denture placement?

The most appropriate first step in treating lingual tori before placing dentures is surgical excision. Lingual tori are bony growths that can interfere with the retention and comfort of dentures. They may need to be surgically removed to create adequate space and ensure that the dentures fit properly and comfortably in the patient's mouth.

When considering denture placement, it's important to have a clean and accommodating oral environment. If the tori are significant enough to pose a problem, excising them surgically will help prevent potential irritation or discomfort that could arise when the dentures are placed. This proactive step addresses the anatomical barriers to successful denture fitting before proceeding with further treatment.

Prescribing analgesics might be a part of the management plan after the tori are addressed, but it does not resolve the underlying issue. Conducting a thorough evaluation is always important in treatment planning, yet if the presence of lingual tori is already confirmed and they are significant, it does not bypass the need for surgical removal. Adjusting existing dentures may be relevant if the dentures have already been fabricated, but if tori are present prior to denture placement, they should be removed to ensure proper fitting and function.