Torus palatinus is a common benign osseous exostosis that arises from the midline of the hard palate. Although typically asymptomatic, this anatomical variation may necessitate intervention when it interferes with prosthetic rehabilitation, causes speech impairment, or results in chronic mucosal trauma. Contemporary diagnostic modalities include clinical examination supplemented with advanced imaging techniques. Management strategies encompass conservative observation for asymptomatic cases and surgical excision using traditional instrumentation, laser technology, or piezoelectric devices. Understanding the epidemiological patterns, etiological factors, diagnostic protocols, and therapeutic options enables clinicians to provide evidence-based care for patients presenting with oral exostosis.