Akademik Veri Yönetim Sistemi
Clinical Dentistry and Research, cilt.47, sa.1, ss.38-41, 2023 (Hakemli Dergi)
Background and Aim:
Calcified structures formed as a result of obstruction of the salivary gland parenchyma or duct with calcium salts are called sialolith. Although the pathogenesis is still unknown, it is thought to occur with the formation of a nidus in the duct or the gland dealing with an anomaly in calcium metabolism. Sialoliths are mostly seen in male than female (2:1) and they are detected in the submandibular salivary glands approximately 85% of all cases. Generally, surgical removal of the sialolith is the most preferred treatment approach. In this case report, surgical treatment and follow-up of 2 sialoliths seen in Wharton's canal are presented.
Materials and Methods:
Eighteen-year-old and 35-year-old and male patients were admitted to Hacettepe University Faculty of Dentistry, Department of Oral and Maxillofacial Surgery due to asymptomatic swelling in the submandibular region. Both of sialoliths were detached with radiological examination and surgical removal was performed.
Results:
The sialoliths size were 13x6x5mm and 11x18x5 mm. Follow up period no problems were encountered in the salivary flow, no recurrence was noted, and healing was uneventful.
Conclusion:
Sialoliths are entities that constitute a large part of obstructive salivary gland diseases, and their pathogenesis is still unknown. However, as a result of long-term obstruction of the salivary gland ducts, gland infection and even total excision may be required. A good intraoral examination should be performed during routine clinical examinations and additional imaging modalities should be sought if a sialolith is suspected.