Resumo

BUCH, B; MACHAKA, M  e  MABONGO, M. Submandibular calcification: A report on two cases and a review. S. Afr. dent. j. [online]. 2016, vol.71, n.9, pp.415-417. ISSN 0375-1562.

Two cases of sialoliths. a.) A 32 year-old female, referred to the Wits Oral Health Centre by a private periodontist who suspected a stone in the submandibular duct. The patient experienced a sharp stabbing pain beneath the right side of her chin, exacerbated on eating. Intraoral palpation of the duct revealed nothing. Panoramic and scanning radiography confirmed a small radiopaque sialolith near the angle of the mandible, measuring 6.43mm in diameter. Sialography determined it was wedged within the genu of the duct. Surgical access was difficult, possibly leading to removal of the entire gland. As the pain had subsided, the patient will be monitored over the following few months. b.) A fifty two year-old male patient with a three year history of pain and swelling on the right side of his face. Previous medical consultations failed to diagnose the cause. Intraorally a creamy-white, bony-hard lesion was visible, perforating through the sublingual mucosa. Various radiographs confirmed the presence of a giant sialolith, measured on cone-beam scan at 25 x 26mm. Excisional biopsy easily shelled out the stone The resultant cavity was marsupialized and the defect sutured. Possible causes of Sialolithiasis, the various imaging modalities and alternative treatment options are discussed.

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