1/52. Multiple sialoliths and a sialolith of unusual size in the submandibular duct: a case report. A 49-year-old man with multiple sialoliths in the submandibular duct is described. One of the sialoliths was of remarkable size. This report is of interest because of the unusual size and weight of this sialolith and because of the patient's symptoms, which were relatively mild and of short duration. ( info) |
2/52. Parotid sialolithiasis. This report documents an unusual case of buccal mucosa swelling due to a giant (25 x 13 mm), parotid duct sialolith. review of the literature disclosed that this is the largest parotid sialolith ever reported. diagnostic imaging and treatment are described. ( info) |
3/52. Sialolithiasis: the radiolucent ones. Radiolucent calculi are discussed. Three cases are presented, with a sialographic interpretation of each. Recent studies show that radiolucent calculi in general and parotid gland sialolithiasis in particular occur more frequently than was previously believed. ( info) |
4/52. Complete dentures and the associated soft tissues. Some of the conditions of the soft tissues related to complete dentures encountered during a period of 25 years at a university clinic were presented and discussed from the standpoint of the clinical prosthodontist. During this time, over 1,000 denture patients were treated each year. For some conditions, a method of management was offered with treatment by sound prosthodontic principles rather than unneccessary medication. That denture fabrication involves much more than mere mechanical procedures is an understatement. Complete dentures are foreign objects in the oral cavity that are accepted and tolerated by the tissue to a degree that is surprising. As prosthodontists, we can gain satisfaction from the realization that the incidence of oral cancer due to dentures is less than extremely low. At the same time, we must be ever mindful of the statement by Sheppard and associates. "Complete dentures are not the innocuous devices we often think they are." Every dentist must remember that one of his greatest missions is to serve as a detection agency for cancer. The information discussed indicates (1) the need for careful examination of the mouth, (2) the value of a rest period of 8 hours every day for the supporting tissues, and (3) the importance of regular recall visits for denture patients. Robinson stated that while the dental laboratory technician can be trained to aid the dentist in the fabrication of prosthetic devices, his lack of knowledge of reactions and diseases of the oral tissues limits him to an auxiliary role. Complete prosthodontics is a highly specialized health service that greatly affects the health, welfare, and well-being of the patient. It can be rendered only by the true professional who is educated in the biomedical sciences. ( info) |
5/52. The role of computerized tomography in the diagnosis and therapy of parotid stones: a case report. BACKGROUND: Small, semi-calcified parotid stones are difficult to diagnose as imaging can be extremely difficult. Understanding how to diagnose parotid stones is important to dentists, however, because people with this condition develop parotid swellings and may seek routine dental care. CASE DESCRIPTION: The authors describe a classic case of parotid sialadenitis secondary to a small lucent stone in Stensen's duct. They discovered the stone only because of the keen sensitivity of computerized tomography, or CT, to minimal amounts of calcific salts. The CT scan's ability to accurately locate the stone and its position within 1 centimeter of the orifice facilitated a successful intraoral surgical approach. CLINICAL IMPLICATIONS: CT can be a significant aid in early diagnosis and therapy of patients with parotid stones, who eventually develop sialadenitis. With early intervention, further gland degeneration and parotidectomy will be prevented. ( info) |
6/52. Salivary calculus: an insight into its pathogenesis--a case report of parotid sialolith in a 9 year old child. The occurrence of sialolithiasis in children is uncommon, while parotid sialoliths are rare. A case of parotid sialolith in a 9 year old child is reported. ( info) |
7/52. A case of sialolithiasis in a young female patient. This paper describes the examination, diagnosis and treatment of a swelling that appeared in the floor of the mouth of a healthy 15-year-old girl. A sialith (stone) is not the first thing one considers when dealing with oral swellings in childhood but it does occur. Theories for its formation are described, as are the radiographic and clinical details of the case. ( info) |
8/52. Submandibular sialolithiasis: a case report. Sialolithiasis, salivary gland calculus, is a relatively uncommon condition, which may present as a painful, recurrent swelling of the affected salivary gland or duct. It can also be associated with a bacterial infection, as a result of the physical obstruction of salivary flow. This report describes the treatment of a patient with an unusually large sialolith in the submandibular duct. The patient presented with an apparent dento-alveolar abscess. ( info) |
9/52. Plunging ranula as a complication of intraoral removal of a submandibular sialolith. Mucous cysts in the submandibular region--so-called 'plunging' ranula--are relatively uncommon. We report a case of a plunging ranula that complicated excision of an intraductal sialolith of the submandibular gland. ( info) |
10/52. Salivary stone lithotripsy in the hiv patient. OBJECTIVE: To investigate the use of shock-wave lithotripsy in the treatment of salivary gland disease in hiv-positive patients. STUDY DESIGN: Four patients infected with human immunodeficiency virus with ultrasonographically confirmed sialolithiasis (three male patients, mean age 33.5 years, range 19-41 years) were treated with extracorporeal electromagnetic shock-wave lithotripsy. RESULTS: All but one of the patients were successfully treated or experienced relief, with complete stone clearance demonstrated by ultrasonography 12 months after lithotripsy. CONCLUSION: Extracorporeal shock-wave lithotripsy is a safe, effective and minimally invasive technique for the nonsurgical treatment of hiv-positive patients with sialolithiasis. ( info) |