Oral Biol Res.  2019 Dec;43(4):340-348. 10.21851/obr.43.04.201912.340.

Sialolithiasis in children: Three case reports

Affiliations
  • 1Department of Pediatric Dentistry, School of Dentistry, Chosun University, Gwangju, Republic of Korea. mdenti@chosun.ac.kr
  • 2Oral Biology Research Institute, Chosun University, Gwangju, Republic of Korea.

Abstract

Sialolithiasis is a disease in which calcified substances accumulate in the ducts or parenchyma of the salivary glands. This disease can occur in people of any age, but it is predominantly seen in middle-aged adults and is rare in children. Owing to their anatomical and physiological characteristics, sialoliths commonly begin to form in the submandibular gland. The main symptoms of sialolithiasis are pain and swelling. Asymptomatic cases have also been reported. Clinical examinations and radiological examinations are used to diagnose sialolithiasis. Moreover, therapeutic methods comprise conservative treatments to promote salivation, surgical removal, and extracorporeal shockwave lithotripsy. Further, three pediatric patients visited the Department of Pediatric Dentistry, Chosun University Dental Hospital owing to sialolithiasis. All patients were asymptomatic, and clinical examination revealed a yellowish substance located near the Wharton's duct in the oral cavity in each case. The sialoliths were removed by transoral sialolithotomy under local anesthesia.

Keyword

Children; Salivary duct; Sialolithiasis; Submandibular gland

MeSH Terms

Adult
Anesthesia, Local
Child*
Humans
Lithotripsy
Mouth
Pediatric Dentistry
Salivary Ducts
Salivary Gland Calculi*
Salivary Glands
Salivation
Submandibular Gland
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