Received the SINCERITY and LOYALTY award offerd by Sree balaji medical college hospital for the continuous service of 11 years
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Sialolithiasis is the formation or presence of a calculus inside the duct or parenchyma of salivary gland. The predisposing factors to calculus formation are salivary stagnation, trauma to salivary gland or duct, increased alkalinity of saliva, infection or inflammation of the salivary gland or duct.1 It is more common in submandibular gland as it’s saliva is more alkaline with increased concentration of calcium and phosphate and the mucous content is higher than the saliva of parotid and sublingual glands. Sialolithiasis more commonly affects the adults of age group 30 to 60 years with male predilection. However study has been published that children of 3 weeks to 15 years of age were also affected.2 The complete obstruction to the flow of saliva secreted by the stimuli of food or infection of the gland causes pain and swelling of the involved gland.3 Case Report: A Female patient aged 37 years came to our clinic with a chief complaint of tooth ache in the right side of the lower jaw and swelling in the left side of the lower jaw and had difficulty and pain in turning the neck for the past 3 days . On inspection a diffuse swelling was present below the angle of mandible on the left side. The skin over the swelling is normal and pinchable and no sinus opening were present. On palpation the swelling is soft and tender. Intraoral examination reveals a decay tooth 48(right mandibular third molar),no decay tooth on left side no gingival and periodontal disease, dryness of mouth. She had no history of fever in recent times or trauma .No similar episode occurred earlier. She gave us a clue of frequent, self reducing, painless swelling which occurred 3 months back in the same place after having food. We advised the patient to have an OPG. OPG reveals the presence of a radiopaque mass near the lower border of the left angle of the mandible, decayed right mandibular third molar involving the pulp. CT revels presence of a calculus measuring 6.00mmx3.00mm in the left submandibular duct. The left submandiular gland appeared atrophied with fatty infiltration.
Dr. Manikandan S practises at Punnagai Dental Clinic Maraimalai Nagar
Dr. Manikandan S practises at Punnagai Dental Clinic Mahindra World City