Journal of the Korean Academy of Pediatric Dentistry 2009;36(1):114-118.
Published online February 28, 2009.
SIALOLITHIASIS ON THE MOUTH FLOOR IN A CHILD
Hyo-Seol Lee, Byung-Jai Choi, Hyung-Jun HChoi, Seong-Oh Kim,, Heung-Kyu Son, Je Seon Song, Jae-Ho Lee
Department of Pediatric Dentistry, College of Dentistry and Oral Science Research center Yonsei University 
Received: 12 August 2008   • Accepted: 25 December 2008
Abstract
Sialolithiasis is the formation of calcific concretions within the ductal system of major or minor salivary glands. The submandibular gland is most involved because of its high viscosity of the saliva and the long, curved duct. It may occur at any age but, it is most common in middle-aged adults and rare in childhood. Clinical symptoms in sialolithiasis are variable but, swelling is the most common, followed by the pain. Clinical examination and radiographic examination(panoramic and mandibular occlusal radiographs, sialography, intraoral-, extraoral- ultrasound, CT scan, MRI and sialoendoscopy) can help to confirm a diagnosis and localize a stone. The treatment is surgical intervention, either removal of the sialolith or sialoadenectomy. However, non-invasive techniques including shock-wave lithotripsy, CO2 laser and endoscopic treatment used in selected cases. A 5-Year-old girl referred from private practice for evaluation of a yellowish mass on the floor of the mouth. She complained that it had became three times bigger than four months ago when it was found for the first time and she had some pain on submandibular gland area occasionally. On physical examination, a firm and yellowish mass could be seen at the orifice of the submandibular duct. Diagnosis is the submandibular sialolithiasis in the anterior Wharton`s duct. Under local anesthesia, stone was removed.
Key Words: Sialolithiasis, Child, Submandibular gland duct


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