TITLE:
An Unusual Case of Submandibular Sialolithiasis in Early Childhood: A Case Report
AUTHORS:
Nilton M. Alves, Louise C. Veiga, Elisa M. R. B. Coelho, Paulo F. Kramer, Priscila H. Rodrigues, João B. B. Weber
KEYWORDS:
Pediatric Dentistry, Sialolithiasis, Biopsy, Salivary Gland Calculi
JOURNAL NAME:
Open Journal of Stomatology,
Vol.12 No.12,
December
15,
2022
ABSTRACT: Sialolithiasis is the most common condition of the salivary glands and it is characterized by the development of a calcified structure within a salivary duct. This condition can lead to inflammation, bacterial infection, and abscess. The different forms of management range from the direct massage of the duct to the complete removal of the gland. This report describes an unusual case of submandibular sialolithiasis in a four-year-old girl. The main complaints were pain when eating and swelling in the floor of the mouth. The diagnosis was sialolithiasis in the duct of the submandibular gland. Since the salivary stone was palpable and located in the anterior portion of the duct, a minimally invasive procedure was planned. An excisional biopsy was performed and a unilateral salivary stone was removed. The histopathological analysis confirmed the diagnosis. Although rare in children, understanding the diagnostic process and the different treatment modalities leads to a favorable prognosis.