Diagnosis of salivary stones

5,162 views

Published on

0 Comments
2 Likes
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total views
5,162
On SlideShare
0
From Embeds
0
Number of Embeds
14
Actions
Shares
0
Downloads
112
Comments
0
Likes
2
Embeds 0
No embeds

No notes for slide

Diagnosis of salivary stones

  1. 1. Diagnosis of salivary stones (Salivary calculi)<br />Amin Abusallamah<br />
  2. 2. key features to diagnose <br />Adult males mainly affected<br />Usually (80%) in submandibulargland<br />Unilateral <br />Usually form by accretion of calcium salts round organic nidus.<br />
  3. 3. Cont…<br />Usually form by accretion of calcium salts round organic nidus.<br />Occasionally asymptomatic until palpable in the mouth or seen in routine radiograph<br />Do not cause dry mouth<br />Should be removed by manipulation or incision of duct<br />
  4. 4. Diagnosis <br />History <br />Clinical examination<br />X-ray examination.<br />
  5. 5. History<br />Careful history and examination are important in the diagnosis of  Salivary calculi  (in fact, in all aspects of medicine & dentistry).  <br />Pain and swelling of the concerned gland at meal-times and in response to other salivary stimuli are especially important.<br />
  6. 6. Clinical examination<br />Examination of the head and neck by the health care provider or dentist shows one or more enlarged, tender salivary glands.<br />Salivary calculus. This stone has impacted just behind the orifice of the submandibular duct forming a hard nodule.<br />
  7. 7. Cont…<br />manual palpation of the floor of the mouth, in a posterior to anterior direction, reveals a salivary stone in a large number of cases of submandibular calculi formation.<br />manual palpation of  the gland itself can be useful, as a uniformly firm and hard  gland suggests a hypo-functional or  non-functional gland.<br />
  8. 8. X-ray examination.<br />Imaging studies are very useful for diagnosing salivary stone.<br />Occlusalradiographs are useful in showing (radio-opaque) stones<br />
  9. 9. Sialography<br />Sialography is the radiographic examination of the salivary glands. <br />It usually involves the injection of a small amount of contrast medium into the salivary ducts of a single gland, followed by routine X-ray projections.<br />Sialography is useful in patients showing signs of salivary stone .<br />
  10. 10.
  11. 11.
  12. 12.
  13. 13. CAWSON'S ESSENTIALS OFORAL PATHOLOGYAND ORAL MEDICINE<br />Chapter … 18 … pages … 255,256,257<br />

×