Diagnosis of Sjögren's Syndrome From a Xerostomia Case Accompanied by Multiple Dental Caries

10.2341/08-71 ◽  
2009 ◽  
Vol 34 (3) ◽  
pp. 359-364 ◽  
Author(s):  
D-G. Seo ◽  
J. Kim ◽  
C-Y. Lee ◽  
S-H. Park

Clinical Relevance This paper presents a comprehensive and systemic approach for determining the etiology of patients with xerostomia and the rapidly progressing potential systemic diseases that can result. Dentists must be reminded of their role in the early diagnosis and treatment of some systemic diseases, because the oral environment may show early symptoms that are relatively easy to detect.

1992 ◽  
Vol 51 (7) ◽  
pp. 889-891 ◽  
Author(s):  
A Jedryka-Goral ◽  
P Jagiello ◽  
D P D'Cruz ◽  
H Maldykowa ◽  
M A Khamashta ◽  
...  

2021 ◽  
Vol 14 (2) ◽  
pp. 98-104
Author(s):  
Andrea Cunningham ◽  
Dipali Patel ◽  
Zahra Sheriteh

This case series describes a number of different treatment modalities used in the management of impacted mandibular second molars (MM2s). A variety of cases is used to illustrate a number of ways in which these teeth can be managed, and to demonstrate that each case should be managed on an individual basis, taking into account the overall malocclusion. The importance of early diagnosis and management is highlighted throughout. CPD/Clinical Relevance: This case series highlights the difficulties and challenges in managing patients who present with impacted lower second molars (MM2s), and the importance of early diagnosis and treatment.


Dental Update ◽  
2020 ◽  
Vol 47 (1) ◽  
pp. 71-74
Author(s):  
Jawaad Ahmed Asif ◽  
Paras Ahmad ◽  
Tahir Yusuf Noorani

Sialolithiasis is considered as one of the most frequently encountered diseases of the salivary glands. The most susceptible site is the submandibular gland and its duct. However, megaliths have been sparsely reported in the literature. This article portrays management of a sialolith and a megalith in a 26-year-old and a 59-year-old male patient, respectively. The sialolith in the first case case was 4 mm long, whereas the second case demonstrated a megalith measuring 46 mm at its greatest size. Follow-up revealed normal functioning and a painless gland in the first case, while the second case showed no eventful complications. It is interesting to know that both patients remained relatively pain-free, despite having such longstanding sialolith/megaliths. After removal of the small sialolith, the gland regained its normal functioning swiftly, whereas in the case of the megalith, the gland removal was mandatory because such a longstanding megalith led to irreversible functional injury to the gland. CPD/Clinical Relevance: A giant sialolith can be easily misdiagnosed as a submandibular infection or neoplasm, especially when the patient presents with a longstanding pain-free swelling. Hence, early and appropriate referral and investigation is necessary for early diagnosis and treatment.


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