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KMID : 0829220200440060177
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Korean Journal of Oral and Maxillofacial Pathology
2020 Volume.44 No. 6 p.177 ~ p.180
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A Giant Sialolith Consisted of Tooth-like Tissue in the Duct of Submandibular Gland
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Jung Tae-Young
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Abstract
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A 20-year-old woman who had a main symptom of intermittent pain in both mandibular third molar visited our hospital. In CBCT findings, the #38, 48 teeth were located on the lingual side of the inferior alveolar nerve. In addition, a large stone about 12mm in length was observed in the right Wharton's duct in CBCT findings. Neck CT scan was performed and a large stone about 12mm in length was observed, and the accumulation of saliva in the rear of the stone was observed. The patient underwent sialolithotomy and #38, 48 tooth extraction through intraoral approach under general anesthesia. The removed stone was similar in shape and color to a tooth. The removed stone was markedly fragmented and composed of dentin and enamel-like tissue which showed lamellate arrangement in microscopic examination. Patient was presently symptom free after 10months postoperatively
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KEYWORD
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Sialolith, Wharton's duct, Submandibular gland
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