Non-syndromic non-familial agenesis of major salivary glands: a report of two cases with review of literature.
Ravi Prakash Sasankoti Mohan, Sankalp Verma, Venkateswara Rao Chawa, Kuber Tyagi
Departments of Oral Medicine and Radiology, and Oral and Maxillofacial Surgery, Kothiwal Dental College and Research Centre, Moradabad, Department of Oral Medicine and Radiology, Teerthankar Mahavir Dental College and Research Centre, Moradabad, Uttar Pradesh, India
Date of Submission: 18-Dec-2012, Date of Acceptance: 16-Jan-2013, Date of Web Publication: 22-Mar-2013.
Agenesis of the major salivary glands is a rare and unusual condition, with only a few cases documented in the literature. The anomaly can be total or partial, unilateral or bilateral, and involve the parotid, submandibular, and sublingual glands. The resultant xerostomia leads to extensive dental demineralization. The authors report two cases with decreased saliva volume, impaired dental condition with extensive loss of tooth structure, and an astonishing pattern of dental destruction most notable on the facial and lingual surfaces of incisors and canines that can be best described as "chipping." After detailed review of patient history, clinical examination, ultrasonography, contrast enhanced computed tomography, and magnetic resonance imaging a diagnosis of congenital absence of major salivary glands in both the patients was made. Dentists should be aware that salivary gland aplasia is an uncommon cause of dental deterioration. It may manifest itself not by extensive caries but as dental chipping effect. Early recognition and a therapeutic strategy can prevent further dental damage.
Keywords: Agenesis, Chipping, Major Salivary Glands, Salivary Glands, Xerostomia
Cited in 4 Documents
V. Fromme, C. Köhler, S. Piesnack, G. Oechtering and E. Ludewig (2016) Computertomographische Anatomie der Speicheldrüsen der Katze. Tierarztl Prax Ausg K44(01):16. doi: 10.15654/TPK-150097
Vivian Fromme, Claudia Köhler, Susann Piesnack, Gerhard Oechtering and Eberhard Ludewig (2016) Magnetresonanztomographische Anatomie der Speicheldrüsen der Katze. Tierarztl Prax Ausg K44(06):405. doi: 10.15654/TPK-151105
Afshin Teymoortash and Stephan Hoch (2016) Congenital Unilateral Agenesis of the Parotid Gland: A Case Report and Review of the Literature. Case Reports in Dentistry2016:1. doi: 10.1155/2016/2672496
This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-Share Alike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.