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21299553
Salivary Gland Disorders
Descripción
First Year Dentistry Mapa Mental sobre Salivary Gland Disorders, creado por sanna pathy el 15/03/2020.
Sin etiquetas
oral diseases
dentistry
first year
Mapa Mental por
sanna pathy
, actualizado hace más de 1 año
Más
Menos
Creado por
Zainab Patel
hace más de 4 años
Copiado por
sanna pathy
hace más de 4 años
5
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0
Resumen del Recurso
Salivary Gland Disorders
Salivary stones = Sialoliths
80% in the submandibular gland
Symptoms
Pain/swelling when smelling or tasting food e.g. at mealtimes
Pain, swelling or infection of gland
Adult males
Pathology
Deposition of calcium salts around a nidus of organic material
Investigations
1. Radiograph
Lower occlusal
Submandibular
Cheek
Parotid
50% radiolucent
Sialography
inject contrast medium through the duct and take a lateral oblique usually
Ultrasound
Management
Ultrasonic shock wave therapy
Surgical removal
Xerostomia
Management
Saliva substitutes
Sodium carboxymethylcellulose based
Biotene products
Stimulate residual secretory capacity
Best method = sugar free chewing gum
Pilocarpine
Eliminate cause if poss.
e.g. liaise with GP to change drug
Effects
Reduced denture retention
Increased risk of
Caries & Perio
Bacterial sialodenitis
Candidosis
Discomfort, difficulty eating, swallowing, talking
Taste disturbance
Causes
Sjogren's
Drugs
Anti-depressants
Beta blockers, diuretics
H&N DXT
Diabetes
Renal failure
Sialadenitis
Inflammation of salivary glands
Usually major glands
Bacterial
Acute
Common pathogens
Staph.Aureus
Strep
Presentation
Painful swelling with rapid onset
Unilateral
Discharge (pus) from gland duct
Diagnosis
Radiograph to see if sialolith
Pus swab
Treatment
Antibiotics e.g. amoxicillin
Chronic
Presentation
Unilateral
Intermittent, recurrent swelling & pain
Most common pathogen = Staph. Aureus
Treatment
Stimulation of salivary flow
Massage gland
Chewing gum
Predisposing factors
Reduced salivary flow
Sialolith
Recurrent pain/swelling at mealtimes
Dehydration
Medications
Radiotherapy
Sjögren’s syndrome
Poor oral hygiene
General managment
Rehydration
Removal of sialolith
Viral = Mumps
Pathogen = paramyxovirus
Mostly affects Parotid gland
can affect submandibular
Self-limiting
Presentation
Bilateral, painful swellings
Fever, malaise
Children & young adults
Treatment
Fluids, analgesics, bed rest
Prevention = MMR
Droplet inhalation transmission
Sjogren's Syndrome
= autoimmune inflammatory disoder with dry eyes & dry mouth +/- systemic disease
Destruction of glandular tissue
Primary = no systemic disease
Inflammation seen histopathologically
Women
Diagnosis
Exclude other causes
Drugs
DXT
Salivary gland tests
Saliva flow rate
Salivary scintography
Parotid sialography
Biopsy
Clinical
Anti-Ro or Anti-La autoabs
Secondary = + systemic disease
Systemic
Rheumatoid arthritis
Lupus erythematosus
Scleroderma
Diagnosis
Clinical
Biopsy
Inflammation seen histopathologically
Anti-Ro or Anti-La or rheumatoid factor
Clinical features
Eyes
Dry, gritty
Painful, red
Oral
Xerostomia
Recurrent/persistent gland swelling
Painless
1st gland affected = Submandibular
Systemic features (secondary)
Increased risk of lymphoma
Management
Anti-fungals
Eyes
Eye drops
Minimise screen time
Avoid AC, dust, wind
Oral
Saliva substitues
Chewing gum, pilocarpine
Immune-modulatory
Ciclosporin
Immunosuppression
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