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Salivary flow obstruction by an overextended mandibular denture: A clinical report
Salivary denture:
flow obstruction A clinical report
Asha Samant,
B.D.S., M.D.S., D.M.D.,*
by an overextended and Peter
DeSciscio,
mandibular
D.M.D.**
New Jersey Dental School, University of Medicine and Dentistry, Newark, N.J.
Salivary
gland swelling can result from various conditions, but the most common causeis obstruction by salivary calculus. In this clinical report, the submandibular swelling occurred becauseof an overextended mandibular denture. The diagnosisand treatment was basedon the site of the swelling, and submandibular gland region.
*Associate Professor, Department of Prosthodontics and Biomaterials. **Instructor, Department of Prosthodontics and Biomaterials. 1Ol1/26’739
PATIENT
REPORT
A woman in her late 40scomplainedof bilateral swelling in the submandibular region. She was wearing complete maxillary and mandibular dentures that were inserted approximately 6 weeksearlier. The patient’s medicalhistory wasnoncontributory, and the intraoral examination revealed normal secretion. The submandibular glands were slightly swollen (Fig. 1). The swellingwasevident approximately 3 to 4 weeksafter she had been continuously wearing the dentures, and she also complained that the swelling increased after a meal. This increasedswellingwasconfirmed when the patient was asked to suck a lemon. Further examination revealed that Wharton’s ducts in the anterior position in the floor of the mouth werecovered by the flangesof the mandibular denture (Fig. 2). Marking sticks were used over the lingual flange of the denture (Fig. 3) to determine the appropriate extensions. The flangesof the mandibular dentures were adjusted to eliminate impingement on the ducts, and the patient was closely observedat additional appointments. The swelling disappearedwithin 1 week without further symptoms.
SUMMARY A clinical report of bilateral swellingcausedby an overextended mandibular denture impinging over Wharton’s duct has been described. The swelling disappearedafter the obstruction of the duct was relieved. Fig. 1. Swelling causedby submandibular glands. Reprint
requests
to:
DR. ASHA SAMAW NEW JERSEY DENTAL SCHOLL UNIVERSITY OF MEDICINE AND DENTISTRY NEWARK. NJ 07103-2425
Fig. 2. Wharton’s ducts are covered by lingual flange of denture. 606
Fig. 3. Proper extension of lingual flange is marked on denture.
MAY
1991
VOLUME
65
NUMBER
5
flow obstruction A clinical report
Asha Samant,
B.D.S., M.D.S., D.M.D.,*
by an overextended and Peter
DeSciscio,
mandibular
D.M.D.**
New Jersey Dental School, University of Medicine and Dentistry, Newark, N.J.
Salivary
gland swelling can result from various conditions, but the most common causeis obstruction by salivary calculus. In this clinical report, the submandibular swelling occurred becauseof an overextended mandibular denture. The diagnosisand treatment was basedon the site of the swelling, and submandibular gland region.
*Associate Professor, Department of Prosthodontics and Biomaterials. **Instructor, Department of Prosthodontics and Biomaterials. 1Ol1/26’739
PATIENT
REPORT
A woman in her late 40scomplainedof bilateral swelling in the submandibular region. She was wearing complete maxillary and mandibular dentures that were inserted approximately 6 weeksearlier. The patient’s medicalhistory wasnoncontributory, and the intraoral examination revealed normal secretion. The submandibular glands were slightly swollen (Fig. 1). The swellingwasevident approximately 3 to 4 weeksafter she had been continuously wearing the dentures, and she also complained that the swelling increased after a meal. This increasedswellingwasconfirmed when the patient was asked to suck a lemon. Further examination revealed that Wharton’s ducts in the anterior position in the floor of the mouth werecovered by the flangesof the mandibular denture (Fig. 2). Marking sticks were used over the lingual flange of the denture (Fig. 3) to determine the appropriate extensions. The flangesof the mandibular dentures were adjusted to eliminate impingement on the ducts, and the patient was closely observedat additional appointments. The swelling disappearedwithin 1 week without further symptoms.
SUMMARY A clinical report of bilateral swellingcausedby an overextended mandibular denture impinging over Wharton’s duct has been described. The swelling disappearedafter the obstruction of the duct was relieved. Fig. 1. Swelling causedby submandibular glands. Reprint
requests
to:
DR. ASHA SAMAW NEW JERSEY DENTAL SCHOLL UNIVERSITY OF MEDICINE AND DENTISTRY NEWARK. NJ 07103-2425
Fig. 2. Wharton’s ducts are covered by lingual flange of denture. 606
Fig. 3. Proper extension of lingual flange is marked on denture.
MAY
1991
VOLUME
65
NUMBER
5