Idiopathic hyperplasia of the sublingual gland in a partially edentulous individual; A case report

Publication date: Available online 21 February 2019Source: The Saudi Dental JournalAuthor(s): Muneera Abdulaziz AlHassan, Ahmed Fathi AlOmar, Rana Saud AlShagroudAbstractBackgroundSalivary glands swellings are frequently encountered in the dental clinic. Their causes include but not limited to neoplasm, infection, stone, and inflammation. Sublingual salivary gland enlargements are commonly caused by ranula, while neoplasms rarely occur and if found they tend to be malignant. Another cause is idiopathic hyperplasia of the sublingual gland (IHSG), which is characterized as asymptomatic swelling of unknown cause, protrude from the mouth floor with normal appearance of the overlying mucosa. The one factor found to be associated with these enlargements is the absence of mandibular posterior teeth. Although IHSG is a relatively frequent condition, to the authors’ knowledge only a few related studies were found in the literature.Case descriptionA 61 years old male patient presented with a complaint of a swelling at the floor of the mouth. It was painless, asymptomatic and noticed by the patient for two years with unremarkable size changes. Examination revealed a lobulated swelling, mobile, non-ulcerated, sessile and arising from the left sublingual gland. No lymphadenopathy was observed. The left side of the mandible presented with missing molars. Panoramic radiographs examination was unremarkable. Contrast-enhanced CT scan showed asymmetric hypodensity at the mouth floor, just ...
Source: The Saudi Dental Journal - Category: Dentistry Source Type: research