MANAGEMENT OF ENLARGEMENT OF THE SUBLINGUAL GLANDS IN PREPARATIONS FOR DENTAL IMPLANTATIONS
Authors:
Oded Nahlieli, Amir Totry, Adi Kasem, Samer Srouji
Affiliation:
Doi: 10.54936/haoms242p07
ABSTRACT:
Purpose: The aim of the current study was to present a series of the sublingual gland (SLG) enlargement that complicated manipulations with dental implants and to discuss the management of this condition.
Materials and Methods: Our retrospective study included 16 patients (12 F, 4 M) ranging in age from 27 to 80 years (mean 58.6 years) who were observed from 2015 to 2022. All patients were referred by prosthodontists to the Department of Oral and Maxillofacial Surgery in the Galilee Medical Center and Assuta Tel Aviv Medical Center due to swelling in the floor of the mouth that caused difficulties in fitting of the dental rehabilitation.
Results: In our series, 12 patients were treated by surgical removal of the SLG, 4 patients refused to undergo the procedure. Surgery was suggested to those patients who suffered from pain and discomfort around the implant healing abutments. Of the 16 patients, five patients had SLG enlargement in the right side, eight patients in the left side, and three patients had the bilateral SLG enlargement. All patients had at least one missing molar. The period of missing teeth ranged from 6 to 12 years.
All twelve patients who underwent the surgery successfully completed their dental rehabilitation by prosthodontists after 3 months of check-ups. The patients who refused to undergo the surgery, unfortunately could not proceed with the rehabilitation and the implants were submerged.
Conclusion: Dental rehabilitation and dental implantation procedures cannot be properly performed in cases with the enlarged SLG. The excision of such SLGs is safe and eliminates this problem. The removal of the enlarged SLG should be performed prior to dental implantation.
KEY WORDS:
Authors:
Oded Nahlieli, Amir Totry, Adi Kasem, Samer Srouji
Affiliation:
Doi: 10.54936/haoms242p07
ABSTRACT:
Purpose: The aim of the current study was to present a series of the sublingual gland (SLG) enlargement that complicated manipulations with dental implants and to discuss the management of this condition.
Materials and Methods: Our retrospective study included 16 patients (12 F, 4 M) ranging in age from 27 to 80 years (mean 58.6 years) who were observed from 2015 to 2022. All patients were referred by prosthodontists to the Department of Oral and Maxillofacial Surgery in the Galilee Medical Center and Assuta Tel Aviv Medical Center due to swelling in the floor of the mouth that caused difficulties in fitting of the dental rehabilitation.
Results: In our series, 12 patients were treated by surgical removal of the SLG, 4 patients refused to undergo the procedure. Surgery was suggested to those patients who suffered from pain and discomfort around the implant healing abutments. Of the 16 patients, five patients had SLG enlargement in the right side, eight patients in the left side, and three patients had the bilateral SLG enlargement. All patients had at least one missing molar. The period of missing teeth ranged from 6 to 12 years.
All twelve patients who underwent the surgery successfully completed their dental rehabilitation by prosthodontists after 3 months of check-ups. The patients who refused to undergo the surgery, unfortunately could not proceed with the rehabilitation and the implants were submerged.
Conclusion: Dental rehabilitation and dental implantation procedures cannot be properly performed in cases with the enlarged SLG. The excision of such SLGs is safe and eliminates this problem. The removal of the enlarged SLG should be performed prior to dental implantation.
KEY WORDS: