Sialolithiasis in the Duct of Submandibular Gland: A Case Report in Patient with Epidermolysis Bullosa

Abstract

This case report has an enormous clinical relevance once there is no protocol to treat patients with EB and buccal diseases.

Higher Dental Caries Prevalence and Its Association with Dietary Habits and Physical Limitation in Epidermolysis Bullosa Patients: A Case Control Study

“…6,8 The dietary pattern of individuals with EB is also influenced by the disease itself, contributing to the impaired oral intake of solid food. 6,7 However, in which extent these oral manifestations of EB are associated with the development of dental caries? It is well known that saliva plays an important role in maintaining oral balance and that salivary flow is stimulated by mastication.…”

“…5 Repeated blistering and scar formation at soft tissues in perioral cavity lead to limited mouth opening, elimination of buccal and vestibular sulci. 6,7 In addition, restrictions in mobility of the mouth, tongue, and lips are frequently present in EB patients. 8 In terms of dental caries, there are just few published papers addressing the issue that patients with EB are at a high risk of developing the disease.…”

Clinical practice guidelines: Oral health care for children and adults living with epidermolysis bullosa

“…A sialolith measuring 8 mm × 7 mm was reported in the submandibular gland of a 17‐year‐old female with RDEB. The removal was challenging due to her microstomia and ankyloglossia 151 …”

“…Dental treatment can be a challenge due to sensitivity of the mucosa, constant presence of blisters, risk of causing new lesions, microstomia, 35,36 limited ability for full cooperation from the patient, and risk of causing new lesions during protective stabilization due to the fragility of the skin. With appropriate behavioral support, patients can gain confidence in the dental team and cooperate to the best of their ability with treatment 14 .…”

“…Successful surgical removal of a sialolith using local anesthesia has been reported once. The intervention was extremely challenging due to the patients microstomia and ankyloglossia 36 . Another patient who has had the same issues reported successful stone dislodgment after sucking lemon to increase salivary flow.…”