Salivary gland diseases include a variety of conditions (inflammatory, immunological, infectious, or neoplastic pathologies). Salivary gland diseases hold the interest of clinicians and pathologists due to their varied clinical presentation and histological diversity. In this study, we aimed to assess the various aspects of clinical and pathological characteristics of salivary gland diseases. We reviewed the records of patients with various salivary gland diseases at Ramadi Teaching Hospital, Rashid Hospital, Razi Hospital, and Zuhur Hospital in Iraq. The study covered the years 2010 to 2021. Of 159 patients, there were 61.64% female patients. The age group most affected was 51-60 years (26.4%). The most involved salivary gland was the parotid (44.65%). Swelling was seen in 74% of the patients. Obstructive lesions were seen in 52.2% of patients. Obstructive pathologies occurred exclusively in the age group 51-60 years, infective cases involved the age group 71-80 years (64.3%), and tumors affected the age group 41-50 years (77.4%). Women were affected more than men by all pathologies. The parotid gland was mostly affected by tumors (32/71), while other glands were mostly affected by obstructive lesions (17/18). A significant association was found between salivary gland pathologies with age and the affected gland. The most common clinical entity of the obstructive lesions was xerostomia (20.1%). While pleomorphic adenoma was the most common tumor (n = 40/50). The most common cause of xerostomia was smoking (31.2%) and the least cause was antidepressants (9.4%). Salivary gland diseases were mostly seen in women and in the age group 51-60 years. Parotid was the most involved gland. A three-quarter of the cases presented with swelling and obstructive pathologies comprise above 50% of causes. The age and the involved gland can determine the type of salivary gland diseases. Xerostomia was the common clinical entity of obstructive pathologies. The most common tumor was pleomorphic adenoma and the most common cause for xerostomia was smoking.

The Journal of Public Knowledge. Publication of the Public Knowledge Project - PKP and Simon Fraser University - SFU

A 9-years-old boy presented to the Department of Oral and Maxillofacial Surgery with pain in the posterior region of the left mandible. The child was healthy with an unremarkable medical history. There was no family history of the same condition. Intra-oral clinical examination showed the absence of lower left deciduous molar and multiple carious deciduous teeth at both dental arches. Orthopantogram (OPG) confirmed the complete impaction of the lower-left deciduous 2nd molar with inferior retention of the lower 2nd permanent premolar close to the lower border of the mandible [Panel A]. Under local anesthesia, a two-sided flap was raised, surgical removal of the impacted deciduous 2nd molar and extraction of adjacent 1st deciduous molar, the flap was sutured with 3/0 silk suture [Panel B and C]. Failure of eruption or impaction of deciduous molar was linked to the disturbance of the development of the successor's permanent teeth. Deciduous tooth failure of eruption or impaction is rare in comparison with permanent teeth. Among deciduous dentitions, the 2nd molar was the most commonly affected tooth, followed by central incisors. Impaction can cause many serious problems to underlying tooth buds of the permanent dentition including their delayed eruption or even ectopic eruption. Therefore, proper history and clinical examination, and precise treatment are mandatory. After one month, OPG showed complete healing [Panel D] and the patient was satisfied with the aesthetic and functional outcomes.