Surgical management of the enlarged sublingual gland in mandibular posterior dental implant rehabilitation.

IF 2.7
A Totry, A Kasem, I Slutzky, F Kablan, S Srouji, O Nahlieli
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Abstract

A series of enlarged sublingual glands (SLG) that affected dental implantation procedures and prosthodontic rehabilitation is presented, along with their management. All patients were referred by their treating prosthodontists due to swelling in the floor of the mouth that caused difficulties in fitting dental implants or rehabilitation. Sixteen patients aged 27-80 years (12 female, 4 male), treated between 2015 and 2022, were included in this study. Thirteen patients had unilateral enlargement and three had bilateral enlargement of the SLG. Four patients refused to undergo surgical removal of the SLG, while 12 patients suffering from pain and discomfort around the implant underwent this procedure. All patients who underwent the surgery completed their dental rehabilitation by prosthodontists, while the patients who refused to undergo the surgery did not proceed with rehabilitation, leaving the implants submerged. Considerable difficulty is often encountered when performing implant-based mandible rehabilitation in the presence of SLG enlargement . In such cases, careful gland excision is safe and eliminates this problem. Thus, removal of the enlarged SLG can be considered before dental implantation procedures in relevant cases.

下颌后牙种植康复中舌下腺肿大的手术处理。
一系列的扩大舌下腺(SLG),影响牙种植程序和修复康复提出,以及他们的管理。所有患者均因口腔底部肿胀导致植入牙体或康复困难而由其治疗的修复医师转诊。本研究纳入2015 - 2022年间治疗的16例患者,年龄27-80岁(女性12例,男性4例)。13例患者单侧增大,3例患者双侧SLG增大。4例患者拒绝手术切除SLG,而12例患者因植入物周围疼痛和不适而接受了手术。所有接受手术的患者都在义齿医生的指导下完成了牙齿康复,而拒绝接受手术的患者则没有继续进行康复,将种植体淹没在水中。在SLG增大的情况下进行种植体下颌骨康复通常会遇到相当大的困难。在这种情况下,仔细的腺体切除是安全的,可以消除这个问题。因此,在相关病例中,可以考虑在种植前切除增大的SLG。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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