Introduction and Objetives



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Introduction and Objetives.

Sialolithiasis is the most common disease of the salivary glands in middle-aged patients. More than 80% of sialoliths occur in the submandibular gland or its duct.

Sialolithiasis per se is a non-symptomatic disease, this is why these patients do not present to the clinician until calculi size obstruct the duct of the gland and accute inflamation symptoms appear. When evaluating a sialolith one of the most difficult aspects to determine is the exact location.
The CBCT shows an accurate localization of the calcification for an effective treatment planning.

The aim of the present study is to show the effectiveness of CBCT in the diagnosis and localization of soft tissue calcifications.



Methods.

Literature research of the performance of CBCT to assess sialoliths was performed. For proper radiologic description, we included images of cases evaluated in the oral and maxillofacial radiology service at the health center of San Bernardo of the Universidad de Los Andes



Results and Discussion.

Sialoliths have traditionally been evaluated by conventional radiographic techniques.

CBCT allows better examination of the oral region and calcifications at this level.
Several authors report the use of CBCT, which is reaffirmed by our experience that has enabled us to properly evaluate some patients.

Images of 3 cases and their respective description are presented.



Conclusions.

CBCT images constitute a valuable tool for determining the location of sialoliths on the submandibular gland or its duct by oral and maxillofacial radiologist.


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