Necrotizing Sialometaplasia of the Hard Palate in a Patient Treated with Topical Nonsteroidal Anti-Inflammatory Drug

Necrotizing sialometaplasia is a rare, benign, self-limiting, necrotizing process involving the minor salivary glands, mainly the mucoserous glands of the hard palate. It is thought to be the result of an ischemic event of the vasculature supplying the salivary gland lobules. Some predisposing facto...

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Main Authors: Alessandro Gatti, Emanuele Broccardo, Giuseppe Poglio, Arnaldo Benech
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2016/9545861
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author Alessandro Gatti
Emanuele Broccardo
Giuseppe Poglio
Arnaldo Benech
author_facet Alessandro Gatti
Emanuele Broccardo
Giuseppe Poglio
Arnaldo Benech
author_sort Alessandro Gatti
collection DOAJ
description Necrotizing sialometaplasia is a rare, benign, self-limiting, necrotizing process involving the minor salivary glands, mainly the mucoserous glands of the hard palate. It is thought to be the result of an ischemic event of the vasculature supplying the salivary gland lobules. Some predisposing factors such as smoking, use of alcohol, denture wearing, recent surgery, traumatic injuries, respiratory infections, systemic diseases bulimia, and anorexia have been described. Herein we present a case of necrotizing sialometaplasia of the hard palate in a patient without known predisposing factors, in our opinion, resulting from the use of topical anti-inflammatory drug. After diagnosis, the patient underwent treatment with chlorhexidine gluconate and a full palatal acrylic guard to protect the exposed bone from food residues during meals. After the sixth week the lesion regressed.
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institution Kabale University
issn 2090-6447
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series Case Reports in Dentistry
spelling doaj-art-475eae7fbb8e4135918ee5b36176f8162025-02-03T01:26:39ZengWileyCase Reports in Dentistry2090-64472090-64552016-01-01201610.1155/2016/95458619545861Necrotizing Sialometaplasia of the Hard Palate in a Patient Treated with Topical Nonsteroidal Anti-Inflammatory DrugAlessandro Gatti0Emanuele Broccardo1Giuseppe Poglio2Arnaldo Benech3Unit of Oral and Maxillofacial Surgery, Maggiore della Carità University Hospital, Novara, ItalyUnit of Oral and Maxillofacial Surgery, Maggiore della Carità University Hospital, Novara, ItalyUnit of Oral and Maxillofacial Surgery, Maggiore della Carità University Hospital, Novara, ItalyUnit of Oral and Maxillofacial Surgery, Maggiore della Carità University Hospital, Novara, ItalyNecrotizing sialometaplasia is a rare, benign, self-limiting, necrotizing process involving the minor salivary glands, mainly the mucoserous glands of the hard palate. It is thought to be the result of an ischemic event of the vasculature supplying the salivary gland lobules. Some predisposing factors such as smoking, use of alcohol, denture wearing, recent surgery, traumatic injuries, respiratory infections, systemic diseases bulimia, and anorexia have been described. Herein we present a case of necrotizing sialometaplasia of the hard palate in a patient without known predisposing factors, in our opinion, resulting from the use of topical anti-inflammatory drug. After diagnosis, the patient underwent treatment with chlorhexidine gluconate and a full palatal acrylic guard to protect the exposed bone from food residues during meals. After the sixth week the lesion regressed.http://dx.doi.org/10.1155/2016/9545861
spellingShingle Alessandro Gatti
Emanuele Broccardo
Giuseppe Poglio
Arnaldo Benech
Necrotizing Sialometaplasia of the Hard Palate in a Patient Treated with Topical Nonsteroidal Anti-Inflammatory Drug
Case Reports in Dentistry
title Necrotizing Sialometaplasia of the Hard Palate in a Patient Treated with Topical Nonsteroidal Anti-Inflammatory Drug
title_full Necrotizing Sialometaplasia of the Hard Palate in a Patient Treated with Topical Nonsteroidal Anti-Inflammatory Drug
title_fullStr Necrotizing Sialometaplasia of the Hard Palate in a Patient Treated with Topical Nonsteroidal Anti-Inflammatory Drug
title_full_unstemmed Necrotizing Sialometaplasia of the Hard Palate in a Patient Treated with Topical Nonsteroidal Anti-Inflammatory Drug
title_short Necrotizing Sialometaplasia of the Hard Palate in a Patient Treated with Topical Nonsteroidal Anti-Inflammatory Drug
title_sort necrotizing sialometaplasia of the hard palate in a patient treated with topical nonsteroidal anti inflammatory drug
url http://dx.doi.org/10.1155/2016/9545861
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AT giuseppepoglio necrotizingsialometaplasiaofthehardpalateinapatienttreatedwithtopicalnonsteroidalantiinflammatorydrug
AT arnaldobenech necrotizingsialometaplasiaofthehardpalateinapatienttreatedwithtopicalnonsteroidalantiinflammatorydrug