Mandel Louis
College of Dental Medicine, 630 West 168th Street, New York, NY 10032, USA.
Dent Clin North Am. 2011 Jan;55(1):121-40. doi: 10.1016/j.cden.2010.08.005.
Salivary gland abnormalities and salivary dysfunction are important orofacial disorders. Patients with such problems are usually seen in the dental office for evaluation and therapy, and the dental practitioner is required to make a diagnosis and institute care. Therefore, it is necessary for the dentist to be knowledgeable regarding the more common pathologic entities that involve the salivary apparatus, and also be familiar with the diagnostic and therapeutic tools that are available. Successful diagnosis is dependent on the organized integration of the information derived from past history, clinical examination, salivary volume study, imaging, serology, and histopathologic examination. This article discusses the most common disorders seen in the Salivary Gland Center and indicates the current approaches to diagnosis. Improvement in diagnostic skills will avoid serious complications and lead to specific and effective therapy.
唾液腺异常和唾液功能障碍是重要的口腔颌面部疾病。有这些问题的患者通常会前往牙科诊所进行评估和治疗,牙科医生需要做出诊断并提供护理。因此,牙医有必要了解涉及唾液腺器官的更常见病理实体,并且熟悉可用的诊断和治疗工具。成功的诊断取决于对来自既往病史、临床检查、唾液流量研究、影像学、血清学和组织病理学检查的信息进行有组织的整合。本文讨论了唾液腺中心最常见的疾病,并指出了当前的诊断方法。诊断技能的提高将避免严重并发症,并带来针对性强且有效的治疗。