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MASSETER TENOMYOSITIS MIMICKING SIALOLITHIASIS

MASSETER TENOMYOSITIS MIMICKING SIALOLITHIASIS Pınar KURSOĞLU1a, Elifnaz ÖZEN2a, Sarp SARIKAYA3a, Nihan CEYLAN3a

1 Professor, 2 DDS, PhD. 3 DDS, PhD Student

a Yeditepe University Faculty of Dentistry, Department of Prosthodontics

Purpose: Sialolithiasis is a condition where a calcified mass or sialolith forms within salivary glands and resulting with swelling and pain while the overlying skin may be warm. Several etiologic factors play role on this condition such as calcium metabolism, dehydration and orofascial infections. Another condition to point out is tenomyositis, known as inflammation of muscles and tendons. Different from sialolithiasis, tenomyositis has an inflammatory origin. Tenomyositis symptoms are swelling and tenderness, as well. The objective is to present cases with masseter tenomyositis symptoms that mimicks sialolithiasis due to similar signs which were treated with anti-inflammatory drugs accompanied by stabilization splints. Case Reports: Two patients referred to our clinic by ear-nose-throat specialist with swelling in their masseter region. Swellings were more prominent especially on mornings and were relieved at the end of the day. Panaromic radiographs and ultrason images were observed, it was seen that there were no sialolith which may be responsible for swelling. After the gnathologic examination, swelling and pain were seen on masseter muscles together with bruxism. Acute swelling was thought to be caused by masseter tenomyositis which is inflammation of muscles and tendons. Anti-inflammatory agents were prescribed for acute situation, and stabilization splint was applied for preventing the recurrence of this situation. Results: Anti-inflammatory agents were effective and helpful for the initial intervention. However this situation can be repeated after only drug administration due to persistence of the parafunctional habbits and patients were informed about it. Instead of further drug prescription, stabilization splint was found more promising to relieve the muscles’ inflammation by protecting masseter muscles from the unwanted effects of bruxism and improving the circulation of masseter muscles. Conclusion: Splints are beneficial to reduce the tension of the masseter muscle bands and tendons and also to contribute to inflammatory response reduction while boosting the recovery of this region. In order to alleviate the masseter tenomyositis, swelling and pain, stabilization splints may be better long-term options in addition to anti-inflammatory drugs. Keywords: Masseter tenomyositis, sialolithiasis, stabilization splint

Pınar Kursoğlu
Yeditepe University
Turkey

Elifnaz Özen
Yeditepe University
Turkey

Sarp Sarıkaya
Yeditepe University
Turkey

Nihan Ceylan
Yeditepe University
Turkey

 


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