Female pt; age 52. Pt complaints of swelling and discomfort in floor of the mouth on left side, swelling persists for 5months. No chewing habit Pls suggest your opinion

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Most probably it could be a sialolith. Do bimanual palpation and confirm. Ask whether she gets that pain immediately after her first bite of food. Advice scaling also. Take occlusal view to confirm
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Ranula or sialolith.. If it's dome shaped, probably it can be a Ranula which needs surgically excised along with minor salivary gland tissue.
Please take an OPG or mandibular occlusal view to rule out sialoliths.
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Please do bimanual palpation for gland enlargement.... In floor of mouth along the course of duct, duct opening, feel for any swelling, pus discharge on milking the gland. Take a mandibular true occlusal view with reduced exposure to rule out any sialolith in the duct....if nothing is seen in occlusal radiograph, An ultra sound to rule out any obstruction close to the gland or within the gland... If pain a course of antibiotics, esp amox plus clav combination to control infection.
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Most common cause of swelling in the floor of the month bus. Sialolith... Sialography is needed to confirm the same... But as mentioned in the pt history ... swelling is persistent for 5 months... Another most common salivary gland neoplasm associated with floor of the mouth is squamous cell carcinoma.. hence a biopsy will be required to come to a proper diagnosis...
Type of swelling in the floor of mouth can be Mucocele Salivary duct obstruction Ranula Fibroma Traumatic Infection Sublingual gland tumor Lingual cortex exostosis You need to work out for the diagnosis
If the swelling increases during eating and becomes tender it goes in favour of submandibular sialolith other wise it goes in favour of ranula or mucocele. Can be confirmed through sialography or occlusal X ray
Mostely it will be silolithiasis of submandibular gland  or sublingual gland go for x ray town’s or submento vertex view if their will be,either go for duct removal or some times salidectomy has to perform
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Most probably sialolith ,mandibular occlusal is enough for diagnosis Rx depend on size of sialolith, if (size) is smaller than milking of gland or surgrical removal fr vivevrca
DD: Sialolithiasis Kindly Read the following article https://www.nature.com/articles/4801491
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