title: Submandibular gland aplasia and progressive dental caries: a case report.
abstract: When severe caries occurs in mandibular permanent incisor teeth, the clinician should consider the possibility of associated submandibular gland aplasia or salivary hypofunction. Early diagnosis of submandibular gland disease is essential, as operative problems involving restoration of mandibular incisor teeth are considerable. Furthermore, progressive severe dental caries can present a dilemma for the clinician in affected individuals, despite intensive preventive and restorative therapy. A case report describing severe progressive dental caries and enamel demineralization of the permanent mandibular incisor teeth in a young girl is presented. Further investigation revealed absence of functional bilateral submandibular salivary glands contributing to the rapid breakdown of the teeth despite intensive preventive measures.
authors.affiliation: Children's Oral Health Service, Royal Children's Hopital, Herston, Queensland.
authors.forename: M S
authors.initials: MS
authors.lastname: Fracaro
authors.forename: V M
authors.initials: VM
authors.lastname: Linnett
authors.forename: K B
authors.initials: KB
authors.lastname: Hallett
authors.forename: N W
authors.initials: NW
authors.lastname: Savage
mesh_terms: D000293:Adolescent; D002327:Cariostatic Agents / Q000627:therapeutic use; D003731:Dental Caries / Q000209:etiology* / Q000517:prevention & control; D003743:Dental Enamel / Q000473:pathology; D003793:Dental Restoration, Permanent; D018450:Disease Progression; D005260:Female; D005460:Fluorides, Topical / Q000627:therapeutic use; D005500:Follow-Up Studies; D006801:Humans; D007180:Incisor / Q000473:pathology; D008334:Mandible; D010895:Pit and Fissure Sealants / Q000627:therapeutic use; D012969:Sodium Fluoride / Q000627:therapeutic use; D013363:Submandibular Gland / Q000002:abnormalities*; D017001:Tooth Demineralization / Q000209:etiology; D016312:Treatment Refusal
chemical_list: D002327:Cariostatic Agents; D005460:Fluorides, Topical; D010895:Pit and Fissure Sealants; D012969:Sodium Fluoride