Journal of Oral Medicine and Pain

Korean Academy of Orofacial Pain and Oral Medicine (대한안면통증구강내과학회)
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Micromorphology and Chemical Composition of a Sialolith in the Submandibular Gland Duct

악하선 내 타석의 미세형상 및 화학적 조성

  • Im, Yeong-Gwan (Department of Oral Medicine, Chonnam National University Hospital) ;
  • Song, Ho-Jun (Department of Dental Materials, School of Dentistry, Chonnam National University) ;
  • Kim, Byung-Gook (Department of Oral Medicine, School of Dentistry, Chonnam National University)
  • 임영관 (전남대학교치과병원 구강내과) ;
  • 송호준 (전남대학교 치의학전문대학원 치과재료학교실) ;
  • 김병국 (전남대학교 치의학전문대학원 구강내과학교실)
  • Received : 2011.08.10
  • Accepted : 2011.09.05
  • Published : 2011.09.30
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Abstract

Sialolith is one of the most common pathologic conditions found in the salivary glands. The mechanisms responsible for the formation of sialoliths have not been elucidated so far. In this article, the chemical composition and micromorphology of a sialolith of a 58-year old female patient suffering from chronic sialoadenitis of the submandibular gland was analyzed using scanning electron microscopy (SEM) and energy-dispersive X-ray spectroscopy (EDX). In a SEM evaluation, the highly mineralized amorphous core surrounded by lamellar and concentric structures was revealed, however no foreign body, organic material, or signs of microorganism were observed in the core of the sialolith. EDX analysis showed the central core was composed of only Ca, O and P, and that a high level of C was detected near the central area as well. These results indicated that the inorganic composition of the sialolith was hydroxyapatite crystals, and that inorganic and organic substances existed around the central cores. This study suggests that the sialolith was composed mainly of hydroxyapatite crystals and the formation of the nucleus of the sialolith in the submandibular gland duct was secondary to sialadenitis, which favors the growth of an inorganic crystalline nucleus.

타석은 타액선에 발견되는 흔한 병리 상태 중 하나이다. 타석의 형성과 관련된 기전은 아직까지 명확하게 밝혀지지 않았다. 본 연구에서는 악하선의 만성타액선염을 앓고 있는 58세 여성 환자로부터 얻은 타석을 전자현미경 및 에너지분산 X선 분광법을 통해 화학적인 조성과 미세형상을 분석하였다. 전자현미경 평가에서 고도로 광화된 무정형 핵이 층판의 동심원상 구조로 둘러싸인 형태가 관찰되었으나, 이물질, 유기물질 또는 미생물의 소견은 확인되지 않았다. 에너지분산 X선 분광 분석에서 중심부 핵은 Ca, O 및 P로만 구성되어 있었고, C도 중심부 근처에서 높은 함량으로 검출되었다. 이러한 결과는 타석의 무기물 조성은 주로 수산화인회석 결정으로 되어 있고 중심핵 주변으로 무기-유기 구조가 형성되어 있어, 악하선관 내 타석의 핵이 무기결정핵의 성장을 촉진하는 타액선염에 의해 이차적으로 형성되었을 가능성을 제시한다.

Keywords

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