Aim: This study aimed to investigate palatine tonsilloliths in the Lebanese population via digital panoramic radiographs.
Materials and methods: Digital panoramic radiographs of a sample of 500 Lebanese adult patients (281 females and 219 males) with an average age of 47.9 years were included in this study and assessed for tonsilloliths. The IBM® SPSS® (IBM, Armonk, NY, USA) version 20.0 for Windows was used to carry out statistical analysis of the data collected.
Results: Tonsilloliths were found in 7.2% of cases (36 out of 500; belonging to 18 females and 18 males). Among these, 13 cases were on the right side, 12 on the left side and 11 were bilateral. Affected patients’ age ranged from 24 to 84 years (mean of 61 years). There was no statically significant relation between tonsilloliths presence and gender, while a low positive correlation was observed between tonsilloliths and age (r = 0.193).
Conclusion: Palatine tonsilloliths may be discovered fortuitously on panoramic radiographs utilized regularly in dental offices; their incidence increases with age.
Clinical significance: Panoramic radiographs may have a beneficial role in detecting palatine tonsilloliths sometimes connected to unpleasant symptoms such as non-specific chronic halitosis.
Palatine Tonsilloliths: A retrospective study on 500 digital panoramic radiographs
Nasseh I, Sokhn S, Noujeim M, Aoun G. Considerations in detecting soft tissue calcifications on panoramic radiography. J Int Oral Health. 2016;8(6):742-746.
Babu BB, Tejasvi MLA, Avinash CK BC. Tonsillolith: a panoramic radiograph presentation. J Clin Diagn Res. 2013;7(10): 2378-2379.
Silvestre-Donat FJ, Pla-Mocholi A, Estelles-Ferriol E, Martinez- Mihi V. Giant tonsillolith: report of a case. Med Oral Patol Oral Cir Bucal. 2005;10(3):239-242.
Yousef HO, Yousef HA, Omar MK, Ahmed MK, Farghaly TM. Tonsillar calcification, computed tomography and clinical findings, a case study. Med J Cairo Univ. 2012;80(1):427-434.
de Moura MD, Madureira DF, Noman-Ferreira LC, Abdo EN, de Aguiar EG, Freire AR. Tonsillolith: a report of three clinical cases. Med Oral Patol Oral Cir Bucal. 2007;12(2):E130-E133.
Mesolella M, Cimmino M, Di Martino M, Criscuoli G, Albanese L, Galli V. Tonsillolith. Case report and review of the literature. Acta Otorhinolaryngol Ital. 2004;24(5):302-307.
Bamgbose BO, Ruprecht A, Hellstein J, Timmons S, Qian F. The prevalence of tonsilloliths and other soft tissue calcifications in patients attending oral and maxillofacial radiology clinic of the University of Iowa. ISRN Dent. 2014;2014:839635.
Scarfe WC, Farman AG. Soft Tissue Calcifications the Neck: Maxillofacial CBCT Presentation and significance. AADRT Newsletter; 2010.p.1-25.
Nasseh I, Aoun G. Carotid artery calcification: a digital panoramic-based study. Diseases. 2018;6(1):15.
Arslan S, Vuralkan E, Cobanog.lu B, Arslan A, Ural A. Giant sialolith of submandibular gland: report of a case. J Surg Case Rep. 2015;2015(4):rjv043.
Ram S, Siar CH, Ismail SM, Prepageran N. Pseudo bilateral tonsilolliths. A case report and a review of literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004;98(1): 110-114.
Ansai T, Takehara T. Tonsillolith as a halitosis-inducing factor. Br Dent J. 2005;198(5):263-264.
Rio AC, Franchi-Teixeira AR, Nicola EM. Relationship between the presence of tonsilloliths and halitosis in patients with chronic caseous tonsillitis. Br Dent J. 2008;204(2): E4.
Cantarella G, Pagani D, Biondetti P. An unusual cause of mechanical dysphagia: an agglomerate of calculi in a tonsillar residue. Dysphagia. 2006;21(2):133-136.
Thakur JS, Minhas RS, Thakur A, Sharma DR, Mohindroo NK. Giant tonsillolith causing odynophagia in a child: a rare case report. Cases J. 2008;1:50.
Thomas DP. Tonsilloliths — A common cause of pharyngeal calcification. Australas Radiol. 1974;18(3):287-291.
Garay I, Netto HD, Olate S. Soft tissue calcified in mandibular angle area observed by means of panoramic radiography. Int J Clin Exp Med. 2014;7(1):51-56.
M.s.rl.oglu M, Nalcaci R, Adisen MZ, Yard.mc. S. Bilateral and pseudobilateral tonsilloliths: Three dimensional imaging with cone-beam computed tomography. Imaging Sci Dent. 2013;43(3):163-169.
Oda M, Kito S, Tanaka T, Nishida I, Awano S, Fujita Y, et al. Prevalence and imaging characteristics of detectable tonsilloliths on 482 pairs of consecutive CT and panoramic radiographs. BMC Oral Health. 2013;13:54.
Fauroux MA, Mas C, Tramini P, Torres JH. Prevalence of palatine tonsilloliths: a retrospective study on 150 consecutive CT examinations. Dentomaxillofac Radiol. 2013;42(7): 20120429.
Aspestrand F, Kolbenstvedt A. Calcifications of the palatine tonsillary region: CT demonstration. Radiology. 1987;165(2): 479-480
Cooper MM, Steinberg JJ, Lastra M, Antopol S. Tonsillar calculi. Report of a case and review of the literature. Oral Surg Oral Med Oral Pathol. 1983,55(3):239-243.
Laurie C. Soft tissue calcification and ossification In: White Sc, Pharoah MJ. Oral radiology Principles and interpretation. 2004, Mosby: St. Louis, p. 599-600.