[Oradlist] FW: calcification on icat reconstructions

[Dania Tamimi]

Hence the word: "suggestive" :). 
 
In general, the tonsilith develops due to abnormal deposition of calcium salts, together with smaller amounts of iron, magnesium, and other mineral salts in response to non-viable, necrotic or dying tissues (and is considered dystrophic calcification). Hence, there needs to be inflammation causing the necrosis that will eventually lead to the tonsilith (thus, it is a "postinflammatory change"). The presence of these tonsiliths of varying sizes in the many crypts of the tonsils may lead to irritation and subsequent re-inflammation (What Mel was talking about). I guess you need to correlate to symptoms and clinical presentation to determine whether active disease is present or not. But in general, the definition of "dystrophic calcification" is: mineral depostion occuring locally in nonviable or dying tissues (Robbin's Pathologic Basis of Disease by Cotran, Kumar, Collins - an excellent book if you want to really understand the basics of pathology, all the way down to the molecular level).
 
Dania



Date: Thu, 5 Feb 2009 08:56:29 -0500From: mmupparapu at gmail.comTo: oradlist at lists.ucla.eduSubject: Re: [Oradlist] FW: calcification on icat reconstructions
I concur with Dania and Johan. The calcifications in the soft palate area suggest bilateral Palatine Tonsiliths( aka tonsilliths or tonsilloliths) I also think that these are not necessarily all post inflammatory changes as tonsiliths ARE THE REASON  sometimes for tonsillar inflammation. Depending on the timing of the imaging, these might just represent calcified foreign bodies amidst the crypts of the tonsillar tissue. Perhaps a sign of impending tonsillitis especially if the patient is asymptomatic. An ENT referral should be done.
 
 
Mel Mupparapu
NJDS
Newark, NJ
On Thu, Feb 5, 2009 at 7:53 AM, Dania Tamimi <daniatamimi at hotmail.com> wrote:

Multiple soft tissue calcifications in the areas of the right and left palatine tonsils, suggestive of postinflammatory changes (aka tonsiliths).  Dania

From: johan.aps at UGent.be 
To: oradlist at lists.ucla.eduDate: Thu, 5 Feb 2009 12:36:47 +0100Subject: Re: [Oradlist] FW: calcification on icat reconstructions 



Dear Alexandre, 
 
I think these are calcifications of soft tissue in the region of the tongue and the palatal arches; tonsilloliths in my opinion.
 
Kind regards from Belgium, 
 
Johan
-----------------------------------------------------------------------Prof. Dr. Johan K.M. Aps DDS - Cert. Paed. Dent. & Special Care - MSc DMFR - PhDGhent University, BelgiumSenior Consultant, Ghent University HospitalDental School UZG, P8 Dental School - De Pintelaan 185, 9000 Gent, Belgiumtel: + 32 9 332 5102fax: + 32 9 332 3851

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From: alexandre khairallah 
To: oradlist at lists.ucla.edu 
Sent: Thursday, February 05, 2009 10:07 AM
Subject: [Oradlist] FW: calcification on icat reconstructions


From: alexandrekhairallah at hotmail.comTo: oradlist-bounces at lists.ucla.eduSubject: calcification on icat reconstructionsDate: Thu, 22 Jan 2009 14:55:01 +0000Please find here some calcifications we found on Icat cuts & 3D reconstructions, We think it consists with bilateral tonsiloliths, any other suggestions ThanksAlexandre KhairallahDDS - DUOral & Maxillofacial RadiologistSchool Of Dentistry-Lebanese UniversityAlexandreKhairallah at hotmail.com

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