standard sa 8000:2014 social accountability€¦ · standard sa 8000:2014 inspect assessed and...

Journal of Oral Health and Craniofacial Science Open Access HTTPS://www.HEIGHPUBS.ORG ISSN 2573-6191 Case Report Large perforating Submandibular Stone-A Case Report Faaiz Alhamdani* Assistant Professor, College of Dentistry, Ibn Sina University, Baghdad, Iraq *Address for Correspondence: Dr. Faaiz Alhamdani, Assistant Professor, College of Dentistry, Ibn Sina University, Baghdad, Iraq, Email: [email protected] Submitted: 23 January 2018 Approved: 08 February 2018 Published: 09 February 2018 Copyright: 2018 Alhamdani F. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. How to cite this article: Alhamdani F. Large perforating Submandibular Stone-A Case Report. J Oral Health Craniofac Sci. 2018; 3: 021-024. https://doi.org/10.29328/journal.johcs.1001023 Introduction Salivary stone (sialothiasis) is a calcifying concentration within the ductal system of salivary gland [1]. The majority of salivary calculi occur in the submandibular gland duct because of its length, upward course and the thicker mucus [2]. Submandibular salivary stone is a common cause for recurrent submandibular gland swellings [3]. Recurrent obstruction of salivary ϐlow is the main cause for salivary gland swellings, which makes salivary gland removal in some of these cases inevitable, despite the considerable advances in salivary gland calculi management [4- 6]. Large salivary stones (>10 mm) are relatively uncommon [7-9]. Reviews of cases of giant salivary stone were attempted by different authors [7,10,11]. However, the review done by [12], was the most comprehensive one. They reported 90 cases of giant salivary stones between 1942 and 2014. Apart from 8 cases included in their review, all the reported stones were between 30-65 mm in size. Submandibular salivary gland stones perforating the ϐloor of the mouth, reported in the literature, are even less common. In the last decade 7 cases have been described. The reported cases with perforating submandibular stones were large (≥22 mm). Table 1 summarises the features of the reported cases. Case Report Thirty ϐive old male attended Training Dental Centre/ Baghdad complaining from moderately severe pain and a swelling in the left submandibular area. The pain started 10 days earlier. At that time the patient was already under Amoxicillin 500 mg 8 hourly for throat infection. At the beginning the pain was mild and it was triggered by eating and wide mouth opening. After 6 days the pain became more intense, but the swelling did not increase in size. At the tenth day, the day he attended the clinic the pain became intolerable, as described by the patient. The patient took Diclofenac powder oral solution 50mg for pain control. History taking revealed that in 2010 the patient complained from pain and swelling in the left submandibular gland. He went to Germany where the submandibular stone Table 1: Characteristics of reported cases with perforating salivary stones in the last decade. No. Of case Author(s) Year Gender Age position Size (mm) 1 (Parkar et al.) 2011 Female 84 submandibular 9x5 mm 2 (Singhal et al.) 2012 Male Male 51 40 Submandibular submandibular 18 mm 21 mm 1 (Nemade et al.) 2013 Male 46 Submandibular 16x10 mm 1 (Hegde et al.) 2014 Male 55 Submandibular 40 mm 1 (Kurtoğlu et al.) 2015 Female 52 submandibular 25×8×6 mm 1 (Saluja et al.) 2016 Male 65 submandibular 22x14 mm

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Page 1: Standard SA 8000:2014 SOCIAL ACCOUNTABILITY€¦ · Standard SA 8000:2014 INSPECT assessed and approved that related firm meets the requirements of the designated standard at related

In nt oe ir tn ca et pio sn In al d c ne ar nti oficati

CertificateClient Name and address

Standard

SA 8000:2014

INSPECT assessed and approved that related firm meets the requirements of the designated standard at related scope

Scope

To verify the validity of this certificate please visit: www.inspect.com.tr

The validity of this certificate is depend on the success of surveillance assessments

General Manager

Inspect International Certification and Inspection Co. Ltd.www.inspect.com.tr

The period of certificate is 3 years

INSPECT is accredited by International Accreditation Service (IAS) United States Of America

EA/Category Code: -Initial issue date: 17.Mar.2020Issue date of this certificate: 17.Mar.2020Validity of this certificate: 16.Mar.2021Recertification date: 16.Mar.2023Certificate No: 20.01.532-SA

SALCEF SPAVIA DI PIETRALATA, 140. 00158. ROMA ITALIA

Progettazione, costruzione e manutenzione di: edifici civili ed industriali; strade, ponti viadotti e ferrovie; opere d'arte nel sottosuolo;impianti tecnologici - Progettazione, costruzione e manutenzione di armamento ferroviario per linee ferroviarie, tranviarie,metropolitane e opere civili annesse, di opere civili nelle gallerie attivate all'esercizio ferroviario, di impianti per il trasportodell'energia elettrica, per trazione e per segnalamento ferroviario per linee ferroviarie, tranviarie e metropolitane.

Design, construction and maintenance of: civil and industrial buildings; roads, viaducts, bridges and railways; works of art inthe subsoil; technological systems - Design, construction and maintenance of: railway equipment for railways, tramways, subwaysand related civil works, civil works in railway tunnels, systems for the transmission of electric energy, for traction and for railwaysignaling for railways, tramways and subways

SOCIAL ACCOUNTABILITY

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