Asymptomatic mouth floor enlargements may be observed in edentulous patients. These
masses, which protrude from the mouth floor, may complicate the fitting of dentures
and require surgery. Whether this "entity" may be considered an anatomical variation
of the mouth floor or represent specific alterations in the sublingual gland is not
known. ObjectiveThe aim of this work is to investigate the morphological and morphometric aspects
of the sublingual glands of edentulous patients with mouth floor enlargements and
compare the glands of these patients with the sublingual glands of human cadavers.
Material and MethodsMicroscopic evaluation was performed on human sublingual glands from edentulous
patients with mouth floor enlargements (n=20) and edentulous cadavers (n=20). The
patients and cadavers were of similar ages. The data were compared using
Mann-Whitney U, Fisher's exact and Student's t tests (p<0.05). ResultsAcinar atrophy, duct-like structures, mononuclear infiltrates, replacement of
parenchyma with fibrous/adipose tissue, mucous extravasation and oncocytosis were
similar between the groups (p>0.05). Only the variables "autolysis" and
"congested blood vessels" presented statistical difference between groups
(p=0.014; p=0.043). The morphometric study revealed that the volume densities of
acini, ducts, stroma and adipose tissue were similar between the groups
(p>0.05). ConclusionThe microscopic characteristics of the sublingual glands in mouth floor
enlargements in edentulous patients correspond to characteristics associated with
the normal aging process. The glands are not pathological and represent an
age-related alteration that occurs with or without the presence of the mouth floor
enlargements.