To the Editor.—
I read "Critique and Cavil" by George X. Trimble, MD (234:379, 1975). He was discussing an inquiry concerning "orthodontic mumps or orthodontic parotitis." He mentioned that the literature had sparse reference to external causes of duct obstruction.I would like to refer him and other readers to the masterful communication by Rose.1 Among the 192 cases reported were 26 cases of duct obstruction due to trauma to the papilla and nine other cases due to injury to the buccal mucosa overlying the Stensen duct.Parotid enlargement due to interdental trauma to the cheek, or trauma resulting from various types of dental appliances, is a well-known entity to maxillofacial surgeons.
Arons MS. Dental Mumps. JAMA. 1976;235(9):909. doi:10.1001/jama.1976.03260350015014