A case of sialometaplasia of the soft palate is reported in a 2-year-old girl 3 months
after she had an adenoidectomy. Dental practitioners should be aware of the possible
causes of intraoral swellings in both children and adults. The appearance of some
conditions in children may differ from their characteristic appearance in adults.
Necrotizing sialometaplasia may appear as an aggressive-looking lesion in an adult,
possibly resembling squamous cell carcinoma. In the young patient reported here, frank
necrosis was not evident from clinical or histological examination. Necrosis may not be
part of the presentation of sialometaplasia in such young children.