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Alcoholism is a common cause of sialosis. We describe a case of sialosiswith diffuse painless bilateral parotid gland enlargement associated with alcoholism. The diagnosis was based on clinical appearance, biochemical investigations and ultrasonography. The parotid swelling resulting from sialadenosisis asymptomatic, which concerns the patient because of cosmetic reasons. The dental practitioner needs to be able to differentiate sialosisfrom other pathological states that demonstrate bilateral parotid swelling to avoid unnecessary treatment.