Description
Salivary gland stones are deposits of calcium phosphate and carbon in the salivary glands. Sialoliths affect men twice as often as women. Salivary stones most often affect the submandibular glands. The cause of salivary gland stones is unknown. Research suggests that inflammation, irritation, and some medicines increase the risk of developing them.
Symptoms
Painful swelling of salivary gland, pain with chewing or swallowing. Some people do not have any symptoms.
Tests
Common tests used for diagnosis and treatment
Workup:
A history and physical exam will be performed. The dentist may try to squeeze saliva from the gland to see if it is blocked. A salivary gland stone is usually is diagnosed with an X-ray.
Tests:
X-ray
Other Specific Tests: Ultrasound, CT scan, MRI, bacterial culture
Specialists:
Internal Medicine, Pediatrics, Family Practice, Oral and Maxillofacial Surgery, Dentistry, Dentistry - Pediatric
Workup:
A history and physical exam will be performed. The dentist may try to squeeze saliva from the gland to see if it is blocked. A salivary gland stone is usually is diagnosed with an X-ray.
Tests:
X-ray
Other Specific Tests: Ultrasound, CT scan, MRI, bacterial culture
Specialists:
Internal Medicine, Pediatrics, Family Practice, Oral and Maxillofacial Surgery, Dentistry, Dentistry - Pediatric
Treatment
Treatment involves removing the stones from the salivary glands. Some stones can be removed by squeezing them out by hand. Deeper ones may require surgery. Some stones can be smashed with shock waves. This procedure is known as lithotripsy. A newer technique uses a miniature camera and instruments to diagnose and treat stones in the salivary gland duct. This is called sialoendoscopy. If the stone is removed before infection or tissue damage occurs, the outlook is excellent.