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Home About Blog What is a Salivary Gland Stone?

What is a Salivary Gland Stone?


Posted on 4/15/2025 by Office - Boone DMD
Have you ever experienced a persistent, uncomfortable lump in your mouth that wouldn't go away? It could be a salivary gland stone, also known as sialolithiasis. These small, hard deposits can form in the salivary glands or their ducts, obstructing the flow of saliva and causing pain and swelling.

Understanding Salivary Glands and Their Importance

Our mouths are equipped with six salivary glands that produce saliva, a crucial fluid for oral health. Saliva plays a vital role in:
•  Digestion: It helps break down food, making it easier to swallow and digest.
•  Lubrication: Saliva keeps our mouths moist, allowing for comfortable speaking and swallowing.
•  Protection: It washes away food particles and bacteria, preventing cavities and gum disease.

When a salivary gland stone blocks the flow of saliva, it disrupts these essential functions, leading to various problems.

What Causes Salivary Gland Stones?

The exact cause of salivary gland stones remains unclear. However, several factors can increase the risk, including:
•  Dehydration: Reduced saliva production due to inadequate fluid intake makes it easier for minerals to crystallize and form stones.
•  Dental problems: Poor oral hygiene or existing dental issues like caries (cavities) can contribute to石形成.
•  Medications: Certain medications, such as anticholinergics, can reduce saliva flow, increasing the risk of stones.
•  Age: Salivary gland stones are more common in people over the age of 40.

Symptoms of Salivary Gland Stones

The most common symptom of a salivary gland stone is a painful swelling in the affected area. Depending on the location of the stone, the swelling may appear on the cheek, under the jaw, or near the ear. Other symptoms may include:
•  Dryness in the mouth
•  Difficulty swallowing
•  Pain when eating or talking
•  Pus discharge from the affected gland
•  Tenderness in the affected area

Diagnosis and Treatment of Salivary Gland Stones

If you experience any of these symptoms, it's important to consult a dentist or doctor for proper diagnosis. They can perform a physical examination, imaging tests like X-rays or CT scans, and possibly sialography (a special X-ray using contrast dye) to confirm the presence and location of the stone.

Treatment for salivary gland stones depends on the size and location of the stone. For small stones, conservative measures like warm compresses, increased fluid intake, and massage may help dislodge the stone. For larger or inaccessible stones, more invasive procedures like:
•  Sialendoscopy: A thin, flexible instrument is inserted into the salivary duct to locate and remove the stone.
•  Extracorporeal shock wave lithotripsy: Sound waves are used to break up the stone into smaller pieces that can then pass through the duct.
•  Surgery: In rare cases, surgery may be necessary to remove the stone or the affected salivary gland.

Prevention Tips

While not all salivary gland stones can be prevented, adopting good oral hygiene practices can significantly reduce your risk. Remember to:
•  Stay hydrated: Drink plenty of water throughout the day to keep your saliva flowing freely.
•  Maintain good oral hygiene: Brush your teeth twice daily, floss regularly, and schedule regular dental checkups and cleanings.
•  Limit sugary and acidic foods: These foods can contribute to dehydration and promote the formation of stones.

Importance of Early Detection and Treatment

Early diagnosis and treatment of salivary gland stones are crucial to prevent complications such as infection, gland damage, and permanent loss of salivary function. If you suspect you may have a salivary gland stone, don't hesitate to seek professional help.

By understanding salivary gland stones and practicing good oral care habits, you can maintain optimal oral health and prevent this uncomfortable condition.
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