Salivary stone disease is a disease in which in the salivary glands of a person, directly in their ducts, appear pathological formations. Most often, the disease affects the submandibular gland. The exception is the sublingual gland

The disease most often affects people over thirty years of age, mostly men. Children and women suffer from ialolithiasis extremely rarely.

All the reasons why the disease occurs have not yet been fully identified. Supposedly this is:

1. Disturbance of calcium metabolism.
2. Hypovitaminosis.
3. Injuries to the salivary glands due to incorrectly selected dentures.
4. Foreign bodies entering the duct. It could be bristles from a toothbrush.
5. Narrowing of the salivary ducts.
6. Changes salivary gland caused by inflammatory processes.

Symptoms of the disease:

Traditional medicine recipes for the treatment of salivary stones

Treatment of salivary stone disease can be conservative and surgical. On initial stage diseases, you can use traditional methods.

Healing ointment. For cooking you will need fresh protein chicken egg, a teaspoon of honey, an ampoule of Novocaine, and a teaspoon sunflower oil. Mix all ingredients and lubricate inflamed areas in the mouth, up to three times a day. Continue this treatment for a week. Ready solution Keep refrigerated.

Siberian origin. Eight tablespoons of the root of this plant are crushed and filled with water at room temperature, which will take a liter. The broth is simmered in a water bath for forty minutes. Enameled utensils are used for cooking. After it has cooled, filter and bring with boiling water to the original volume. You need to take this remedy for two weeks, forty milliliters, four times a day before meals. Store in a cool place.

Needles. Needles coniferous tree you will need five tablespoons. They are poured with a liter of boiling water and boiled over low heat for twenty minutes. Leave for three hours and filter. Take this decoction in the morning and evening, one hundred milliliters.

Birch buds. Five grams of birch buds, pour half a liter of boiling water and let it brew until it cools. The infusion should be strained and drunk in small sips throughout the day. Treatment should be continued for a month. It is also useful to consume birch sap. You need to drink at least one glass a day.

Lemon. To stimulate saliva production, you need to dissolve a slice of lemon in your mouth three times a day. In order to To enhance the effect, together with lemon, you need to keep a teaspoon of honey in your mouth until it is completely dissolved.

Soda. A teaspoon should be dissolved in warm boiled water, which will need two hundred milliliters. Several times a day, you need to wipe the mouth with a cotton swab dipped in this solution.

Sage. Two tablespoons of sage leaves need to be poured with boiling water, which will require four hundred milliliters. Leave for forty minutes, then strain and rinse your mouth with the infusion every two hours. Carry out this procedure for a week.

Cranberry. Mash a teaspoon of cranberries with a fork, turning them into a paste. It must be kept in the mouth for ten minutes, then swallowed. Cranberry will have an anti-inflammatory effect, and at the same time will stimulate the salivary glands, cleansing them. This procedure should be done in the morning before meals and an hour before bedtime. Continue treatment for a week.

Viburnum with honey. You will need a glass of viburnum berries and the same amount of natural honey. The berries need to be crushed with a wooden masher and poured with liquid. After the product has stood in a dark place for a week, you need to add one hundred milliliters of seventy percent medical alcohol to it. This medicine should be taken twice a day before meals. Hold a teaspoon of the mixture in your mouth for two minutes, then swallow. The course of treatment is one and a half months.

Mineral water with beet juice. This product is used as a mouth rinse. Mineral water need to be taken from high content alkalis. Before use, you need to pour it into a glass and leave it for a while so that the gas comes out. You will also need beetroot juice. It needs to be grated and squeezed through cheesecloth. Add two tablespoons to two hundred milliliters of water beet juice and stir. Rinse your mouth up to four times a day for ten days.

Pomegranate. An excellent remedy for salivary stone disease is pomegranate. Every day, at least five times per knock, you need to dissolve several pomegranate seeds in your mouth. It will have an anti-inflammatory effect and stimulate the salivary glands. You can also use natural pomegranate juice no sugar. Before swallowing, you need to keep it in your mouth for a few seconds.

Effective anti-inflammatory agent

Grind a glass of young meat in a meat grinder pine shoots and half a glass of wild raspberry roots. Add two hundred grams of sugar to this mixture. Pour three liters of boiling water and simmer over low heat for three hours. Wrap the container with the broth in a blanket and let it cool, then strain. Add three hundred milliliters of seventy percent medical alcohol to the decoction. Take a tablespoon in the morning and evening before meals. The course of treatment is ten days, then take a ten-day break and continue treatment.

Vegetable oil in the treatment of salivary stones

The product is used not only for stones in the salivary glands, but also to cleanse the body as a whole. The salivary glands are activated and remove toxins from the body. Before you start the procedure, you need to practice using water. Under no circumstances should the oil be swallowed.

For treatment, sunflower, olive or peanut oil is used. The procedure should be carried out in the morning, on an empty stomach.
A tablespoon of oil (no more) should be dissolved in the mouth like candy for twenty minutes, without straining. The oil will first become viscous and then thin out, turning into water. The oil that is spit out must be white, this indicates that the procedure was carried out correctly and toxins are leaving the body. If the liquid is yellow, then next time it will take longer to dissolve.

The next step is rinsing your mouth. To do this, use a simple clean water no additives. You can also use a slightly pink solution of potassium permanganate. Manganese crystals should not be added directly to the rinse water. They need to be dissolved in warm water using a separate small container, and then added drop by drop to the water for rinsing your mouth.

If the stones large size and cause pain and discomfort, you should not postpone a visit to the dentist, as you may need surgery. Before using the methods traditional medicine It is worth consulting a doctor.

Stones in the salivary glands are called sialolithiasis.

This pathology is characterized by the formation of stones in the parenchyma or ducts of the salivary glands, as a result of which there is a violation of the outflow of saliva outward, and the development of various symptoms in the form of pain, swelling or abscess.

Possible causes include smoking, poor nutrition, availability chronic diseases etc.

As a rule, stones are formed for a number of reasons in combination. Among them may be:

• lack of vitamin A;
• violation of mineral metabolism (calcium);
• chronic infectious diseases;
• diabetes mellitus;
• alcohol abuse;
• gout;
• long-term use of some medicines(diuretics, psychotropics, antihistamines);
• oral injuries;
• congenital defects in the structure of the salivary gland ducts;
• urolithiasis;
• inflammation of the oral cavity;
• penetration of a foreign body or infection into the area of ​​the salivary glands;
• frequent dehydration;
• drinking calcium mineral water.

The formation of stones is explained by excess calcium in the body or narrowing of the ducts of the salivary glands. Moreover, these factors are interrelated. However, doctors still cannot give a specific explanation for the occurrence of this process.

Symptoms

In the early stages, stones in the salivary glands do not manifest themselves in any way.

It can only be detected by chance when taking an x-ray of the teeth or jaw (seals will be visible).

The first symptoms may appear months or even years after the onset of pathogenic processes.

Problems begin when the size of the stones blocks the ducts of the salivary glands, preventing the flow of saliva.

arise acute attacks pain in the sublingual area that lasts from several minutes to a couple of hours. The provoking factor is salivation, which usually occurs during meals. As the stones grow, the pain increases.

Next, swelling occurs due to the accumulating saliva, which is unable to come out. This may cause the start infectious process and abscess, as they appear favorable conditions for the development of bacteria.

At long absence treatment, irreversible damage to the structure of the salivary glands occurs, and the disease becomes chronic. Attacks of acute pain while eating become common occurrence. Pus may periodically ooze from the sublingual area, and diction may be impaired due to an abscess or swelling.

In the presence of infection, inflammatory processes may spread to surrounding organs and tissues, which can cause sepsis.

Diagnostics

A visual examination by a doctor will show an increase in the size of the glands. During palpation, lumps are felt, and the procedure itself causes pain. Pus is often observed in the oral cavity. To confirm the diagnosis, the following studies are prescribed:

• radiography;
• sialography;
• sialoscopy;
• Ultrasound of the salivary glands;
• probing the ducts of the salivary glands;
• biochemical analysis of saliva;
• sialoscintigraphy;
• computed sialotomography;
• sialometry.

X-ray of salivary stone disease

In some cases, other studies will be required to differentiate this pathology from similar diseases oral cavity (lymphadenitis, phlebolitis, phlegmon, etc.).

Oncological diseases oral cavities are not so common. diagnosed in less than 1% of cases of all oncological pathologies. However, the disease has not been sufficiently studied, so the first symptoms are difficult to determine.

Read what salivary gland cysts are and how to detect them.

You may be interested in learning more about the causes of sialadenitis. you can read about the reasons and possible complications salivary stone disease.

Stone in the salivary gland - treatment

Treatment methods for the disease depend on the size of the stones, their location and the presence concomitant diseases. In any case, the stones should be removed. On early stages this can be done using therapeutic massage salivary glands, diet and thermal procedures. This will allow the stones to come out on their own along with saliva.

In other cases, if the stones are located close to the mouth of the glands, the doctor can remove them using tweezers by making a small incision. This operation carried out under local anesthesia and does not cause consequences.

Stone removed endoscopically

If the stones lie deep inside, then surgery can damage the glands and impair their functionality, so surgery is contraindicated.

Then the following methods are used for treatment:

• crushing formations using ultrasound;
• dissolution of stones citric acid (3%);
• Sialendoscopy – removal of formations through the ducts using an endoscope.

Treatment of the disease is carried out in a hospital under the supervision of a doctor.

Additionally, various medications are used to relieve symptoms. These may be antibiotics, painkillers or anti-inflammatory drugs if there is an infectious process.

Folk remedies

For the treatment and removal of salivary gland stones naturally there may be effective means traditional medicine.

Their action is aimed at dissolving mineral deposits and improving the flow of saliva.

The most proven and effective herbal remedies are described below:

1. Melissa. Take 2 teaspoons of lemon balm per glass of boiling water, leave for 15 minutes and take 100 ml each time before meals (3-4 times a day).
2. Birch sap. You need to drink 250 ml of fresh (non-canned) juice every day. This helps dissolve calcifications, which form the basis for stone formation.
3. Celandine. For a glass of boiling water you need to take 1 tablespoon of celandine leaves and leave for 30 minutes. The infusion is taken in a third of a glass 3 times a day. This will help eliminate inflammation and relieve pain.
4. Kalina. It is necessary to grind the viburnum berries until smooth and mix them with an equal amount of honey. The product is diluted warm water in a ratio of 1:2 and take half a glass 2 times a day.
5. Needles. For 1 liter of water, take 5 tablespoons of spruce and pine needles (you can mix them), bring to a boil and cook for 15 minutes. The broth is infused for 3 hours and then filtered. Take half a glass in the morning and evening. This will eliminate inflammation and help dissolve the stones.

Action traditional methods treatment may be effective, but not always medically justified. Therefore, you should first consult your doctor.

Forecast

In the vast majority of cases, the prognosis is favorable if the stones do not damage the salivary glands (about 90% of all cases).

If you apply in a timely manner medical assistance there should be no complications. However, it is necessary to find the underlying cause of the disease and also eliminate it, so in the future you may have to follow a special low-calcium diet or change your lifestyle.

Prevention

To prevent the formation of stones, it is necessary to follow the following preventive measures:

• adhere to a balanced diet;
• drink only purified water;
• stop smoking and drinking alcohol;
• if you have a tendency to accumulate calcium, avoid foods rich in this mineral;
• monitor oral hygiene;
• treat any infectious diseases in a timely manner;
• take place regularly preventive examinations at the dentist (at least twice a year).

Stones in the salivary glands cause a lot of unpleasant and painful symptoms. If you do not get rid of them in time, there is a risk of damage to the salivary glands.

When the first signs appear of this disease It is recommended to seek medical help and undergo examinations. In the early stages, stones are easily and painlessly removed using one of the possible methods.

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Stones in salivary gland(salivary stone disease) is a pathology that is also known as “sialolithiasis.” This is an inflammatory process in which stones form in the salivary glands.

As stones grow, the risk of forming an abscess or cellulitis increases ( purulent inflammation, which, unlike an abscess, does not have clear boundaries). We will tell you in the article what symptoms accompany the disease and how to treat it.

Characteristic features of pathology

The size of the stones can vary - from a few millimeters to several centimeters

A person has three pairs of salivary glands, located respectively in the earlobe, under the jaw and tongue.

Under the influence unfavorable factors stones, or salivolitis, can form in them.

Salivary gland stones are mineral compounds that block the ducts of the salivary glands. Typically, this pathology affects people aged 20 to 45 years.

In most cases (95%), salivolitis is localized in the submandibular glands.

In the parotid glands, such formations are observed in only 8% of cases. They are most rarely formed in the sublingual salivary glands.

Stones can be small or large. Small stones are easily washed out of the ducts with saliva. Larger ones remain in the gland, clogging its lumen.

These formations are taken from organic matter and minerals: amino acids, ductal epithelium, sodium, iron, chlorine.

Regarding external characteristics, then the calculi of the salivary glands have an uneven surface and a yellowish color. Their size can vary - from a few millimeters to several centimeters. The weight of the stones varies from 3 to 30 g.

Pay attention! The larger the salivolitis reaches, the more difficult it is for the patient to open the jaws, speak, and chew food.

Small stones are easily washed out of the ducts with saliva, while larger ones remain in the gland, clogging its lumen

Symptoms

The appearance of stones in the salivary glands is accompanied by the following symptoms:

Important! In the absence of treatment, the formation of an abscess or phlegmon gradually occurs. There is also a possibility of piercing the salivary gland with the sharp edges of the calculus and the latter coming out to soft tissues.

Reasons for the development of stones in the salivary gland

Stones in the salivary glands are formed as a result of unfavorable factors, which include:

Under the influence of the described reasons, stagnation of the secretion in the salivary glands occurs, which causes the formation of a sediment in the form of salts. The latter, uniting into a single whole, form salivolites.

Diagnosis of pathology

Diagnosis of sialolithiasis is carried out using the following methods:

After diagnostic measures prescribe an appropriate course of treatment, taking into account general condition patient and the degree of development of pathology.

Forms of the disease

Salivary stone disease can occur in acute and chronic forms.

Acute sialolithiasis is characterized by sudden development. This form is characterized by pronounced sharp pain, temperature increase. In this case, complications often appear in the form of the formation of phlegmon or an abscess.

If the disease progresses to chronic form, the inflammatory process disappears, but slight swelling remains. When the pathology reaches this stage, mandatory surgical intervention is required.

Treatment approaches

Choice optimal method treatment depends on what stage it is at pathological process. When diagnosing the initial stage of sialolithiasis surgical intervention not required: if the stone has no large sizes, then over time it may come out on its own.

As an auxiliary technique, the patient is recommended to eat properly, give up too much solid food, as well as smoking and alcohol.

Radical intervention

Surgical intervention is required if the stones are large and prevent the patient from speaking, chewing, swallowing, or if the disease has become chronic.

Depending on where the stone is located, access to it is carried out in different ways:

• For stones in the submandibular area, an incision is made in the neck. Pathological tissue is usually removed along with the salivary gland. IN advanced cases removal of the affected lymph nodes is also required;
• If there are stones in the parotid gland, external access is performed;
• For stones in the sublingual salivary gland, a cystectomy is performed.

If, as a result of the formation of stones, an abscess has formed, then it is opened and conditions are created for the safe outflow of purulent contents.

If a relapse occurs even after radical intervention, surgery is performed to remove the salivary gland.

After surgery, the patient should eat only liquid food.

It is easier to remove a stone that is located close to the mouth of the duct. Under such conditions, a specialist can remove it with tweezers or by gradual squeezing.

A low-traumatic way to eliminate salivolitis is lithotripsy - crushing with ultrasound.

Sialoscopy of the salivary glands is an event involving endoscopic removal stones.

The procedure is an alternative to surgery and has several advantages:

• the likelihood of damage to ducts, glands, vessels and nerves is minimal;
• rehabilitation period not too long.

Sialoscopy allows you to remove stones even from the most difficult to reach areas.

Bougienage- a technique, the essence of which is to insert a probe into the duct of the salivary gland in order to expand it. The procedure can be repeated up to 15-30 times, with each procedure increasing the size of the probe.

Removal of parotid stones

The cost of dental procedures varies and depends on the complexity of their implementation:

• the price of surgery varies from 3,000 to 10,000 rubles;
• bougienage of the ducts of the salivary glands costs about 400-700 rubles per procedure;
• Sialoscopy costs about 15,000-20,000 rubles.

Treatment of sialolithiasis with medications

If there are stones in the salivary glands, medications are prescribed to enhance saliva production.

If a specialist determines that the pathological process is at the initial stage of development, the patient is prescribed medications that can be used to correct the condition.

If there are stones in the salivary glands, the following is prescribed:

• drugs to enhance saliva production;
• antibacterial agents local application;
• anti-inflammatory drugs that reduce the severity pain;
• carrying out physiotherapeutic procedures ( dry heat, massage, compresses).

Traditional methods

Methods traditional treatment can also be used, but only as an addition to the main treatment - conservative or surgical.

Among the most effective means:

• Using cranberry puree. It is enough to mash the washed berries and place the mixture in oral cavity, leave for a few minutes. This simple method activates the salivary glands;
• Rinsing the mouth with soda. You should prepare a weak solution of soda (a teaspoon per glass warm water) and rinse your mouth with it;
• Rinsing the mouth with a combined decoction medicinal herbs, which contains chamomile, sage, mint.

Important! Treatment of sialolithiasis must be carried out under the supervision of a physician. Independent attempts to get rid of this phenomenon can provoke the release of purulent contents of the abscess, which is fraught with its penetration into the blood and tissues.

Complications of pathology

Salivary stone disease is fraught the following consequences:

• soft tissue abscess;
• phlegmon;
• passage of stone into the duct;
• vascular injury during surgery;
• impaired sensitivity of the tongue due to injury to the lingular nerve, which is possible during surgery.

In order to prevent life-threatening consequences, if salivary stone disease manifests itself, it is necessary to contact a specialist in a timely manner.

Prevention

To prevent the development of pathology, it is necessary:

• follow the rules of oral care;
• promptly treat diseases that spread to any organs or systems of the body;
• stop smoking, alcohol;
• consume enough vitamins;
• promptly eliminate congenital ductal anomalies.

Salivary stone disease is characterized by the formation of mineral compounds in the salivary glands. Its danger lies in the possibility of the formation of an abscess and phlegmon, the purulent contents of which can spill into the surrounding tissues. Treatment of the pathology is either conservative or surgically.

Discussion.

Photo 10: Extracted stone

Conclusion

The majority of cases of salivary stone disease (80%) occur in the submandibular salivary gland and its duct. In 10% the parotid gland is affected and in the remaining 10% the sublingual salivary gland and minor salivary glands are affected.

Bilateral or multiple gland involvement occurs in less than 3% of cases.

In patients with several salivary stones, the formations may be located in different places along the duct or in the body of the gland. Stones in the submandibular salivary gland, located close to the orifice, tend to greatly enlarge before they become symptomatic. The incidence of sialolithiasis on the right and left is approximately the same.

Typically, salivary stones range in size from 1 mm to 1 cm. Giant salivary stones are formations larger than 1.5 cm, data on which are quite rare in the medical literature. Giant stones over 3 cm - extremely rare case, described only a few times.

Description of a clinical case.

In 2010, a 53-year-old man applied to the department maxillofacial surgery with complaints of a voluminous, hard formation on the floor of the mouth under the tongue on the left. From the anamnesis it was found that the patient's swelling was associated with food intake. The medical history is unremarkable.

Upon examination and bimanual palpation, it was found that the swelling belongs to the left submandibular salivary gland and is dense and mobile (Photo 1). The floor of the mouth is swollen. OPG revealed a large calcified mass (Figure 2). CT scan shows obstruction of the submandibular salivary gland duct with a stone measuring 3.32 x 1.14 cm (Figures 3, 4 and 5). IN biochemical analysis blood counts are normal.

Photo 1: Formation in the sublingual area on the left

Photo 2: OPG with a massive radiopaque formation

Photos 3a 3b 3c, 4 and 5: CT scan showing stone size and location

Under local anesthesia the stone was removed through an incision in the floor of the mouth (Photos 6,7). The concrement was yellowish color, oval in shape with a rough and uneven surface (Photo 8). A polyethylene tube was inserted into the incision site. The edges of the wound are sutured (Photo 9). Sutures and drainage were removed after 2 weeks.

Photos 6 and 7: Incision of the floor of the mouth and extraction of stone

Photo 8: The extracted stone was yellow, oval in shape, had a rough and uneven surface

Photo 9: Short polyethylene tube

Discussion.

The majority of cases of salivary stone disease (80%) occur in the submandibular salivary gland and its duct. In 10% the parotid gland is affected and in the remaining 10% the sublingual salivary gland and minor salivary glands are affected.

Saliva with a current against gravity is more alkaline and contains more Ca ions and mucin, which may explain the preferential formation of stones in the submandibular gland.

The exact etiology and pathogenesis are still unknown. Somewhat more often, the pathology affects men aged 40 years. Patients complain of pain, discomfort and swelling before and during meals. In such cases, bimanual massage of the affected gland should be performed with inspection of the saliva released. The stone is often located anteriorly in the excretory duct. Such characteristics cause pronounced pain syndrome. A calculus in the submandibular salivary gland is radiopaque in 80-94.7% of cases. Besides X-ray methods It is also recommended to use ultrasound examinations, which can detect 90% of all formations larger than 2 mm. When small stones are detected, the most informative method is CT. Performing an OPG can also be very useful. For small radiopaque formations, contrast sialography is the study of choice, although stone movement toward the gland can sometimes be unavoidable.

Photo 10: Extracted stone

Despite the fact that sialolithiasis can occur both in the gland itself and in the duct, detection of large stones larger than 3 cm is rare. In this situation, the stone completely occupied the duct. A review of the literature found only 16 clinical cases with stones larger than 3.5 cm.

Stones are usually oval or round shape, yellowish in color with a smooth or rough surface. The composition contains calcium phosphate with small amounts of hydroxyapatite, magnesium, potassium and nitrogen compounds. Submandibular salivary gland stones are usually removed surgically through an intraoral or extraoral approach. Surgical removal is indicated only when the stone is localized in the excretory duct. If the formation is localized in the body of the gland, fragmentation of the gland or endoscopic laser lithotripsy is performed. This treatment attempted several times. After removal of the stone, scintigraphic examination shows functional restoration of the gland. In some cases it is shown complete removal glands.

New developments in the treatment of pathology are promising. Non-invasive techniques such as ultrasound lithotripsy, stone extraction baskets and endoscopic laser technologies are gradually being introduced.

A review of 4,691 cases reported success with the use of microforceps and baskets for stones smaller than 5 mm and extracorporeal lithotripsy for fixed parotid stones smaller than 7 mm in diameter.

Conclusion

This article describes a rare clinical case formation of a large salivary gland stone, which could have been avoided by early diagnosis and appropriate treatment. Once the diagnosis is made, measures should be taken to extract the formation with the least possible invasiveness of the procedure.

Stones in the salivary glands are formed as a result of impaired salivary secretion. Saliva performs important role in the fermentation of the food you eat. Moisturizes food and breaks down some starch and fat, thanks to the enzyme content.

There are three pairs of salivary glands. In 85% of cases, stones appear in the submandibular gland, and in 15% - in the parotid gland. Adults, especially men, get sick more often.

Symptoms of parotid stones

Stones in the salivary glands occur when the viscosity of saliva increases due to malfunctions endocrine system and electrolyte balance. The stone is typically the size of a pinhead or cherry pit. There may be several of them.

Salivary gland stones...

The formation of stones in the salivary glands especially often occurs when the parotid canal widens or narrows, inflammatory processes in the oral cavity, when the saliva secretion channels are blocked foreign bodies, such as toothbrush hairs, tartar, wood particles, etc.

Symptoms occur mainly during meals, when the need for saliva increases. If, as a result of a disease of the salivary glands, they have become completely blocked, saliva cannot enter the oral cavity, and the patient feels a sudden and severe pain soon after starting a meal. Then swelling appears. Approximately 1-2 hours after eating, pain and swelling disappear.

However, in most cases, the stones only partially block the salivary glands. Then the symptoms of the disease differ from patient to patient.

Most often observed:

• dull pain that appears from time to time;
• parotid edema - can be permanent or temporary;
• parotid infections - can cause redness and pain, which in turn contributes to the formation of abscesses and poor health.

Diagnosis of stone formation in the salivary glands

In some patients formation of stones in the salivary glands is asymptomatic, and the stone is discovered by chance after tomography. Sometimes the doctor is able to feel or see the stone. Normal X-ray examination in 80% of cases it is enough to make a diagnosis.

Sometimes, however, further research is necessary, for example:

• computed tomography;
• ultrasound examination;
• magnetic resonance imaging;
• sialography - the introduction of a contrast agent into the pulp of the salivary glands and subsequent examination using x-rays;
• Sialendoscopy is a study that involves inserting an endoscope into the parotid canal.

Prevention and treatment of stones in the salivary glands

Treatment includes special taking care of oral hygiene. The diet should be balanced, it is recommended to drink plenty of water.

Stones are removed surgically in a hospital setting. It can also be removed using sialoendoscopy - insertion of an endoscope into the parotid canal with a special tip designed to capture and remove the stone. This stone removal technique was effective in 17 out of 20 patients.

Removing stones from the salivary glands will cause immediate cessation of pain. Due to the fact that the causes of the disease are not fully known, the appearance of stones is difficult to prevent. Doctors agree that drinking water large quantities provides positive influence on