If you experience symptoms of a salivary gland stone, your doctor will first check for stones with a physical exam. Sometimes tests may also be ordered, such as X-ray, CT scan, or ultrasound.
If a stone is detected, the goal of treatment is to remove it. For small stones, stimulating saliva production by sucking on a lemon or sour candies may cause the stone to pass spontaneously. In other cases where stones are small, the doctor or dentist may massage or manually push the stone out of the duct.
For larger, harder-to-remove stones, doctors usually make a small incision in the mouth to remove the stone.
Increasingly, doctors are using a newer and less invasive technique called sialendoscopy to remove salivary gland stones. Developed and used successfully in Europe for a decade, sialendoscopy uses tiny lighted scopes, inserted into the gland's opening in the mouth, to visualize the salivary duct system and locate the stone. Then, using specially designed micro instruments, the surgeon can remove the stone to relieve the blockage. The procedure is performed under local or light general anesthesia, which allows the patient to go home right after the procedure.
For people with recurrent stones or irreversible damage to the salivary gland, surgical removal of the gland is necessary.
In addition, antibiotics are prescribed if salivary stones have caused infection.
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Read the Original Article: Salivary Gland Stones