Sialothiasis or salivary gland stones are hardening or classification of chemicals in salivary glands that are shaped like stones and inhibit the flow of saliva into the mouth.
The stone-shaped obstacles are mostly composed of calcium with varying sizes. Some are less than 1 millimeter, and some are a few centimeters.
Salivary gland stones usually occur in submandibular salivary glands located in the lower jaw. This condition is rarely found in the other two saliva-producing glands, namely the sublingual salivary glands located under the tongue, and the parotid glands located on the cheeks. Blockage causes the salivary glands to become swollen and painful.
Sialothiasis can be experienced by anyone, although most sufferers are men aged 30-60 years. Generally salivary gland stones occur once in a lifetime.
But for some sufferers, this condition can recur so surgery is needed to remove the salivary glands.
Saliva Gland Stones and Symptoms
New Sialothiasis produces symptoms if the size is large enough. These symptoms include:
- Pain in the salivary glands. This pain comes occasionally if the inhibition is only on some channels. The pain will increase when the salivary glands are completely blocked, especially when starting to eat food, then subside one or two hours after eating.
- Swelling of the salivary glands, which is characterized by swelling of the mouth, face, or neck.
- Dry mouth.
- Difficulty swallowing or opening your mouth.
- Infection of the salivary glands indicated by symptoms of fever, infection area is red, mouth feels bad, and the abscess (Pus).
Saliva Gland Stones and their Causes
The main cause of salivary gland stones is not known with certainty. However, a number of factors related to changes in salivary flow from the gland are thought to cause this condition. Some of these factors include:
- Consumption of drugs that can reduce the production of saliva, such as high blood pressure drugs or antihistamines.
- Eat less food, this results in reduced flow of saliva.
- This condition can make saliva become thicker.
- Injury to salivary glands.
Saliva Gland Stones and their Treatment
The main purpose of handling salivary gland stones is to remove clogged stones. Handling can be done through:
- Simple technique.
The aim of this treatment is to increase the production of saliva and force the stone out of the salivary duct spontaneously.
The way is to drink a lot, suck sour candy or oranges, and use hot compresses. If the stone is small, the doctor can massage the area where the stone is and push it out.
- Special procedure.
In addition to diagnosis, sialendoscopy can also be used to excrete salivary gland stones. This action is called therapeutic sialendoscopy.
In this procedure, the patient will be given local anesthesia before the endoscope is inserted through the ducts of saliva to reach and remove stones in the salivary glands.
If the size of the stone is large enough, then the stone needs to be solved first with Extracorporeal Shock Wave Lithotripsy (ESWL), using vibrations from sound waves. in addition to the two procedures, the doctor can recommend surgery if needed, by making a small incision around the mouth to remove the salivary gland stones.
But this method is now rarely done. In people who often experience repeated salivary gland stones, surgical removal of salivary glands is needed. People who undergo this procedure need not worry because other saliva producing glands can still produce saliva adequately.
- Giving medicine.
The purpose of the drug is to reduce pain and relieve symptoms. In addition, antibiotics can also be given if salivary gland stones cause infection.