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The presence of salivary calculi.



a disease in man characterized by the formation of calculi within a salivary gland or excretory duct. Sialolithiasis is caused by the chronic inflammation of a gland. The submandibular gland is usually affected, with the causative agent being an inflammatory disease in the teeth of the lower jaw. The concentration of mineral salts in the saliva increases, and the passage of saliva through the ducts is decelerated. The mineral salts, which are usually calcium phosphate and calcium carbonate, are deposited on a cellular base of a duct or glandular body.

A salivary calculus weighs from several milligrams to several grams. If a calculus is small, the gland temporarily enlarges, causing a dull pain. A large calculus can completely close a ductal lumen, causing severe retention of saliva, acute pain in the submandibular region, and, often, a glandular abscess or phlegmon.

Sialolithiasis is sometimes treated with medications, including antiseptics and antispasmodics; surgical treatment is more common.


Klementov, A. V. Sliunnokamennaiabolezn’. Leningrad, 1960.
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Sialolithiasis accounts for more than 50% of major salivary gland diseases.
A study was carried out among patients reporting to department of oral and maxillofacial surgery Khyber College of Dentistry, with Sialolithiasis to find out disease characteristics, surgical treatment offered along with post operative complications.
Sialadenitis and sialolithiasis cases were previously excluded from this study.
9) Another important factor is the differential diagnosis, mainly in delayed traumas, because the radiographic image of dental fragments included in the mouth floor can be similar to sialolithiasis of the salivary glands.
2) There is a single report of sialolithiasis in a budgerigar (Melopsitticus undulatus).
Contrast-enhanced computed tomography [Figure 1] demonstrated an irregular ring-enhancing loculated lesion with a homogenous low-density substance inside, without evidence of sialolithiasis.
Obstruction by salivary duct stones is known as sialolithiasis and affects men (generally, middle-aged males) twice as often as women.
Sialolithiasis is the most common disease affecting adult salivary glands, accounting for more than 50% of all salivary gland conditions.
5) Differential diagnosis for unilateral lesions containing cysts includes sialolithiasis, first branchial cleft cyst, HIV-associated BLEL, adenoid cystic carcinoma, and benign mixed tumor.
Bilateral or multiple-gland sialolithiasis is occurring in fewer than 3% of cases.
However, the procedure can lead to side effects such as the formation of calcium granules retained in the tarsal plate, in addition to mucocele and sialolithiasis, which may obstruct the transplanted duct (TERMOTE, 2003).