Salivary Stone Disease Sialolithiasis

Salivary Stone Disease (Sialolithiasis): Surgical Therapy

Oral and maxillofacial surgery. The therapy of sialolithiasis depends on the location, size, and mobility of the sialolith. Today, minimally invasive surgical procedures that preserve glands are increasingly being performed. For intraductal stone location (in the excretory duct): Glandular massage – massaging out very small stones (“grits”) near the papillae. Interventional sialoendoscopy Endoscopic removal of … Salivary Stone Disease (Sialolithiasis): Surgical Therapy

Salivary Stone Disease (Sialolithiasis): Symptoms, Complaints, Signs

The following symptoms and complaints may indicate sialolithiasis (salivary stone disease): Pathognomonic (indicative of a disease). Intermittent painful glandular swelling/swelling of the cheek in response to food intake. Main symptoms of sialolithiasis Clinically initially inapparent (“inconspicuous”). Later, intermittent painful swelling before and during food intake Possibly bad taste Possibly spontaneous concrement discharge Main symptoms of … Salivary Stone Disease (Sialolithiasis): Symptoms, Complaints, Signs

Salivary Stone Disease (Sialolithiasis): Causes

Pathogenesis (disease development) Disturbance of salivary electrolyte balance results in altered viscosity. Tougher saliva leads to mucus obstruction, resulting in outflow obstruction. As a result, sialoliths (salivary stones) are formed by precipitation of calcium compounds, as inorganic material increasingly accumulates on an inorganic core. Consecutively, there is remodeling of the ductal system, ductal ectasia (dilatation) … Salivary Stone Disease (Sialolithiasis): Causes

Salivary Stone Disease (Sialolithiasis): Therapy

Consultation/education The patient should be educated about the symptoms of sialolithiasis and motivated to actively cooperate. General measures Spontaneous departure promoting measures: Glandular massage Chewing gum Vitamin C powder Review of permanent medication due topossible effect on the existing disease. Regular check-ups Dental checkups – interval recommendation depending on the degree of disease. Nutritional medicine … Salivary Stone Disease (Sialolithiasis): Therapy

Salivary Stone Disease (Sialolithiasis): Drug Therapy

Therapeutic targets In case of bacterial infection: cure. Pain relief Relief of xerostomia (dry mouth) Therapy recommendations Symptomatic therapy Analgesia (analgesics/painkillers). Nonacid analgesics: Paracetamol Antipyretics (antipyretic drugs), if necessary. If necessary, also antiphlogistics (anti-inflammatory drugs): acetylsalicylic acid (ASS), diclofenac, ibuprofen, indometacin. Antibiosis (antibiotic therapy). Indications: Acute bacterial sialadenitis Chronic recurrent sialadenitis of the submandibular gland … Salivary Stone Disease (Sialolithiasis): Drug Therapy

Salivary Stone Disease (Sialolithiasis): Diagnostic Tests

The diagnosis of sialolithiasis (salivary stone disease) is usually made on the basis of the patient’s history, clinical course, and physical examination. Further medical device diagnostics may be required for differential diagnosis. Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics – for differential diagnostic clarification. Radiographs Panoramic … Salivary Stone Disease (Sialolithiasis): Diagnostic Tests

Salivary Stone Disease (Sialolithiasis): Medical History

In addition to the diagnostic findings, the medical history represents an important component in the diagnosis of sialolithiasis (salivary stone disease). Current anamnesis/systemic anamnesis. What are your symptoms? Where are the complaints localized? Difficulty swallowing? Do you observe swelling in response to food intake? On the cheek? Below the lower jaw? Do you suffer from … Salivary Stone Disease (Sialolithiasis): Medical History

Salivary Stone Disease (Sialolithiasis): Or something else? Differential Diagnosis

Infectious and parasitic diseases (A00-B99). Bacterial infections Viral infections Mouth, esophagus (food pipe), stomach and intestines (K00-K67; K90-K93). Abscess (encapsulated collection of pus) of the mouth. Allergic reaction Benign (benign) lymphoepithelial lesion of the salivary glands – special form of immunosialadenitis with tumor-like salivary gland enlargement. Mucocele (accumulation of mucus / mucous cyst) of the … Salivary Stone Disease (Sialolithiasis): Or something else? Differential Diagnosis

Salivary Stone Disease (Sialolithiasis): Complications

The most important diseases or complications that can be caused by sialolithiasis (salivary stone disease) are: Skin and subcutaneous (L00-L99). Extraoral (“outside the oral cavity“) fistulization. Cardiovascular system (I00-I99) Pericarditis (inflammation of the pericardium) in superinfection of sialolithiasis with staphylococci and scattering. Infectious and parasitic diseases (A00-B99). Dissemination of pathogenic agents in the blood and … Salivary Stone Disease (Sialolithiasis): Complications

Salivary Stone Disease (Sialolithiasis): Classification

Sialadenitis (inflammation of the salivary glands) – according to clinical findings of acute or chronic swelling. Diagnosis Acute To be taken with food intake StasisSialolithiasis constantinside dolent (painful)reddened acute purulent sialadenitis constantboth sides dolent diffuse viral sialadenitis constant little dolent cyst orallergic recation Chronic Bilateral diffuse SialadenosisImmunsialadenitis unilateral diffuse chronic sialadenitis unilateral circumscribed Tumor

Salivary Stone Disease (Sialolithiasis): Examination

A comprehensive clinical examination is the basis for selecting further diagnostic and therapeutic steps. Extraoral examination Inspection Facial asymmetries Soft tissue swelling Fistulas Skin florescences Palpation Bimanual (symmetry comparison) Lymph node Nerves, nerve exit points Oral cavity Floor of mouth Bimanual (“with both hands”): from intraoral (“inside the oral cavity“) with counterpalpation from extraoral (“outside … Salivary Stone Disease (Sialolithiasis): Examination