Prognosis

The prognosis of salivary stone removal by means of shock wave therapy is very good.The resulting small stone fragments can usually be easily discharged through the excretory duct of the gland. In order to prevent the renewed formation of a salivary stone, care should be taken to ensure a sufficient amount of drinking, since insufficient drinking is the main cause of its formation. Nevertheless, the intake of certain medications (e.g.

water-excreting medication or antidepressants) as well as certain diseases (e.g. mumps or cystic fibrosis) can lead to the renewed formation of a salivary stone, as both lead to a change in the composition of the saliva. One reason for surgery is the frequent recurrence. Recurrence means “relapse” and in this case means the often recurring swelling of the salivary gland due to new stones or inflammation, even though the original salivary stone has already been removed.

In some cases, complications can occur, in which case an alteration of the original surgical plan is common. For example, the gland is removed instead of the duct slit. However, the patient will be informed about such complications and changes by the treating physician.

Sick leave

Whether and for how long one becomes ill after the removal of a salivary stone depends on several factors. The size of the stone, the removal method and the general condition of the patient play a certain role. If the salivary stone is only shattered (shock wave therapy), one is usually not made ill.

If, on the other hand, a salivary gland has been completely removed, one can expect to be out of work for just under a week. This is because a large wound has developed and swelling may be present.

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