Which doctor does this? | Removing salivary stones – What are the options?

Which doctor does this?

The choice of the doctor depends on size, location and symptoms. The family doctor can determine whether salivary stones are present by means of an ultrasound examination. In most cases, a referral to a dentist or an ear, nose and throat specialist is then made.

Small surgical procedures can be performed by a dentist with the appropriate equipment, i.e. an oral surgeon. For larger surgical procedures, an oral-jaw-facial surgeon is the right contact person. Of course, the patient can also introduce himself directly to a doctor of his choice.

Pain caused by the treatment

Due to the treatment, pain may occur in exceptional cases. Especially if surgery has been performed. In this case, an incision is made in the mouth or even on the skin, which has been sutured.

Painkillers such as ibuprofen can help to relieve the pain. But even with conservative methods, the removal can be unpleasant. Moving a stone towards the oral cavity can irritate the glandular duct. If the stone is too large, it pushes through the narrow passage, which is associated with pain. Stone shattering is usually painless, as the stone is flushed out in fragments.

Costs of salivary stone removal

The costs for the removal of a salivary stone depend on its size and location as well as on the procedure used (e.g. shock wave therapy, salivary endoscopy, etc.). If medically necessary, most health insurance companies will cover the costs. However, before starting treatment, you should ask your health insurance company which treatment methods they will cover or for which you will have to pay a contribution.

Duration of salivary stone removal

The duration of shock wave treatment depends on the size and location of the salivary stone. Sometimes several repetitions are necessary to split the stone into sufficiently small fragments. If the surgical removal is performed under general anesthesia, the length of stay in hospital is about 4-7 days.