Salivary stone disease: treatment and symptoms
Salivary stone disease is a disease accompanied by the formation of stones in the salivary gland or its ducts. Its other name – sialoliths. Mainly the disease is found in people aged 20-45 years. In children, the disease is practically not observed.
Often, the lesion is exposed to the submandibular, at least – of the parotid and in rare cases, sublingual gland.
Causes of the disease are:
- trauma or other mechanical effects exerted on salivary glands (damaged chipped tooth or a crown);
- inflammatory processes, which led to compression of the ducts, which creates a favorable environment for the development of pathological microflora and the formation of stone;
- congenital abnormal structure of the salivary glands or its ducts;
- foreign body in the duct, around which bacteria multiply;
- violation of calcium metabolism in the body.
The disease develops in 3 stages:
At what stage is the disease, depend on methods of treatment of a rare salivary gland stones.
The initial stage of the disease are asymptomatic. Sometimes patients concerned about the delay in the formation of saliva.
At this stage of salivary stone disease is determined by chance, during a radiological examination, the cause of which becomes another dental ailment. With the development of the pathological process, the size of the stone are increasing, which creates discomfort in the area of the gland. Such feelings are in the period of the meal.
Sometimes there is «salivary colic», expressed the feeling of bloating and painful symptoms. Symptoms may last from several minutes to an hour then subside, and during the next meal to come back again.
When you click on the salivary gland pain is not felt, it is soft, but can be felt seal. On the mucous membranes of the mouth inflammation is not observed.
In the next stage symptoms in the form of a malaise, rise in temperature. In addition to violations of the General condition, there are local signs. They are difficulty eating, and swelling of the affected area, pain. In the mucosa there are signs of the inflammatory process. Clicking on the gland separates purulent contents. When conducting research is significantly expanding and changing the structure of the duct by stone.
Late stage disease is accompanied by periodic exacerbations. Salivary stone disease becomes chronic, if not previously conducted adequate treatment. In this case, the symptoms are clearly expressed. Patients complain of constant swelling of the gland. Of flow released purulent contents, there is a «salivary colic».
On the basis of complaints of the patient and the examination, the doctor makes an accurate diagnosis. At the first appointment he interrogates the patient, seeking to determine the causes that led to the development of the disease. Then carried out an external inspection of the affected gland. Palpation being explored seal, which is stone.
An additional way of diagnosis is an x-ray study of the salivary gland. It uses a contrast solution, which it introduces. This diagnostics method is called sialography. With the introduction of iodine-containing drug can consider the structure of flow and the location of the stone.
If you need to determine its exact location, assigned to the ultrasound examination. It allows you to detect deep-set or very small stones. Sometimes is imaging of the salivary glands.
Treatment of disease aims at removal of the stone and the restoration of normal office saliva. If the disease is at an early stage of development, to conduct drug therapy. In severe disease without surgical intervention is necessary.
In the presence of the inflammatory process are assigned to the anti-inflammatory and pain medications. If it is accompanied by accumulation of pus, the treatment with antibiotics. They are in this case intended for insertion into the duct of the gland along with the anesthetic.
In addition to drugs, treatment with physiotherapy and a special diet. Its essence lies in the eating of lemon juice and other foods that increase the secretion of saliva. Thanks to this diet duct is washed in a natural way.
When the disease becomes chronic, the treatment is medical drugs does not help. In this case, surgical intervention.
Surgical treatment method is the removal of stones by incision of the duct. This procedure is done under anesthesia. First duct probing to determine the exact location of the stone and then removes it through the incision when using the spoon-curette.
After surgery, the stitches do not overlap, the incision heals independently. In the future forms a new path for the output of saliva. Sometimes, in advanced cases, it is necessary to remove the salivary gland.
With early detection of the symptoms of a rare salivary stone disease and rapid treatment, the prognosis is favorable. In most cases, relapses do not occur.
At the first sign of illness, it is recommended to visit a doctor. In the early stages of salivary stone disease practically does not manifest itself, but the treatment easier and faster. Should not wait when the disease will become chronic.