Akademik Veri Yönetim Sistemi
açbid, Antalya, Türkiye, 10 - 14 Mayıs 2023, ss.199-200
Objective: Salivary stones, also called sialolithiasis, are small calcium and other mineral
deposits formed in the salivary glands. Large sialoliths may block the flow of saliva and cause
swelling of the affected gland. The condition predominantly affects individuals in 3.-6. decades
and is more common in males. In this case, we present the treatment of a salivary gland stone
in wharton duct.
Case: A 32-year-old male patient without any systemic disease was admitted to our clinic
for a routine examination. No pathological finding was found in the extraoral examination of
the patient. A lesion was detected on the floor of the mouth in the left premolar region. On
palpation, the lesion was firm and smooth. In the relevant area there was no history of redness,
edema, or trauma. It was learned that the size of the lesion did not change while eating, but
there was mild pain. An incision was made in the floor of the mouth mucosa under local
anesthesia. The stone in the Wharton Canal was removed and the canal was left for secondary
healing. The patient was called for a control appointment. No complaints were found.
Conclusion: Sialolith treatment is determined according to its symptoms and location. The
salivary stone that causes intermittent obstruction in the submandibular canal may usually
be removed by the intraoral approach. In this case, considering the location and size of the
salivary stone, removal by intraoral approach was deemed appropriate.