Sialolithiasis in Wharton’s Duct of Mandible : A Case Report

Abstract

                      Sialolithiasis is the occurance of calculus concretions in salivary glands or ducts; sialoliths can been identified yet reveal no obvious clinical symptoms, since large and highly elastic salivary duct, rarely becomes completely obstructed. Large sialoliths can cause some obstruction and inflammation of the salivary duct and reduce the saliva flow. Acute infection and abscess formation with excessive pain may follow. The sialoliths can be visible in radiography image. The case of a 42 year-old Thai woman with a shuttle-like concretion in the left Whartonีs duct was reported. In her case the sialolith was 1.9  0.7 cm in diameter. Succesful treatment of the condition was achieved through surgical removal of the sialolith under local anesthesia and medication with antibiotic drugs. Within 2 months, the patient became normal.

Key words: sialolithiasis, sialolith, salivatory duct, Whartonีs duct, calculus