LARGE ASYMPTOMATIC SIALOLITH OF WHARTON’S DUCT- A CASEREPORT

Abstract

Sialolith is relatively common (80%) in the submandibular salivary gland due to the viscous
nature of its mucinous secretions, high calcium content, and its tortuous ducts. In the present
case, the patient presented with a history of swelling below the tongue for the past 5 years.
This case presents an asymptomatic sialolith discovered by an accidental finding by the
dentist, however, they may be symptomatic in cases obstructing the salivary flow. The
diagnosis of submandibular sialolith was made through clinical examination and intraoral
occlusal radiograph. Our article presents a review on a giant submandibular sialolith covering
the aetiology, diagnosis,various treatment modalities available for management of salivary
gland calculi and a summarisation of various giant sialoliths reported till date , alongwith a
case report of an intraductal stone removed intraorally.