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Salivary Gland Stone


A salivary gland stone -- also called salivary duct stone -- is a calcified structure that may form inside a salivary gland or duct. It can block the flow of saliva into the mouth. The majority of stones affect the submandibular glands located at the floor of the mouth. Less commonly, the stones affect the parotid glands, located on the inside of the cheeks, or the sublingual glands, which are under the tongue. Many people with the condition have multiple stones. A salivary gland stone -- also called salivary duct stone -- is a calcified structure that may form inside a salivary gland or duct.Less commonly, the stones affect the parotid glands, located on the inside of the cheeks, or the sublingual glands, which are under the tongue.Less commonly, the stones affect the parotid glands, located on the inside of the cheeks, or the sublingual glands, which are under the tongue.

Symptoms


Salivary stones form when chemicals in the saliva accumulate in the duct or gland. They mostly contain calcium. The exact cause is not known. But factors contributing to less saliva production and/or thickened saliva may be risk factors for salivary stones. These factors include: dehydration, poor eating, and use of certain medications including some antihistamines, blood pressure drugs, psychiatric drugs, and bladder control drugs. Trauma to the salivary glands may also raise the risk for salivary stones. The stones cause no symptoms as they form, but if they reach a size that blocks the duct, saliva backs up into the gland, causing pain and swelling. You may feel the pain off and on, and it may get progressively worse. Inflammation and infection within the affected gland may follow.

Causes


You have three pairs of major salivary glands in your mouth. Salivary duct stones occur most often in the ducts connected to your submandibular glands. These are the glands located on both sides of your jaw in the back of your mouth. Stones can also form in the ducts connected to the parotid glands, which are located on each side of your face in front of your ears. The stones in the submandibular glands are usually bigger than the ones that form in the parotid glands. You can have one or more stones in your duct. About 25 percent of people with this condition usually develop more than one stone.

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