Case report: Giant sialolite in the Wharton duct.

Abstract

Sialolithiasis is a frequent condition of the major salivary glands, with a frequency of occurrence of 1.2% in the world population, occurs more frequently in the submandibular gland. This occurs due to obstruction of the salivary gland or its excretory duct due to a calculation. This salivary calculi develop as a result of saliva stagnation, this provides an ideal environment for the deposition of salts and other organic substances forming a sialolith. The size of sialoliths is often 1 to 10mm and in rare cases giant sialoliths can be seen, this can reach more than 15mm and are usually located in the Wharton´s duct. This article reports a case of a 25mm diameter sialolite located in the Wharton´s duct, which had no symptoms and was discovered by a routine examination, and the treatment chosen was intraoral removal.