Targeted Treatment for Salivary Gland Stones
Intraoral stone removal is a procedure used to treat salivary gland stones (sialolithiasis), most commonly affecting the submandibular gland.
By removing the stone directly through the mouth, the aim is to relieve obstruction and preserve the gland, avoiding the need for more extensive surgery.
Understanding Salivary Stones
Salivary stones can form within the ducts that carry saliva into the mouth.
They most commonly affect the submandibular gland, due to:
- The composition of its saliva
- The upward course of the duct
- Slower flow of saliva
Stones can block the duct, leading to:
- Pain and swelling, particularly during eating
- Recurrent infection
- Intermittent or persistent discomfort
When Intraoral Removal Is Appropriate
Intraoral stone release may be suitable if:
- The stone is located within the duct (rather than deep within the gland)
- It is palpable or visible within the floor of mouth
- There are recurrent symptoms such as swelling or pain
- Conservative measures have not been effective
This approach is particularly useful for accessible submandibular duct stones.
The Procedure
The procedure can be performed under local anaesthetic, with or without sedation, or general anaesthetic.
- The stone is identified within the duct
- A small incision is made inside the mouth
- Key anatomical structures are located
- The stone is carefully released and removed
- The duct is left open or repaired to allow normal drainage
No external incisions are required, and there is no visible scar.
Gland Preservation
A key advantage of intraoral stone removal is that:
- The salivary gland is preserved
- Normal salivary function can often be maintained
- More extensive surgery (such as gland removal) may be avoided
This makes it the preferred option where the anatomy and extent of stone disease allows.
Recovery
Recovery is usually straightforward.
- Mild discomfort or swelling in the floor of mouth may occur
- Eating and speaking return to normal quickly
- Symptoms of obstruction typically resolve soon after removal
Follow-up ensures that the duct heals appropriately and remains patent.
Outcomes
In appropriately selected cases, outcomes are very good.
Patients typically experience:
- Relief from pain and swelling
- Restoration of normal saliva flow
- Low risk of recurrence when the stone is fully removed
Risks and Considerations
Potential risks include:
- Bleeding or infection (uncommon)
- Recurrence or formation of further stones
- Altered feeling in the tongue on the side of surgery (usually temporary)
- Narrowing or scarring of the duct
A Structured Approach to Salivary Disease
Intraoral stone removal forms part of a broader treatment pathway:
- Conservative management where possible
- Minimally invasive stone removal (intraoral approach or sialendoscopy)
- Gland removal where necessary in complex or recurrent cases
This ensures treatment is proportionate and tailored to the individual.
Consultation
A detailed consultation allows assessment of your symptoms and imaging where required to determine the location of the stone.
Book a Consultation
For assessment and treatment of salivary gland stones in London, arrange a consultation to discuss your options.