Salivary calculi (stone) removal
Minimally invasive specialist removal of salivary stones to restore comfortable gland function and eliminate recurring pain and swelling.
Specialist service: This treatment is provided by Ms. Soudeh Chegini, Consultant Oral and Maxillofacial Surgeon, who practises on-site at New Forest Family Dental.
About the condition
What are salivary calculi?
Salivary calculi are mineralised deposits (stones) that form within the ducts or tissue of the major salivary glands, most commonly the submandibular gland beneath the lower jaw. They block the normal flow of saliva, causing characteristic swelling and pain - typically at mealtimes when the gland is stimulated to produce saliva.
If left untreated, salivary stones lead to recurrent infections and can permanently damage the affected gland. Early treatment - ideally before infection becomes established - gives the best outcomes and the greatest chance of preserving normal gland function.
Ms. Chegini offers specialist assessment and stone removal, including sialendoscopy where appropriate - a minimally invasive technique that removes the stone through the duct opening without any external incision.
Why choose us
Specialist stone removal, minimal intervention.
Restore gland function
Removing the stone allows saliva to flow freely again, resolving pain, swelling, and the risk of recurrent infection.
Minimally invasive options
Where possible, stones are removed using sialendoscopy - a minimally invasive technique that avoids open surgery and preserves the gland.
Accurate imaging
Ultrasound is used to locate and characterise the stone before deciding on the most appropriate removal technique.
Prevent gland damage
Prompt treatment of salivary stones prevents permanent damage to the gland from repeated infection and inflammation.
Expert specialist care
Ms. Chegini has specialist training in the management of salivary gland conditions, including sialendoscopy.
Avoid gland removal
In many cases, minimally invasive stone removal avoids the need for salivary gland excision - preserving normal function.
Your pathway
From assessment to relief.
- 1
Consultation
Ms. Chegini takes a history of your symptoms, examines the affected gland, and arranges appropriate imaging.
- 2
Ultrasound imaging
Ultrasound confirms the presence, location, and size of the stone, helping plan the most appropriate treatment approach.
- 3
Treatment selection
Depending on the stone's position and size, sialendoscopy (minimally invasive), intraoral excision, or extracorporeal shock wave lithotripsy may be recommended.
- 4
Stone removal procedure
The stone is removed under local anaesthetic. Sialendoscopy uses a tiny camera and instruments passed through the duct - no external incision.
- 5
Post-procedure care
You are advised on gland massage, hydration, and how to optimise salivary flow during recovery.
- 6
Gland function review
A follow-up appointment confirms that the gland is functioning well and that no stones remain.
Who is it for?
When to seek treatment.
- Pain and swelling in the submandibular or parotid gland at mealtimes
- Recurrent gland swelling that comes and goes
- Gland swelling associated with eating
- Visible stone at the opening of a salivary duct
- Recurrent infections of a salivary gland
- Confirmed salivary calculus on imaging
Experiencing symptoms?
Book a specialist consultation
Early treatment gives the best chance of preserving your salivary gland. Book an appointment with Ms. Chegini today.
FAQs
Frequently asked questions.
What are salivary calculi?
Salivary calculi, or salivary stones, are mineralised deposits that form within the ducts or gland tissue of the major salivary glands - most commonly the submandibular gland. They obstruct saliva flow, causing pain and swelling - particularly at mealtimes when saliva production is stimulated.
Is sialendoscopy painful?
Sialendoscopy is performed under local anaesthetic. Most patients find it well-tolerated. There may be some mild discomfort during the procedure and a degree of bruising or swelling for a few days afterwards.
Can stones come back?
Recurrence after stone removal is possible but relatively uncommon. Staying well-hydrated and using salivary stimulants (such as sugar-free chewing gum) can help reduce the risk.
Will I need gland removal?
Only a minority of cases ultimately require gland removal (sialadenectomy). Most patients can be successfully treated with stone removal alone. Ms. Chegini will advise on the most appropriate approach for your case.
Ready to meet your new dental team?
Same-day appointments available · Denplan members welcome