Sialolitíase : estudo de caso.

Abstract

Objective: The aim of this paper is to present a clinical case of sialolithiasis of submandibular gland submitted to conservative treatment, emphasizing the importance of a good diagnosis to use the appropriate treatment, emphasizing the importance of a good diagnosis to use the appropriate treatment, besides helping the dental academic community in the understanding of the subject. Case report: A 83-year-old patient, presenting a sudden increase in volume (24 hours) in the submandibular region and left parotid. After a clinical and by image examination, a presence of salivary calculus was confirmed in the left submandibular gland and forced to use conservative measures for a spontaneous elimination from the ductal system. Final considerations: Due to the supersaturation of calcium phosphate in saliva, the salivary flow decreases, which causes this concentrate solution, predisposing the formation of the calculus. Therefore, in order to get adequate treatment, it´s necessary to have all the correct information about the case, including clinical and by image diagnosis, in order to assess the degree of obstruction of the gland or ductal system. The most important is the functional and symptomatic restoration to the patient.