What is the first-line treatment of sialolithiasis of the sublingual gland?
Sublingual gland sialolithiasis involves the formation of calculi within the sublingual salivary gland or its duct, causing pain, swelling, and impaired salivary flow. First-line management targets stone clearance through non-surgical means before more invasive options are considered.
Initial management relies on a conservative strategy aimed at facilitating natural stone passage. This approach includes mechanical techniques applied to the gland and, where indicated, a procedural step targeting the ductal opening — the full structured regimen is available via the link below.
With conservative first-line care, very small stones may be spontaneously washed out, restoring normal salivary flow without surgical intervention.
DOI: 10.3390/jcm11010231
Conservative measures (gland massage during or after gland stimulation), including instrumental dilation of the papilla, are always primarily indicated.
Very small stones may then be spontaneously washed out.
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