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An Unusual Large Submandibular Gland Calculus: A Case Report

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Dental News Volume XIX, Number I, March, 2012 by  Dr. Moutaz Al khen,  Dr. Bader E. Abdeen  Abstract Salivary gland stones (Sialothiasis) most commonly occur in the Submandibular duct. This report describes the case of a patient who had an unusual large submandibular gland sialolith (calculus) that was completely obstructing the submandibular gland duct.  Key words: Calculi, Giant salivary gland stones.  Introduction The great majority of salivary calculi (80%) occur in the submandibular gland and in the duct. Ten percent occur in the parotid and the remaining 10% in the sublingual gland and the minor salivar glands. 1   Bilateral or multiple-gland sialolithiasis is occurring in fewer than 3% of cases. 2   In patients with multiple stones, calculi may be located in different positions along the salivary duct and gland. Submandibular stones close to the hilum of the gland tend to become large before they become symptomatic. S...