Salivary gland

Salivary glands and salivary stones - symptoms and treatment

The salivary glands play an important role in oral health. They produce saliva that protects teeth and mucous membranes, aids digestion and contributes to a healthy oral environment. Sometimes a salivary stone can form and block the flow of saliva. This can cause swelling, pain and dry mouth. In many cases, the stone comes out on its own, but sometimes treatment is needed.

"Saliva is one of the body's most important protectors of teeth and mucous membranes. That's why we take the function of the salivary gland very seriously," says Arman Ostovan, Chief Dentist at Dentme

What is a salivary gland?

The salivary glands are part of the body's digestive system. Their main task is to produce saliva, which:

- Protects teeth against acid attack andcaries

- Facilitates chewing and swallowing

- Starts the breakdown of food

- Moisturizes the mucous membranes of the mouth

- Reduces the risk of fungus and irritation

The three major salivary glands:

Ear, nose and throat glands - the largest, placed in front of the ears

Parotid glands of the lower jaw - medium-sized, located under the jaw

Sublingual glands - the smallest, sitting under the tongue

In addition to these, there are many small salivary glands throughout the oral mucosa that have the same important function.

The role of the salivary gland in oral health

Saliva is essential for both oral and general health. It helps to:

- Keeping teeth free of plaque

- Neutralize acids and protect tooth enamel

- Prevent dry mouth and reduce bacterial growth

- Facilitate speech and create a pleasant feeling in the mouth

Spit stones - a common problem

Salivary stones, or sialoliths, are small hard lumps formed by minerals in saliva - usually calcium. The stone can block the passage of saliva into the mouth and cause:

- Swelling and tenderness in the jaw or under the tongue

- Reduced saliva production (dry mouth)

- Pain at meals when saliva flow increases

Salivary stones usually occur in the lower salivary gland, where the flow of saliva is slower. According to 1177 Vårdguiden, it is common for the stone to dissolve on its own, but some cases require treatment.

Treatment of salivary stones by dentists

Mild cases can be improved with:

Self-massage of the gland

-Acid tablets to increase saliva flow

-Good oral hygiene and plenty of fluids

-If necessary, the dentist can perform:

-Manual massage to squeeze out the stone

-Flushing of the exit

-Surgical intervention under local anesthesia if the stone is deep

-X-ray or clinical examination is used to locate the stone.

When should you seek help?

Book a visit to Dentme if you experience any of the following

- Pain or swelling in the mouth, especially under the jaw or tongue

- Dry mouth that won't go away

- Pressure sensation in the mouth, especially during meals

- Recurrent infections or fever

- Black taste in the mouth - may indicate salivary gland infection

Frequently asked questions about salivary glands

What do salivary glands do?
They produce saliva that helps you chew, swallow and protect your mouth from bacteria, acids and injury.

How do I know if I have a salivary gland problem?
Symptoms include swelling, tenderness, a feeling of pressure or decreased saliva. The pain often worsens at mealtimes.

What is a spit stone?
A spit stone is a small limestone-like lump that blocks the flow of saliva from a gland and can cause swelling and pain.

How does a spit stone feel?
Often as a swelling or lump under the jaw or tongue. It may feel tender and pressing, especially when you eat.

Is spitstone dangerous?
Not per se, but if the stone causes infection or blockage it should be treated. Seek medical attention if you have a fever or a bad taste.

Can spitstone go away by itself?
Yes, in many cases the stone comes out spontaneously with the help of massage, good saliva production or drinking plenty of water.

How are salivary gland problems treated?
This may include massage, irrigation or, in some cases, surgery. The dentist will determine the need for treatment.

How can I prevent spit stones?
Drink water regularly, avoid dehydration, maintain good oral hygiene and massage the jaw area lightly if necessary.

Is the treatment included in Dentmes Membership?
Yes, Examination and assessment of salivary gland problems is included. Any further treatment is as recommended by the dentist.

Sources

1177 Vårdguiden - Salivary gland inflammation and salivary stones
https://www.1177.se/sjukdomar--besvar/mun-och-tander/infektioner/spottkortelinflammation/ 

Sahlgrenska University Hospital - Sialolithiasis
https://www.sahlgrenska.se/sv/avdelningar-och-mottagningar/mottagningar/spottkorselutredning/

PubMed - Saliva: its role in health and disease
https://pubmed.ncbi.nlm.nih.gov/12017931/

Internet medicine - Salivary gland cancer.

https://www.internetmedicin.se/oron-nas-och-halssjukdomar/spottkortelcancer