Sialolithiasis in sublingual caruncle: a case report

Abstract

Sialoliths are calcified formations, which can develop both in the salivary glands and in their ducts, due to the retention of organic and inorganic materials that constitute saliva. Its presence is more frequent in the major salivary glands, the minor salivary glands being rarely affected, with a prevalence in male patients between the third and fourth decade of life. The objective of this work is to report a clinical case of sialolithiasis on the floor of the mouth in the region of the sublingual caruncle, which was surgically treated. Male patient, 26 years old, Caucasian, referred to the UFPB Stomatology Clinic for stomatological evaluation. On intraoral inspection, a nodular lesion of hardened consistency and yellowish-white color was detected, located on the buccal floor in the sublingual caruncle region, with endophytic growth, pedicled base and smooth surface, later confirming the diagnosis of sialolithiasis by anatomopathological analysis. We opted for surgical excision of the lesion under local anesthesia, which was performed uneventfully. Six months after the operation, there are no signs of recurrence of the lesion. Sialolithiasis, although it is the most common pathology of the salivary glands, has an excellent prognosis. Clinical examination, associated with conventional radiological examination, may be sufficient for the diagnosis. The earlier the diagnosis, the less invasive the procedure.