Assessment of submandibular sialolithiasis with panoramic and occlusal radiographs: diagnostic relevance in a clinical case
Abstract
Objectives: This case report aims to describe the radiographic appearance of sialolithiasis on occlusal and panoramic radiographs.Case Report: A 27-year-old female patient came to RSGMP UNHAS with complaints of a lump under her right tongue. Before the lump appeared, the patient complained of pain under his right tongue. The swelling began approximately one week ago, initially about the size of a green bean. It has progressively increased in size until the present time. On occlusal radiography imaging, an irregular round radiopaque focus was found, and on panoramic radiography of the right mandibula zone, a well-defined radiopaque image in the form of an elongated oval/cylindrical shape was found. Case management: After clinical examination and panoramic and occlusal radiographs, a sialolithectomy was performed under general anesthesia in the right sublingual area.
Conclusion: This case report is to describe radiographically the appearance of sialolithiasis on panoramic radiographs and occlusal radiographs, which is clearly visible in this case.
Keywords: Radiography, panoramic; salivary glands; sialolithiasis; submandibular gland
References
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2. Santos JO, Da Silva Firmino B, Carvalho MS, De Pinho Mendes J, Teixeira LN, De Castro Lopes SLP, et al. 3D reconstruction and prediction of sialolith surgery. Case Rep Dent. 2018;2018:1–5. doi:10.1155/2018/3951956
3. Kraaij S, Karagozoglu K, Forouzanfar T, Veerman EC, Brand HS. Salivary stones: symptoms, aetiology, biochemical composition and treatment. Br Dent J. 2014;217:23. doi:10.1038/sj.bdj.2014.1054
4. Ferneini EM. Managing sialolithiasis. J Oral Maxillofac Surg. 2021;79(7):1581–2. doi:10.1016/j.joms.2021.04.021
5. Pauly G, Kashyap RR, Kini R, Rao PK, Bhandarkar P, HCM. Sialolithiasis: the stones within the oral cavity – two case reports and review of literature. ARC J Radiol Med Imaging. 2019;4(1):6–9. doi:10.20431/2456-057X.0401002
6. White SC, Pharoah MJ. Oral Radiology: Principles and Interpretation. 7th ed. St. Louis: Elsevier Health Sciences; 2014. p. 542
7. Pousya VS, Shetty U, Shetty P. Sialolith with sialadenitis: a case study and a proposal of a diagnostic algorithm. J Health Allied Sci NU. 2024;14(2):281–9. doi:10.1055/s-0043-1768590
8. Adhikari R, Soni A. Submandibular sialadenitis and sialadenosis. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022. P.8. [cited 2025 Jul 25]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK560524/
9. Sonar PR, Panchbhai A, Dhole P. Sialolithiasis in the left submandibular gland: a case. Cureus. 2023;15(11):e48999. doi:10.7759/cureus.48999
10. Manjula AA. Intermittent pain and swelling in the floor of the mouth: sialolithiasis. In: Clinicopathological Correlation of Oral Diseases. Cham: Springer; 2023. p. 685–93. doi:10.1007/978-3-031-24408-7_61
11. Aiyekomogbon J, Babatunde L, Salam A. Submandibular sialolithiasis: the roles of radiology in its diagnosis and treatment. Ann Afr Med. 2018;17(4):221–4. doi:10.4103/aam.aam_57_18
12. Anicin A, Urbancic J. Sialendoscopy and CT navigation assistance in the surgery of sialolithiasis. Radiol Oncol. 2021;55(3):284–91. doi:10.2478/raon-2021-0037
13. Ivanović A, Mihalec D. Diagnostic imaging of sialolithiasis. Radiol Vjesn. 2023;47(1):33–40. doi:10.55378/rv.47.1.4
14. Pachisia S, Mandal G, Sahu S, Ghosh S. Submandibular sialolithiasis: a series of three case reports with review of literature. Clin Pract. 2019;9(1):1119. doi:10.4081/cp.2019.1119
15. Razmara F, Mahmoudi X. Noninvasive treatment for chronic sialadenitis: case report. Clin Case Rep. 2019;7(10):1870–3. doi:10.1002/ccr3.2379
16. Duong LT, Kakiche T, Ferré F, Nawrocki L, Bouattour A. Management of anterior submandibular sialolithiasis. J Oral Med Oral Surg. 2019;25(2):16. doi:10.1051/mbcb/2018039
17. Shah JS, Rathod M, Dubey J. An angulated parotid duct sialolith: radioimaging in diagnosis. J Oral Maxillofac Radiol. 2021;9(2):52–5. doi:10.4103/jomr.jomr_21_21
18. Koch M, Mantsopoulos K, Müller S, Sievert M, Iro H. Treatment of sialolithiasis: what has changed? An update of the treatment algorithms and a review of the literature. J Clin Med. 2022;11(1):231. doi:10.3390/jcm11010231
19. Kandula S, Nagi R, Nagaraju R. Sialography: a pictorial review. Oral Radiol. 2023;39(2):225–34. doi:10.1007/s11282-022-00668-1
20. Hammett JT, Walker C. Sialolithiasis. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022. P. 3. [cited 2025 Jul 25]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK549845/.
Published
2025-08-31
How to Cite
BACHTIAR, Nini Andriyani; YUNUS, Barunawaty; GAZALI, Mohammad.
Assessment of submandibular sialolithiasis with panoramic and occlusal radiographs: diagnostic relevance in a clinical case.
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI), [S.l.], v. 9, n. 2, p. 110-114, aug. 2025.
ISSN 2686-1321.
Available at: <http://jurnal.pdgi.or.id/index.php/jrdi/article/view/1335>. Date accessed: 29 nov. 2025.
doi: https://doi.org/10.32793/jrdi.v9i2.1335.
Section
Case Report
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
