Salivary gland stones, medically termed sialolithiasis, are a common cause of uncomfortable facial swelling and pain. These non-cancerous blockages develop within the ducts that transport saliva from the glands into the mouth. The discomfort typically increases when you eat or drink, as the blockage prevents the stimulated saliva from flowing past the obstruction. This guide details the self-care steps, including specific massage techniques, that may help dislodge the stone and provide relief.
What Exactly Is a Salivary Gland Stone?
Sialolithiasis refers to the formation of calcified deposits, known as sialoliths, within the salivary glands or their ducts. These stones are primarily composed of mineral salts, such as calcium phosphate, that precipitate from the saliva. The resulting blockage obstructs the normal flow of saliva, causing it to back up into the gland, which leads to swelling and pain.
The location of the stone often dictates the symptoms and the approach to removal. The submandibular glands, located beneath the jaw, are the most common site, accounting for 80 to 90 percent of all cases, with stones forming in Wharton’s duct. Stones are less frequently found in the parotid glands, situated in the cheek area near the ear, where they obstruct Stensen’s duct.
Preparing the Area for Massage
Before attempting physical manipulation, maximize the environment for the stone to pass naturally. Increasing hydration helps thin the saliva, allowing it to flow more easily around the obstruction and exert pressure behind the stone.
Applying moist heat helps relax surrounding tissues and reduce local inflammation. Hold a warm compress against the affected area for several minutes before the massage to improve comfort and blood flow.
Next, stimulate a strong salivary reflex by sucking on sour items, such as lemon wedges or sugar-free sour candies. This surge of saliva creates a natural pressure gradient behind the stone. Combine this internal pressure with external massage to encourage the stone’s expulsion into the mouth.
Specific Massage Techniques for Stone Removal
The method of massage depends on the location of the stone. For a stone in the submandibular gland, the technique involves bimanual palpation. Place one finger inside your mouth on the floor near the duct opening under the tongue, and the fingers of your opposite hand outside, under the jawline.
The massage motion for the submandibular stone should be a firm, yet gentle, sweeping action. Push from the back of the gland, near the angle of the jaw, moving forward and inward toward the duct opening. Use a continuous motion for about one to two minutes at a time to manually push the stone along the duct’s path.
If the stone is in the parotid gland, the technique is simpler and performed externally along the cheek. The parotid duct (Stensen’s duct) runs across the cheek and opens near the upper second molar. Place two fingers on the skin in front of the ear, where the gland begins.
The motion involves a gentle, downward, and forward sweep along the cheek, following the natural path of the duct. Aim to push the stone toward the opening inside the cheek near the back teeth. Repeat this technique multiple times a day to maintain consistent pressure on the stone.
When Self-Treatment Is Not Enough
While self-massage and increased salivary flow can provide relief, professional medical attention is necessary if the stone has not passed after several days of consistent self-care or if symptoms worsen. Consult a dentist or an ear, nose, and throat specialist immediately if you suspect a secondary infection.
Infection is a serious complication indicated by a fever or the presence of pus draining from the duct opening. Immediate medical assessment is required if you experience:
- Significantly increased pain.
- Redness or warmth over the gland area.
- Inability to swallow.
- Worsening, unmanageable swelling.