Abstract
Sialolithiasis is characterized by the formation of calcified structures within the salivary ductal system, mainly affecting the Wharton’s duct. The formation of salivary calculi may be related to chronic sialadenitis. Pain, infection, fever, and sublingual volume increase are common findings in these cases. The present study reports a case that differs from the usual prevalence. A 12-year-old male patient appeared in consultation reporting pain in the oral floor. After the clinical and images examination (cone beam volume tomography), sialolithiasis diagnosis was confirmed. To treat, sialagogues and the manual techniques were used without success. Thus, micromarsupialization and the excision of the calculi were performed as definitive treatment. The surgery was uneventful, and the patient had 6 months of observation, without signs of relapse. This case diverges from the literature and demonstrates that the treatment should be surgical when noninvasive therapies fail.
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