Objectives: Sialolithiasis is a condition when a salivary stone is present in either the parenchyma or the excretory duct of the salivary gland. The occurrence of salivary gland stone is twice as common in males, with peak incidence between ages 30 and 50. Multiple stone formations occur in approximately 25% of patients. Predominantly they occur in the excretory duct of a submandibular gland (85%).

Methods: A case report is illustrated of a 47-year-old man with 2 sialoliths in a right Wharton's canal, whose consequence was inflammation of a submandibular gland. Patient had an increased body temperature (38.3°C), a swelling on the right submandibular and sublingual region, trismus, and a painful motility of the tongue. Up till then, the patient was symptom less. A panoramic view showed a radiopacity, which was as intense as a hard tissue, and 30 mm in length. This implicated a sialolith in the salivary duct of the submandibular gland.

Results: An incision was performed on the duct under local anesthesia, whereby 2 stones where removed. One measured 23 mm and the other 11 mm in length. The stones had firm mass, irregular surfaces, and their color varied from white to yellow.

Conclusions: Removal of the stones resulted with full recovery and normal function of the submandibular gland.

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