Thought yourself have swellimg gum because of “inflaming”?

Thought yourself have swellimg gum because of “inflaming”?

2018-07-10

   Many people believe that when there is reddish swelling and pustules around the gums may be attributable to  the traditional concept of “inflaming” due to lack of enough sleep, as long as we rest more and have a cup cold drinks will be fine. A 57-year-old woman experienced similar condition repeatedly for years, with recent worsening of gum swelling and the symptom persisted. Finally, she looked for medical attention and was found out to be the complication of stones within the salivary gland duct.

  Dr. Yi-Fang Ding from Wanfang Hospital said that the salivary glands include parotid, sublingual and submandibular glands which produce secretions to lubricate the mouth. The salivary duct diameter measures just about 2mm and is subject to obstruction by crystals from the mineral contents in the saliva.

  The woman went to the hospital with swelling and pain below her left ear, and was accompanied by left ear stuffiness. These symptoms worsened after meal. She was diagnosed to have left parotid stones in other hospital. Although removal of the whole gland was advised, she hesitated for fear of damaging the facial nerve leading to difficulty of eye closing and lopsided mouth. The procedure may also leave a 5 cm-sized and requires a couple of hospitalization days. Thereafter, she was referred to Wanfang Hospital for further management.

  Dr. Yi-Fang Ding explained that the stone size in this patient is about 1cm, and is deep-seated within the parotid gland, which is quite unusual. After evaluation, minimally invasive endoscopic surgery was suggested. The procedure applies laser lithotripsy to crush the stones and then removed them using the salivary gland endoscope. No complications occurred and the function of the gland was completely preserved without any wound left. 

  Dr. Yi-Fang Ding pointed out that the main cause of salivary gland stone is insufficient water intake, excessive fatigue, and inadequate oral hygiene. He reminds that drinking sufficient water, taking appropriate rest, good stress management and reducing the consumption of fried food are effective for prevention of stone formation.