What is the first-line treatment for sialolithiasis?

The first-line treatment for sialolithiasis, or salivary gland stones, focuses on non-invasive and supportive measures aimed at relieving symptoms and facilitating the passage of the stone. Using warm compresses and hydration encourages salivary flow, which can help dislodge the stone from the duct and alleviate discomfort. Increased hydration promotes saliva production, and the warmth relaxes the ductal musculature, both of which can improve the chances of spontaneous stone passage.

This approach is typically preferred in the early stages of sialolithiasis when the stone is small and symptoms are mild. If these initial measures are unsuccessful and the obstruction persists, additional interventions, such as surgical removal, may then be considered. The effectiveness of these supportive treatments makes them an ideal first step in managing the condition.

Other treatments such as surgical removal or antibiotic therapy are reserved for more severe cases where there is significant obstruction or infection present, while topical anesthetics are not typically employed for this condition.