Monday, June 30, 2014

A case of a very large salivary stone


Salivary stones are the most common type of salivary gland disease. Having said that, they are very rare – less than 1 in 200 people will develop a symptomatic salivary stone. Usually they occur on one side of the mouth only. They seem to be more common in men than in women. Most of the evidence suggests that they are not strongly correlated with kidney stones, although some factors can increase both (e.g., dehydration).

Singh and Singh () discuss a case of a 55-year-old man who went to the Udaipur Dental Clinic with mild fever, pain, and swelling in the floor of the mouth. External examination, visually and through palpation, found no swelling or abnormal mass. The man’s oral hygiene was rather poor. The figures below show the extracted salivary stone, the stone perforating the base of the mouth prior to extraction, and an X-ray image of the stone.





I am not a big fan of X-ray tests in dental clinics, as they are usually done to convince patients to have dental decay treated in the conventional way – drilling and filling. Almost ten years ago, based on X-ray tests, I was told that I needed to treat some cavities urgently. I refused and instead completely changed my diet. Those cavities either reversed or never progressed. As the years passed, my dentist eventually became convinced that I had done the right thing, but told me that my case was very rare; unique in fact. Well, I know of a few cases like mine already. I believe that the main factors in my case were the elimination of unnatural foods (e.g., wheat-based foods), and consumption of a lot of raw-milk cheese.

However, as the case described here suggests, an X-ray test may be useful when a salivary stone is suspected.

28 comments:

Nigel Kinbrum said...

Less plaque-forming foods + Vitamin K2 for the win?

Ned Kock said...

Not only K2. Raw milk cheese is rich in probiotics.

psychic24 said...

Hi Ned,

I was wondering if you knew of any food alternatives to raw milk cheese for those intolerant of diary. I try to have sardines with the bones and supplement k2 regularly, but not sure if this is as good.

Ned Kock said...

Is the problem lactose intolerance?

psychic24 said...

I do have lactose intolerance but whenever i eat cheese (raw and regular alike) my face becomes bloated and I almost always have a zit or two pop up overnight.

Ned Kock said...

Does the problem happen equally with aged and fresh cheese?

psychic24 said...

unfortunately, yes

Ned Kock said...

Foie gras is the best known source of vitamin K2:

http://healthcorrelator.blogspot.com/2013/07/could-grain-fed-beef-liver-be.html

Eggs are also a good source, but it takes quite a few to match raw milk cheese:

http://healthcorrelator.blogspot.com/2012/10/the-man-who-ate-25-eggs-per-day-what.html

http://healthcorrelator.blogspot.com/2010/05/cheeses-vitamin-k2-content.html

Edward Edmonds said...

Tonsiliths are also usually detected during dental X-rays.

Secret Fat Burning Furnace said...
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Ned Kock said...

Spam comments above deleted.

Ned Kock said...

Hi Edward. You meant to say “Tonsilloliths”, right?

Ned Kock said...

Unlike stones that form inside organs or ducts, such as kidney and salivary stones, tonsilloliths form in the in the tonsils’ crevices. So, they are much less of a problem than those other stones, which have to be “passed” to be removed without surgery.

Tonsilloliths cause bad breath.

Ned Kock said...

I should have added that those stones have to be “painfully passed”.

David Isaak said...

I eat natto almost every day, and have begun to enjoy it. It's also MK-7 rather than MK-4, so it has a longer dwell time in the body.

In terms of content by weight, natto leaves every other source in the dust (990 mcg MK-7 per 100 g for natto, vs. 369 mcg MK-4 per 100 g for foie gras.)It is sold in Japanese groceries in 3-oz serving containers, so I'm getting abouut 840 mcg every day.

(When sold in gel caps, the usual dosage per cap is 90 mcg, so one serving of natto is equivalent to nearly ten gel gaps!)

It won't give you any sort of dairy intolerance problems! Some may object that it isn't paleo (it's fermented soybeans), but I don't care.

As for me, I often eat cheese and eggs with my natto!

jack smith said...

Dental impression material is used to show a patient about blood hosing from teeth, transplant of tooth, how dental surgery is made etc.Dental impression material

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