Sublingual sialolithiasis in a patient with myofascial pain and pulp stones: A case report
https://doi.org/10.36377/ET-0135
Abstract
Multidisciplinary evaluation and management are essential for achieving optimal outcomes in complex cases involving recurrent calcifications and chronic pain. This case highlights the rare coexistence of sublingual sialolithiasis, myofascial pain dysfunction syndrome (MPDS), and pulp stones or pulp canal obliteration. A 54-year-old male patient was diagnosed with sublingual sialolithiasis (2 × 1.6 cm), MPDS, and multiple pulp stones. Radiographic investigations, including bitewings and CBCT, revealed and confirmed the size of calculi and showed a significant pulp stone in posterior teeth. The patient underwent transoral sialolith removal and was treated with muscle relaxants and oral physiotherapy for MPDS. This case highlights the complex interplay among sialolithiasis, MPDS, and pulp stones. A multidisciplinary approach is essential for comprehensive management, especially in cases involving recurrent calcifications and chronic pain.
About the Author
A. A. Alelyani
Najran University
Saudi Arabia
Competing Interests:
Saudi Arabia
Ahmed Ali Alelyani – Department of Restorative Dentistry, Division of Endodontics, College of Dentistry
Najran, Saudi Arabia
Competing Interests:
The authors report no conflict of interest.
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Review
For citations:
Alelyani A.A. Sublingual sialolithiasis in a patient with myofascial pain and pulp stones: A case report. Endodontics Today. 2025;23(4):597-602. https://doi.org/10.36377/ET-0135
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