Cone Beam Computed Tomography-Guided Diagnosis and Management of an Infected Two-Piece Sialolith: A Rare Case Report

Sialolithiasis, or salivary gland stones, is a common condition that can lead to obstruction/infection of the salivary duct and can lead to significant patient discomfort. Traditional imaging modalities such as conventional radiographs and ultrasound have been widely used for diagnosis; however, cone beam computed tomography (CBCT) has emerged as a superior imaging technique due to its high-resolution capabilities and three-dimensional visualisation. This case report explores the critical role of CBCT in the accurate diagnosis and strategic, conservative management of a rare case of an infected two-piece submandibular sialolith, with the larger stone surgically removed and the smaller one extracted conservatively 2 days later. Follow-up CBCT confirmed complete resolution, with no recurrence after one year.