From the Research
Treatment for sialadenitis should prioritize a conservative approach with antibiotics, pain management, hydration, and salivary gland stimulation, with consideration of sialendoscopy for chronic or recurrent cases, as supported by the most recent and highest quality study 1. The goal of treatment is to eliminate infection, reduce inflammation, and restore normal salivary flow, which is essential for gland healing and preventing recurrence. Key components of treatment include:
- Antibiotics, such as amoxicillin-clavulanate (875/125 mg twice daily for 7-10 days) or clindamycin (300-450 mg four times daily), to target common pathogens like Staphylococcus aureus and Streptococcus species 1
- Pain management with over-the-counter analgesics, such as ibuprofen (400-600 mg every 6-8 hours) or acetaminophen (500-1000 mg every 6 hours)
- Hydration with increased fluid intake to 2-3 liters daily to maintain hydration and promote saliva flow
- Salivary gland stimulation through sucking on sugar-free candies or using sialagogues like lemon drops For chronic or recurrent cases, sialendoscopy may be performed to remove stones or strictures, and severe cases unresponsive to conservative treatment may require surgical intervention, including gland excision 2, 3. It is essential to note that the treatment approach should be guided by the most recent and highest quality evidence, and the study by 1 provides the most up-to-date and effective treatment strategy for sialadenitis.