en Oral & maxillofacial surgery Oral & maxillofacial surgery Case report <div style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:Times New Roman;"><b><span style="color:#2e74b5">Background and Aim:</span></b> Sialolithiasis is the second most frequent salivary gland disorder. However, giant submandibular sialoliths are uncommon. Herein, a case of an almond-shaped giant sialolith in the left submandibular duct measuring 3 cm x 2 cm is reported.<br> <b><span style="color:#2e74b5">Case Presentation: </span></b>A patient was presented complaining of pain, difficult chewing, and swelling of the floor of the mouth with purulent intraoral discharge. The ipsilateral submandibular gland was tender and enlarged, resulting in acute neck swelling. Submandibular sialolithiasis of the left Wharton&rsquo;s duct was primarily diagnosed. After blood testing and imaging, the sialolith was surgically removed in toto via an intraoral approach under local anesthesia. The symptoms receded postoperatively.<span style="font-family:"Verdana",sans-serif"></span><br> <b><span style="color:#2e74b5">Conclusion:</span></b> Sialoliths must be suspected in patients complaining of submandibular and facial pain. A careful history must be taken and imaging should be performed to confirm the diagnosis and precisely locate the calcifications.</span></span><br> &nbsp;</div> Submandibular Gland, Salivary Gland Calculi, Salivary Ducts 129 131 http://jrdms.dentaliau.ac.ir/browse.php?a_code=A-10-1298-1&slc_lang=en&sid=1 Aditi Rapriya rapriyaaditi3006@gmail.com 100319475328460012289 0000000272926748 Yes Faculty of Dental Sciences, SGT University, Gurugram 122505, Haryana, India. Jitender Kumar Jitenderkumar@sgtuniversity.org 100319475328460012290 100319475328460012290 No Faculty of Dental Sciences, SGT University, Gurugram 122505, Haryana, India.