![]() You want to catch plaque in its earliest stages - before it turns into thicker plaque or the hard-to-scrape-off, calcified tartar. ![]() This stage is called gingivitis and requires intervention by a dentist and hygienist. This hardened plaque is called tartar.Įver had bleeding gums? This is caused by tartar beneath the gum line - the gums are irritated and inflamed in the presence of all that plaque and tartar buildup. If you don’t remove plaque within the first 48 hours, it starts to harden and calcify, becoming impossible to remove with a toothbrush and floss. What goes in, must go out, and that’s exactly what happens after bacteria feast on your meal: they poop and pee! The acid excreted by bacteria after they consume sugars is their waste product and the stuff that leads to bad breath, tooth decay, destruction of enamel, and cavities. ᄋ Prophy / Prophylaxis:Ī preventive procedure to remove local irritants to the gingiva including debridements of calculus and removal of plaque.The bacteria in your mouth have a heyday when you eat - the food you eat gets broken down and the bacteria feast on simple sugars. This includes the removal of plaque and calculus both above and below the gingiva. ᄋ Root Planing:Ī treatment procedure designed to remove cementum or surface dentin that is rough impregnated with calculus or contaminated with toxins or microorganisms. The meticulous removal from the root surfaces of the teeth to remove plaque calculus and stains from these surfaces. Procedures to remove calculus include the following. The efficacy of subgingival plaque and calculus removal utilizing a non-surgical approach is limited. A non-surgical approach is when access to the root surfaces is via the periodontal pockets. A surgical approach is when full thickness tissue flaps are reflected to expose the root surfaces and gain direct access to them. Treatments to remove or prevent calculus build up are numerous and include surgical and non-surgical procedures. ᄋ Elevated concentration of protein and urea in submandibular salivary gland secretions. ᄋ Elevated bacterial protein and lipid concentration. ᄋ Elevated salivary calcium concentration. Rate of calculus formation varies from person to person but the following can certain factors can increase the rate of calculus formation. ![]() Subgingival calculus can often be seen on radiographs but explorer detection is needed to evaluate the amount of calculus present. ![]() This makes the attachment of the subgingiva calculus more tenacious and difficult to remove. A more irregular subgingival cemental surface allows deposits to form into the cemental irregularities. Subgingival calculus forms on root surfaces below the gingival margin and can extend deep into periodontal pockets. Supra-gingival calculus is found on the tooth surface next to the tongue (lingual) on the mandibular incisors and on the buccal surfaces (area near the cheek) of maxillary molars. The terms Supra-gingival calculus and subgingival calculus are given to the most common areas of calculus build up. Calculus deposits can be classified as s light moderate or heavy.Ĭalculus forms in various areas of the mouth. Plaque and calculus fill these pockets until eventually the jawbone supporting the teeth are destroyed. As gums ヤpull awayヤ from the teeth as a result of gum-disease pockets begin to form between the teeth and gums. Both plaque and calculus play an important role in gum disease. Calculus acts as a focal point for plaque accumulation bacteria and hinders complete removal of plaque. It is hard and firmly adherent to the tooth surfaces on which it forms and it cannot be removed by brushing. Calculus is formed by the deposition of mineral salts in plaque. It is possible to have a mouth with plaque but no calculus. Plaque can be removed from tooth surfaces by direct brushing. It is the host to a complex micro-system of microorganisms that cause inflammatory diseases of the gingival & periodontal tissues. A dentist or hygienist must remove it manually to stop the disease process.Īlthough plaque and calculus have different characteristics a relationship exists between them. Brushing and flossing alone cannot remove calculus. This hard plaque is known as tartar or calculus. Calculus is formed from Plaque (a soft sticky substance that accumulates on teeth composed largely of bacteria and food substances suspended in saliva) which can build up and become hard. Calculus is the hard residue ranging from yellow to brown forming on teeth when oral hygiene is incomplete or improper.
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