The unusual amount of formation of calculus seen in this patient goes well beyond the classification of heavy calculus formation as reported by Mandel. In this case report, the patient had a myth that the deposition was related to some other lesion and also was hesitant to meet the dentist until he felt difficulty in closing his mouth. This is a rare phenomenon to be seen today with our ever-changing lifestyles, with the availability of top-notch dental care systems, highly effective oral hygiene products besides dignity in oral cleanliness, and personal pride. Only in ancient times, such types of massive and unusual deposition of calculus have been reported in dentistry. In the early 17 th century, Pierre Fauchard in his classic treatise “Le Chirugren Dentiste” reported a completely submerged molar tooth in a large piece of calculus, of 20 times the size of the molar itself. Dental calculus does not contribute directly to gingival inflammation, but it provides nidus for the continued accumulation of plaque. Several reasons have been proposed such as increase in pH of saliva and precipitation of colloidal proteins in saliva and seeding agent inducing the foci of calcification. The main source of mineralization is from saliva. This case report reveals an unusual presentation of dental calculus in the left side of retromolar region associated with a partially erupted left mandibular third molar tooth.ĭental calculus is a calcified dental plaque, which usually occurs between 1 and 14 days of plaque formation, usually reaching 60%–90% of calcification by 12 days. In spite of these regular places, calculus can be presented in an unusual location of the oral cavity where maintenance is very difficult. The areas to exhibit calculus deposits were the facial aspect of maxillary molars and lingual surface of mandibular teeth. It is usually seen in young age and continues to be deposited till 25–30 years where they exhibit maximal deposition. Usually, the formation of dental calculus is mainly by mineral precipitation from a local rise in the degree of saturation of calcium and phosphate ions and also due to inducing of seeding agents to form small foci for calcification of dental plaque. It is usually typically dark-brown or green or black and dense in consistency. Supragingival calculus is whitish yellow and is usually clay-like in consistency, whereas subgingival calculus is not visible clinically but can be evaluated by tactile sensation. It can be seen either supragingival or subgingival, and it is mainly composed of 80%–85% of inorganic content. It consists of mineralized dental plaque that forms on the natural teeth and dental prosthesis. How to prevent the formation of a calculus bridge?Ĭalculus can form within a few days, so being diligent with your oral hygiene is imperative.Calculus is a calcified mass, most commonly seen in areas where the salivary duct opens into the oral cavity. It is the severity of calculus accumulation, periodontal pocket measurements, amount of bleeding around the teeth and bone loss. The length of time since your last cleaning isn’t the determining factor between a normal cleaning and a deep cleaning. Scaling and root planing ( deep cleaning) is most commonly performed if the calculus is extensive, under the gums and has caused bone loss. An ultrasonic scaler (vibration and water) allows for the best and easiest removal of a calculus bridge, but commonly hand scalers will be used for complete removal of calculus around your teeth. When Do I Need to Get My Wisdom Teeth Removed?Ī professional dental cleaning performed by your dentist or hygienist will allow for the removal of calculus.Having a calculus bridge on your teeth can lead to halitosis (bad breath), gum pain from inflammation – can lead to gum recession, cavities and loss of teeth. A calculus bridge can be different colors other than white – yellow, brown or even black. This calculus bridge can be noticeable, but sometimes it can blend in with your teeth. What is a calculus bridge?Ī calculus bridge is the formation of calculus along the gumline that forms a wall of calculus between and over your teeth. Once the bacteria have accumulated and formed calculus, it cannot be removed by brushing and flossing and will need to be removed by a hygienist or dentist using dental instruments. Plaque is bacteria that adheres to your teeth – a thin sticky film that coats your teeth that can be removed by brushing and flossing. What is calculus?Ĭalculus is also called tartar and it is the accumulation of plaque on your teeth that eventually hardens. Lower front teeth are very susceptible to have calculus built up and it’s possible that it can form a calculus bridge spanning between these teeth. If you haven’t had your teeth cleaned in awhile, it’s highly likely you have calculus built up on your teeth.
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