![]() This seems to be related to the size and volume of the tonsil stones. Some people can feel their tonsil stones, while others cannot. People with tonsil stones often pick them out. The tonsil stone then falls into the mouth instead of into the throat. It is better to push the stone forward by positioning the swab behind the stone. People with tonsil stones may be able to loosen them by gently pressing on the surrounding tissue with a cotton swab. A person may need to gargle vigorously if the stones are well established. Gargling with salty water may also dislodge them. Tonsil stones are generally easy to extract, and some people remove them when they cough. These stones are also called “tonsil calculi” or “tonsilloliths.” They are usually visible as white or yellowish lumps. The debris hardens as calcium builds up around it, forming tonsil stones. Tonsil stones form when debris, such as food, dead cells, bacteria, and other substances, becomes trapped on the tonsils. ᄋ Prophy / Prophylaxis:Ī preventive procedure to remove local irritants to the gingiva including debridements of calculus and removal of plaque.Share on Pinterest Dmitry Marchenko/Getty Images 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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