Professional Documents
Culture Documents
Definition
Calculus is the hard deposit that forms by mineralization of dental plaque and is generally covered by a layer of unmineralized plaque. Calculus consist of mineralized bacterial plaque that forms on the surface of natural teeth and dental prosthesis
Supra gingival
Sub gingival
Supragingival calculus is depicted on the buccal surfaces of maxillary molars adjacent to orifice for Stensons duct.
Dark pigmented deposits of subgingival calculus on the distal root of an extracted lower molar.
Composition of calculus
Inorganic 70-90 % ca - 27-29 % Ph - 16 -18 % Carbonate 2 -3 % Na 1.5 -2.5 % Mg .6 - .8 % F .003 -.004 %
Inorganic Protein, poly sac ,epi cell ,lueko -1.9 -9.1 % Protein 5.9 8.2% Lipids .2 % Salivary glycoprotein galactose ,glucose, rhamnose
,glucoronic acid
Formation of calculus
Mineralization starts at 50 % mineralize 60 -90% mineralize Maximum 1 to 14 days 2 nd day 12 days 10 week -6 month
Attachment of calculus
By org pellicle Mech inter locking to surface irregularities Close adaptation to slopes Penetration of bacteria into cementum
Etiologic significant
Interfere with normal cleaning mechanism Calculus is not a direct irritant -but close contact
Heavy calculus deposit on facial surface of lower cuspid with associated gingival recession.
Iatrogenic factors
Inadequate dental procedure that contribute to the deterioration of periodontal status Restoration RPD
Location of gingival margin Spaces Contour Occlusion Materials Procedures Design of RPD
Margin of restoration
Change in ecology of sulcus Inhibit access to plaque control
Proximal restoration Removal of margin Sub gingival and supra gingival margins Rubber dam/matrix band Gingival cord
Inflamed marginal and papillary gingiva adjacent to an overcontoured porcelainfused to metal crown on the maxillary left central.
Factors
uneven occl wear Open contact Extrusion Congenital morphologic abnormality Improper restoration Over bite
Plunger cusp
materials
Self cure acrylic Other- biocompatible
Inflamed palatal gingiva associated with a maxillary provisional acrylic partial denture.
Design of RPD
Plaque accumulation Quantitative and qualitative [spirochete]
Mal occlusion
Anterior open bite with flared incisors as observed in association with a habit of tongue thrusting.
Ortho related
Band / elastics Excessive forces Impacted canine extraction Bone height
Maxillary central incisors in which an elastic ligature was used to close a midline diastema.
A lower incisor depicting a prominent root without any attached gingiva and accompanying gingival recession.
A maxillary canine that illustrates gingival recession due to self-inflicted trauma by the patients fingernail.
Tobacco stains on the apical third of the clinical crown due to cigarette smoking.
Radiation therapy
Ischemia ,fibrosis ,hypoxic, hypo vascularisation Mucositis, dermatitis fibrosis,trismus,osteoradionecrosis
Antibiotics Atraumatic surgery Culture and sensitivity test Less LA usage vaso constictors Hyperbatic oxygen therapy
Thank you