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Periodontics

Tartar on the teeth: why it appears and how to remove it

Dr. Juan García Marqués
By Dr. Juan García Marqués
February 27, 2024
Tartar on the teeth: why it appears and how to remove it

Tartar is one of the most common reasons for a consultation and also one of the most misunderstood. It can't be removed at home, and leaving it to its own devices is the first step towards gum disease.

What is tartar and how does it form?

Tartar (or dental calculus) is bacterial plaque that has mineralised and hardened on the surface of the tooth. Plaque forms continuously; if it isn’t removed properly by brushing, within a few days it calcifies and bonds firmly. From that point on, it can no longer be removed with a toothbrush or with dental floss: only with a professional cleaning. The acidic pH of the saliva, sugary habits, tobacco or alcohol cause some people to build it up more quickly.

Why it’s worth removing it in time

Tartar that builds up below the gum irritates the tissues and encourages gingivitis and periodontitis. If left in place, the gums bleed, recede and, over time, the bone that holds the tooth in place can be affected. It also gives an unsightly appearance, with a yellowish or brown layer. Removing it in time is the simplest way to prevent bigger problems.

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Does the cleaning to remove tartar damage the enamel?

No. Professional cleaning removes the calculus without damaging the tooth. The sensitivity some people notice afterwards is temporary.

How often should I have a cleaning?

As a general rule, once or twice a year; in patients prone to building up tartar or with a history of periodontal disease, every six months. If the tartar is below the gum, a curettage under local anaesthetic may be needed.

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