What is calculus?


Dental calculus is hardened dental plaque, caused by precipitation of minerals from saliva in plaque which appears on teeth surface. It is extremely hard, usually white or dark yellow.

We can say that deciduous teeth are almost calculus free, while aging increases the buildup of calculus.

Calculus is mostly located on the buccal (cheek) surfaces of the maxillary (upper jaw) molars and on the lingual (tongue) surfaces of the mandibular (lower jaw) incisors. The presence of ducts of the salivary glands in those areas makes soft debris mineralize and harden much quicker.  

uklanjanje kamenca, čišćenje kamenca

Why is calculus bad and why it should be removed?


Presence of dental calculus makes the maintaining of the proper oral hygiene really difficult. It is a perfect place for buildup of dental plaque. Even after tooth brushing, plaque remains on the bulges of the dental calculus.

In addition, calculus irritates the gums and causes their inflammation (gingivitis). This further leads to periodontal disease or worsens the previously existing condition.


How is calculus removed?


Our stomatologists will carefully examine your teeth to determine which teeth surfaces have calculus. It is extremely important that the calculus is removed completely. Otherwise, rough edges of the remaining calculus will damage the gums and speed up inflammation.

Dental cleaning includes both the removal of calculus and soft debris and discoloration from smoking and food.  

There are several methods for calculus removal.

1. Calculus removal with manual scaling tools – If there are large amounts of dental calculus deposits, resulting from its buildup over several years, one portion needs to be removed with manual scalers. On occasion, it is necessary to clean manually the remains of hard deposits from periodontal pockets, following the ultrasonic calculus removal.

2. Calculus removal with ultrasonic device – In present time, this technique is a standard procedure for dental calculus removal. It is performed by the ultrasonic device. Vibrations produced by the device are transmitted together with water into an instrument which scales the calculus. These are turned in small mechanical bumps which enable complete calculus removal.  

The method is painless and patients like it. Still, there are some situations in which the use of the device is contraindicated – in patients with cardias pacemaker or in the area around dental implant. Application of anesthetic is not required, because mild sensitivity can occur only around tooth necks and lasts shortly – as long as the intervention itself.  


Before and after


After the intervention, majority of patients feels better. They have a sensation of cleanliness and smoothness in the mouth. Sometimes the patients say that they feel like they have “holes between their teeth”. Why is that so? After years of calculus buildup, it has occupied the area where healthy gums used to be, thus filling up the space between the teeth. When we remove the calculus, this space is vacant again. It is very useful to remove the calculus and get rid of all the bacteria which the patient otherwise won’t be able to remove with simple tooth brushing. Bad breath which usually accompanies periodontal disease is also eliminated.

Possible tooth sensitivity after the intervention usually lasts very shortly. The use of special toothpastes, such as Sensodyne, reduces sensitivity. In case that tooth necks are extremely exposed and periodontal disease in an advanced stage, out stomatologists will suggest additional course of therapy, in order to avoid further deterioration.  


Tooth polishing


Teeth need to be polished after the calculus removal procedure. The polishing helps tooth surfaces to remain smooth and prevents further accumulation of calculus, thus, it should always follow the removal of hard deposits. It is done with the brush and abrasive pastes, and lasts only a few minutes.    


Does calculus removal damage teeth?


Calculus removal is a completely safe intervention and it does not damage the teeth.

It is important to remember that calculus deposits can damage your teeth irreversibly. The calculus is one of the main culprits for periodontal disease, which leads to premature loosening and falling out of teeth.  


How often teeth should be scaled?


Calculus removal is usually done every six months, except in cases of pronounced parodontopathy or individual tendency towards accumulation of calculus, when it should be done more frequently.


Removal of calculus - price


Removal of calculus is a routine procedure at the Pavlovic Clinic. Every day we have several patients who come to their regular six-month checkup and have their calculus removed on the same occasion.

The price of the procedure is RSD 2,500. This includes the exam, removal of calculus with ultrasonic device, using manual scaling with curettes, if needed, and finally tooth polishing.

Don’t wait until your teeth loosen to come for calculus removal. Every gum inflammation is a basis for the development of periodontal disease. Even if you do not see calculus on your teeth, it does not mean it’s not there. It can settle down below the gums, in places inaccessible to the human eye. Only through dental exam and probing, a dentist can determine whether it’s there or not.  


The Pavlovic Clinic is expecting you soon at Niska 4!

Appointment for calculus removal can be scheduled by calling 063/8211-603!

Our friendly staff is looking forward to seeing you!


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