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Supragingival calculus: formation and control.

Ye Jin1, Hak-Kong Yip

  • 1Graduate Student, Faculty of Dentistry, the University of Hong Kong, Hong Kong, P.R. China.

Critical Reviews in Oral Biology and Medicine : an Official Publication of the American Association of Oral Biologists
|October 24, 2002
PubMed
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It is time to move on.....

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Dental calculus forms from mineralized plaque, driven by calcium phosphate supersaturation. Understanding microbial adherence and mineralization factors is key to developing effective anti-calculus agents.

Area of Science:

  • Oral biology
  • Biomineralization
  • Microbiology

Background:

  • Dental calculus is a complex structure of inorganic minerals and organic matrix.
  • It forms through the mineralization of dental plaque, initiated by microbial adherence to acquired pellicle.
  • Key minerals include brushite, octacalcium phosphate, hydroxyapatite, and whitlockite.

Purpose of the Study:

  • To elucidate the mechanisms of dental calculus formation.
  • To discuss the roles of microbial factors and salivary supersaturation in mineralization.
  • To review anti-calculus agents and their mechanisms.

Main Methods:

  • Review of literature on dental calculus composition and formation.
  • Discussion of microbial adherence mechanisms (fimbriae, flagella, co-adhesion).

Related Experiment Videos

  • Analysis of factors influencing calcium phosphate supersaturation (salivary flow, pH).
  • Consideration of microbial mineralization roles (phospholipids, proteolipids).
  • Review of crystal growth modifiers and anti-calculus agents.
  • Main Results:

    • Microbial adherence and biofilm formation are crucial steps preceding mineralization.
    • Supersaturation of calcium phosphates in saliva and plaque fluid drives calculus formation.
    • Specific microbial components and host factors influence mineralization processes.

    Conclusions:

    • Dental calculus formation is a multifactorial process involving microbial activity and physicochemical conditions.
    • Understanding these factors is essential for developing effective strategies to prevent and treat calculus.
    • Current anti-calculus agents target various aspects of plaque formation and mineralization.