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Related Experiment Videos

Calculus revisited. A review.

I D Mandel, A Gaffar

    Journal of Clinical Periodontology
    |April 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

    Gingivitis can occur without calculus, but mineral deposits worsen inflammation. Subgingival calculus significantly contributes to periodontal disease progression, even if not the initial cause.

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    Area of Science:

    • Periodontology
    • Oral Microbiology

    Background:

    • Gingivitis can develop without supragingival calculus.
    • The role of mineralized deposits in enhancing gingival inflammation requires further clarification.
    • Previous research has not demonstrated gingivitis reduction through partial inhibition of plaque mineralization in humans.

    Purpose of the Study:

    • To investigate the extent to which mineralized deposits enhance gingival inflammation.
    • To establish the required level of plaque mineralization inhibition for significant clinical effects.
    • To re-evaluate the role of subgingival calculus in periodontal disease progression.

    Main Methods:

    • Review of morphologic and analytical studies on calculus composition and properties.
    • Analysis of the interaction between subgingival plaque and mineral salts from serum transudate.

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  • Evaluation of the impact of calculus on plaque accumulation and bacterial antigen retention.

    • Main Results:

    • Subgingival calculus formation is a result of subgingival plaque interacting with mineral salts.
    • Calculus exhibits porosity, retains bacterial antigens, and contains bone resorption stimulators.
    • Calculus facilitates increased plaque buildup, potentially accelerating periodontal destruction and epithelial displacement.

    Conclusions:

    • Subgingival calculus significantly contributes to the chronicity and progression of periodontal disease.
    • Thorough scaling and root planing are crucial for maintaining periodontal health.
    • While not initiating periodontal disease, calculus exacerbates its severity and progression.