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The relationship between first presentation and subsequent observations in heavy calculus formers
L W Blank1, J T Rule, G A Colangelo
1Department of Oral Health Care Delivery, University of Maryland, Baltimore.
Journal of Periodontology
|August 1, 1994
Summary
Calculus formation accelerates with longer intervals between dental cleanings. Regular prophylaxis is crucial for managing calculus buildup in individuals prone to heavy formation.
Area of Science:
- Periodontology
- Dental Hygiene
Background:
- Limited research exists on the natural history of dental calculus formation.
- Understanding calculus accumulation patterns is essential for effective preventive dental care.
Purpose of the Study:
- To investigate the relationship between baseline calculus scores, time since last prophylaxis, and post-scaling calculus scores.
- To analyze calculus formation in individuals identified as heavy calculus formers.
Main Methods:
- 203 subjects with Volpe-Manhold Index (VMI) scores ≥ 7 underwent scaling and polishing.
- Data collected included baseline VMI scores and the date of the last prophylaxis.
- Subjects were re-examined 8 weeks post-scaling.
Main Results:
- Baseline VMI scores positively correlated with the time since the last scaling (P < .001).
- Subjects with over 2 years since last scaling had the highest baseline VMI scores (33.67).
- At 8 weeks, VMI scores inversely correlated with the time since the last prophylaxis (P < .05).
Conclusions:
- The time elapsed since the last dental prophylaxis significantly influences calculus accumulation.
- Individuals with longer intervals before scaling exhibit higher calculus scores both pre- and post-prophylaxis.
- Regular dental cleanings are vital for controlling calculus buildup, especially in heavy calculus formers.