Calculus Classifications Quiz

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Questions and Answers

What is Class I calculus?

  • Moderate to heavy subgingival calculus present throughout the mouth
  • Heavy supragingival calculus throughout the mouth
  • Light supra or subgingival calculus with isolated deposits (correct)
  • Moderate supra calculus with detection on 14 teeth

What defines explorer detected calculus in Class II?

Makes a 'click' sound as the explorer is passed over it.

Class III calculus involves only supragingival calculus.

False (B)

Which class of calculus indicates moderate to severe perio involvement?

<p>Class IV (D)</p>
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Class II calculus is detected on at least _____ teeth, including lower anteriors.

<p>14</p>
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Study Notes

Classification of Calculus

  • Class I:

    • Light supragingival or subgingival calculus and/or stains on mandibular anterior teeth
    • May include one or two additional isolated deposits
    • Presence of more plaque than calculus
    • Minimal to no soft debris
  • Class II:

    • Moderate supragingival calculus
    • Subgingival calculus detectable by explorer on at least 14 teeth, including lower anterior teeth
    • Explorer detects calculus that causes a "click" sound when passed over
  • Class III:

    • Moderate to heavy supragingival calculus present
    • Subgingival calculus detectable by explorer throughout the mouth
    • Specifically affects mesials and distals of bicuspids and molars
    • Calculus spur visibility on radiographs
  • Class IV:

    • Heavy supragingival and/or subgingival calculus present throughout the mouth
    • May appear as a continuous band, with or without soft debris
    • Associated with periodontal involvement, exhibiting moderate to deep pockets (5-7mm)
    • Moderate to severe bone loss and tooth mobility likely
    • Treatment typically occurs in sextants or through non-surgical periodontal therapy (NSPT)

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