Dental Calculus Overview
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Questions and Answers

What is the primary composition of dental calculus regarding its organic and inorganic components?

  • 0-10% organic, 90-100% inorganic
  • 50-70% organic, 30-50% inorganic
  • 30-50% organic, 50-70% inorganic
  • 10-30% organic, 70-90% inorganic (correct)

Which of the following correctly describes a characteristic of subgingival calculus compared to supragingival calculus?

  • Subgingival calculus is typically more mineralized than supragingival calculus. (correct)
  • Subgingival calculus is easier to remove than supragingival calculus.
  • Subgingival calculus has a lighter color than supragingival calculus.
  • Subgingival calculus forms within 48 hours of biofilm development.

Which of the following locations is least likely for dental calculus accumulation?

  • Gingival crevice
  • Prosthesis areas
  • Flat occlusal surfaces (correct)
  • Root surface with periodontal pockets

What is the crystalline structure of dental calculus primarily composed of?

<p>Magnesium hydroxyapatite and calcium phosphate (A)</p> Signup and view all the answers

In the formation of dental calculus, what is the typical time frame for mineralization after plaque biofilm formation?

<p>48 hours to 2 weeks (C)</p> Signup and view all the answers

What type of attachment allows calculus to firmly adhere to a tooth surface?

<p>Penetration into cementum, enamel, or dentine (A)</p> Signup and view all the answers

Which of the following statements is true about the ages of dental calculus?

<p>Older calculus tends to be more mineralized than younger calculus. (A)</p> Signup and view all the answers

What role does dental calculus play in dental disease progression?

<p>Dental calculus increases the risk of periodontal disease. (A)</p> Signup and view all the answers

What role does the element in the organic matrix play in calculus formation?

<p>It acts as a seeding agent. (B)</p> Signup and view all the answers

Which substances released from bacteria promote the calcification process?

<p>Phosphatases and proteases (B)</p> Signup and view all the answers

What is the main product formed from insoluble calcium phosphate crystals during the process of calcification?

<p>Calculus (B)</p> Signup and view all the answers

Which factor does NOT contribute to variations in the rate of calculus formation?

<p>The temperature of the mouth (D)</p> Signup and view all the answers

How are individuals broadly classified based on their calculus formation rate?

<p>As heavy, moderate, slight, or non-calculus formers (A)</p> Signup and view all the answers

Which method is NOT typically used for the detection of calculus?

<p>Salivary analysis (C)</p> Signup and view all the answers

What might be a significant concern for clinicians in relation to calculus?

<p>It can contribute to periodontal disease. (C)</p> Signup and view all the answers

Which option best describes what occurs during the process of calculus formation?

<p>Insoluble crystals form and become calcified. (C)</p> Signup and view all the answers

Study Notes

Dental Calculus

  • Dental Calculus is mineralized bacterial biofilm
  • Forms 48 hours to 2 weeks after plaque biofilm formation
  • Composition is approximately 10-30% organic and 70-90% inorganic
  • Organic content includes plaque bacteria, dead epithelial cells, white blood cells (WBCs)
  • Inorganic content includes calcium, phosphate, magnesium, carbonate
  • Calcium brushite, octocalcium phosphate, hydroxyapatite, and magnesium whitlockite are crystals found in dental calculus
  • Crystalline content can vary based on location (anterior/posterior), supra/sub location, age of calculus, and individual
  • Common locations for dental calculus include: gingival crevice, root surface with periodontal pockets, prosthesis, restoration ledges, imbricated teeth, occlusal surfaces
  • Supra-calculus is located above the gum line, and sub-calculus is found below the gum line
  • Calculus attaches to the tooth surface through acquired pellicle, penetration into enamel, cementum, or dentine, or by adhering to tooth irregularities like previous instrumentation
  • The formation of dental calculus is influenced by organic matrix elements acting as seeding agents, and phosphatases and proteases released by bacteria degrade calcification inhibitors in saliva
  • Insoluble calcium phosphate crystals coalesce to form calcified mass of plaque called calculus
  • Calculus formation rate varies based on individual, tooth, and timeframe
  • People can be categorized as heavy, moderate, slight, or non-calculus formers
  • Detection of calculus can be done visually and with radiographs
  • Calculus can impact the progression of periodontal disease

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Description

This quiz explores the characteristics and composition of dental calculus, including its formation and variations based on location and individual factors. Understand the differences between supra-calculus and sub-calculus and their implications on oral health.

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