Tartar Issues: Identifying and Managing Dental Concerns - Dentistry

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Dental calculus issue?


Hello, doctor.
I have a few questions:
1.
Previously, there was a gray-black substance above the gingival papilla of my lower anterior teeth, and the dentist said it was subgingival calculus.
Recently, I noticed a similar condition at the junction above the papilla of the interproximal area of my lower molars.
I can't see it clearly myself, but there is no significant sensation when I use a floss stick.
What could be the issue in that area?
2.
Why do some calculus appear black, and how can I initially differentiate between black calculus in the gingival and interproximal areas as cavities, calculus, or staining?
3.
During a previous visit, I asked about some black areas on the surface of certain teeth, grooves, or the junctions of fillings.
The dentist examined it with a probe and said that if it wasn't black, it wasn't a cavity and no further treatment was needed.
Could this have any implications? Thank you.

Xiao Jie, 20~29 year old female. Ask Date: 2022/01/02

Dr. Zeng Guanghui reply Dentistry


1.
Although dental floss can pass through the spaces between teeth, if the tartar is located very close to the tooth surface, it may not always be fully felt.
2.
It is recommended that if there is gum inflammation, bleeding, or gum recession, it may be caused by the accumulation of plaque or tartar, and a dental examination should be sought.
3.
Sometimes, the surface of a filling may have discoloration or a black appearance; if there are any concerns, it is advisable to consult a dentist for further examination.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

Reply Date: 2022/01/02

More Info


Understanding tartar issues and identifying dental concerns is crucial for maintaining oral health. Tartar, also known as calculus, is a hardened form of dental plaque that can accumulate on teeth and lead to various dental problems if not managed properly. Here’s a comprehensive overview of your questions regarding tartar and related dental concerns.

1. Identifying the Gray-Black Substance: The gray-black material you observed on the gingival papilla (the small triangular area of gum tissue between two teeth) is likely subgingival calculus (tartar) that has formed below the gum line. This can occur due to poor oral hygiene, allowing plaque to harden into tartar. The presence of similar deposits near your lower molars could indicate that plaque is accumulating in that area as well. While you may not feel discomfort when using dental floss, it’s essential to have a dental professional assess the situation. If left untreated, tartar can lead to gum disease, which may cause inflammation, bleeding, and even tooth loss.

2. Understanding Black Tartar: The black coloration of some tartar can be attributed to various factors, including the presence of certain bacteria, dietary habits (such as high consumption of dark-colored foods or beverages), or even smoking. To differentiate between tartar, cavities, and staining, consider the following:
- Cavities: Typically appear as dark spots on the tooth surface and may feel soft or sticky when probed.

- Tartar: Feels hard and is often found at the gum line or between teeth. It cannot be removed by brushing alone and requires professional cleaning.

- Staining: Can occur on the surface of the teeth and may be removed with professional cleaning or whitening treatments.

3. Concerns About Black Areas on Teeth: When your dentist examined the black areas on your teeth and determined they were not cavities, it’s essential to understand that while they may not require immediate treatment, they should be monitored. Black spots can sometimes indicate areas of demineralization or early decay, which may not be visible to the naked eye. Regular dental check-ups are crucial to ensure these areas do not progress into more significant issues. If you notice any changes, such as increased sensitivity or pain, it’s vital to return to your dentist for further evaluation.

Management and Prevention: To manage tartar buildup and maintain oral health, consider the following practices:
- Regular Dental Cleanings: Professional cleanings every six months can help remove tartar and prevent gum disease.

- Good Oral Hygiene: Brush your teeth at least twice a day with fluoride toothpaste and floss daily to remove plaque before it hardens into tartar.

- Dietary Choices: Limit sugary and acidic foods that can contribute to plaque formation and consider reducing consumption of dark-colored beverages that may stain teeth.

- Stay Hydrated: Drinking water can help wash away food particles and bacteria, reducing plaque buildup.

In summary, while tartar is a common dental issue, it can lead to more severe problems if not addressed. Regular dental visits, good oral hygiene practices, and being aware of changes in your oral health can significantly reduce the risk of complications. If you have any concerns about your dental health, don’t hesitate to consult your dentist for personalized advice and treatment options.

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