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About Dentistry (Calculus and Dentifrices)
Calculus is a progressive form of dental plaque that has become hard. Dental plaque is formed if not removed from teeth, leading to the deposition of mineral salts, which further get hardened by calcium salt deposition. Calculus formation starts with the formation of dental plaque, which is formed after the breakdown of food by bacteria that releases acid, which forms a pasty film on the surface of teeth. If dental plaque is not checked by brushing and flossing, then calculus forms. In calculus minerals, salts are deposited over dental plaque due to its sticky nature. Then, the hardening of inorganic material inside the organic matrix forms calculus.
Calculus major part is calcium phosphate and others like whitlockite, octacalcium phosphate, and hydroxyapatite. Organic substances like lipids, proteins, milk proteins, and microbial cells.
Calculus condition is of two types based upon its location. Suppose calculus is located at the gum margin or above. In that case, it is called supragingival calculus, and if it is present below superficially at the tooth root, it is known as subgingival calculus.
Its complications include, firstly, affecting the aesthetic appeal of teeth because they tend to get stained easily. It may further lead to inflammation of the gums, known as gingivitis. It also leads to bad breath of mouth. Further, it may lead to cavities and periodontal disease if not treated.
It can be removed only by a dentist with the help of an ultrasonic dental cleaning device and with a hand scaler, which removes hard calculus. This treatment is referred to as scaling or root planning. The treatment further prevents complications like tooth decay, but it is not a permanent treatment. Calculus can be formed again even if removed once if oral hygiene is not maintained.
It can be prevented by avoiding too many sugary snacks, getting regular checkups of oral condition, brushing twice daily properly, and, if possible, doing dental flossing once a week to prevent calculus formation.
Dentifrices are preparations used to clean up teeth and gums. They are part of our daily routine and personal hygiene. The term dentifrices is derived from two words, ‘dens’, which means tooth, and ‘fricare’, which means to rub. These preparations include toothpaste, powders, dental creams, gels, and foams. They are used for cleansing effects as well as for therapeutic effects, such as controlling periodontal disease.
Their primary function is to clean the surface of teeth, polishing, preventing plaque and calculus formation and reducing the chances of tooth decay and periodontal disease. They also prevent mouth odour and add freshness to breathing.
Nowadays, herbal products are getting popular as they attract consumers because manufacturers claim they contain herbs. The general public believes that it is safe to use. However, the fact is that they are not very different from conventional products because 90% of the ingredients are the same; it is just 10% of the flavours added to them that make them different. Herbal toothpaste is different in taste. They are less on the sweet side, and they taste raw. There is not 100% herbal toothpaste on the market, and the available ones contain limited extracts.
The formulation of toothpaste consists of many ingredients like abrasives, which help in polishing and removing stains. Examples include calcium carbonate, calcium salts, sodium metaphosphate, etc. Generally, an abrasive forms 50% of total toothpaste. The rest of the ingredients are detergents with foaming action and wetting properties. Examples like sodium lauryl sulfate and sodium lauryl sarcosinate are used. Humectants like glycerine and sorbitol prevent the drying of toothpaste. Binding agents like starch and simple syrup provide a paste-like consistency to toothpaste. Then, we have additional ingredients like sweetening agents, flavouring agents, and colourants, which add organoleptic properties and attract consumers. Other agents like preservatives and lubricants are used. Strontium chloride is incorporated to prevent hypersensitivity, and stannous fluoride prevents tooth decay.
Tooth powders have become less popular, but it is the oldest, simplest and cheapest preparation. It contains almost the same ingredients as toothpaste. It contains abrasives, detergents, sweeteners, flavours and colours less commonly.
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