Tjakkes G-H E, Belder M C
Ned Tijdschr Tandheelkd. 2021 Dec;128(12):605-610. doi: 10.5177/ntvt.2021.12.21088.
The removal of calculus is a major part of periodontal treatment, in order to improve the clinical situation. Calculus develops on hard tissues in the oral cavity. This can occur both supra- and subgingivally. The rate of its development depends on a variety of factors. Due to the rough surface, calculus is an ideal basis for a (harmful) biofilm. It is therefore a point of debate whether the calculus or the overlaying biofilm can lead to the periodontal inflammation. This in turn raises the question whether only this biofilm needs to be removed or whether the calculus also needs to be removed. As long as ten centuries ago, the removal of calculus was used as a treatment for improving oral health and that is not very different today.
为改善临床状况，去除牙石是牙周治疗的主要部分。牙石在口腔硬组织上形成，可发生在龈上和龈下。其形成速度取决于多种因素。由于表面粗糙，牙石是（有害）生物膜的理想附着基础。因此，牙石还是覆盖其上的生物膜会导致牙周炎症，这是一个有争议的问题。这进而引发了一个问题，即是否只需去除这种生物膜，还是也需要去除牙石。早在十个世纪前，去除牙石就被用作改善口腔健康的一种治疗方法，如今情况也没有太大不同。
