Tartar coming back in a month

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Jul 4, 2021
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I always had problems with tartar formation, bit in the recent months it got to a whole new level.

I didn't change anything in my eating habits. No sugar, brushing everyday three times a day for about 20mins each time.

I used to get a cleaning every 6 months and i had quite some tartar, but nothing troublesome.

Now my lower front teeth build tons of tartar in a month or even less. The dentist here keeps cleaning, but it comes back super quickly.

I have a strong gum recession in one of my front teeth, it's been like that all my life. Now the tooth is moving a bit, but no pain or swelling.

Just this tartar building up incredibly quickly.

What is possibly going on?
 

Dr M

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Good day

Firstly tartar build up could be because of a lot of reasons. It could be that you are brushing, but neglecting to floss, and then plaque builds up in between the teeth where your tooth brush can't reach. Secondly, if you have a lot of crowding of your lower incisors, cleaning can be difficult in between these teeth, leading to build-up. Are you using a mouth rinse as an adjunct to normal brushing and flossing?
It is important to keep in mind, that recession as well as tooth mobility, might be an indication of periodontal disease. Brushing excessively for 20 minutes, can actually be harmful as well, since you might cause damage to the supporting tissues around your teeth.
I think it is important to be evaluated for periodontal disease. You might be in need of a deep cleaning.
 

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Thank you for your response.

I do suffer from periodontal disease. I would add screenshots if I knew how to do it. Tooth 31 already has a 9mm pocket. It's moving a bit and I already know it's gonna go. My current dentist suggested an implant as only solution, he never mentioned deep cleaning (you mean SRP?).

The tartar is forming only on the lower part of my teeth, not really in the flossing area, but maybe this is irrelevant?

Thing is I can't understand why so quickly. Until 3 months ago I needed just the usual 6 clean up every 6 months, then it changed all of a sudden.
 

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Dr M

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With periodontal disease, you might require more regular cleanings. If you have a deep pocket or pockets, food can get trapped here, making it almost impossible to clean conventionally. Have you been referred to a periodontist for evaluation?
 

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So SRP can't help with this.

The dentist said already that food doesn't get trapped, as I have wide spaces between my front teeth due to other problems, which actually makes cleaning easier, but somehow I can't prevent this tartar.
 

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Dr M

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Pockets can lead to areas that are plaque retentive, even if your teeth are widely spaced. Has your dentist referred you to a periodontist as per my previous question?
 

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Dr M

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Ask for a referral to a periodontist. This is a specialist that deals with periodontal disease and can give you a better idea of what steps to follow as well as possible reasons for the tartar build up.
 

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