Tartar and how to remove it

What is tartar
How is tartar formed?
Types of Tartar
Symptoms and consequences of tartar
How to prevent tartar formation
Methods for removing tartar
How is tartar removal performed?
Removing tartar at home
Side effects from scaling
Proper brushing of teeth
Prices for tartar removal in Moscow

What is tartar and what is the cause of the disease. What methods will help eliminate this aesthetic problem. Is it possible to remove formations without resorting to the help of a dentist?

What is tartar

Tartar is a formation that is a keratinized plaque consisting of poorly removed food debris, calcium, phosphorus and iron salts covered with a biofilm of dead bacteria.

You can find fossilized food deposits over the entire surface of the dentition, but most often the concentration is on the lower incisors, closer to the gums and on the sides.

Please note that tartar can penetrate the back wall and inside the gums. It is usually found in hard-to-reach places where it is impossible to remove food debris with a toothbrush.

Teeth stones are of the following types:

Stones on teeth (synonym - hard dental deposits) are usually divided into supragingival and subgingival.

Supragingival calculus on the teeth (Fig. 1-6) – visible to the naked eye when examining the teeth, because always localized above the gum level. It may be dark or yellowish in color. A stone of such localization is not difficult to remove, which is usually carried out using ultrasound (however, very small dental plaque can also be removed using the Air-flow procedure).
Subgingival stones on teeth (Fig. 7) are localized below the gum level, and therefore they are not visible during a normal visual examination of the teeth. However, in places where subgingival dental deposits are present, the gums usually have a bluish appearance, they are swollen and bleed easily. Also, sometimes when you press on the gum in these areas, a scanty purulent discharge may be released from under it. In the photo below you can see subgingival tartar, localized in a deep periodontal pocket.
Please note that the appearance of pink gums in the photo is completely normal. But after the gums peel off, we see a small amount of tartar and a large amount of destroyed bone around it. This picture is quite common for patients with periodontitis. Finding such stones is quite difficult. Firstly, a panoramic photograph of the teeth can help the dentist with this, because it will show the level of bone tissue around the teeth (the presence of such “bone pockets”).
If there are such pockets in the image, we immediately assume the presence of subgingival tartar in this area. The second method of detecting subgingival dental plaque is associated with the use of dental instruments. For this purpose, an air “gun” is usually used, which every dental unit has. The air flow from it moves the gum away from the root of the tooth, due to which the contents of the periodontal pockets become visible to a certain depth.

How is tartar formed?

Food particles attach to tooth enamel. Most often from soft and sticky foods, such as flour products.

Under the influence of saliva, a film of glycoproteins is formed; if you do not rinse or brush your teeth, then after 4 hours streptococci bacteria come into play, and actinomycetes join them. After 2 days, streptococci decrease, but the number of anaerobic bacteria increases. After 7 days, spirochetes and motile rods appear.

Remains of food and the bacteria that multiply on them are gradually covered with a film of saliva, smoothed out and hardened. Tartar grows because new layers are added to existing particles.

Fermentation and metabolism processes occur under dental plaque, during which acids are formed. They weaken tooth enamel so that tooth decay can develop over time.

Tartar can also cause bad breath.

Plaque can eventually turn into tartar through mineralization—minerals from saliva are deposited in plaque and make it very hard.

This is how complications arise; as a result of a neglected condition, you can lose a healthy tooth, but ringed with plaque.

The rate of mineralization varies from person to person. It all depends on the following factors:

the amount of saliva produced;
its composition and activity of secretions;
quality of oral hygiene;
nutritional characteristics;
violation of salt exchange in the body;
wearing dental structures (prostheses);

The predominance of solid foods (raw vegetables) significantly reduces the development of plaque. The products act as a cleaning agent, helping to remove dirt from the enamel. Chewing for a long time releases more saliva, which has an antibacterial effect.

Causes

The reasons for the occurrence of tartar, which cannot be removed at home, are:

1. Insufficient and poor-quality oral hygiene does not ensure sufficient removal of microbes that begin to actively multiply and “freeze”;

Note! This also includes incorrectly selected toothpaste, brush, brushing teeth “in haste,” and the absence of dental floss, brushes, rinsers, or irrigators in rituals.

2. Hard plaque occurs due to excessive consumption of soft foods and fast carbohydrates (flour and confectionery products). They promote abundant salivation, which provides favorable microflora for the proliferation of bacteria;

3. Bad habits - smoking, drinking alcoholic beverages (especially coloring ones, such as red wine), unhealthy diet;

4. Metabolic disorder, which leads to a change in the composition of saliva and an increase in free salt ions.

A combination of one or more reasons influences the success of tartar removal.

Plaque appears on all teeth, but the most common are the lower teeth on the inside. This is due to its proximity to the large salivary glands.

Symptoms of the disease

If a person is not attentive to the hygiene of his teeth, he is unlikely to examine the oral cavity with a flashlight to assess the degree of neglect of the situation.

Therefore, you can determine the presence of a problem not only visually, but also by indirect signs:

bleeding gums - often completely painless and occurs only when brushing your teeth (naturally, after the impact of a toothbrush on sensitive gums, unpleasant sensations arise);
bad breath - if there are no problems with the stomach, but the smell is present, it is worth considering that perhaps an impressive amount of stone has accumulated, since the active activity of microorganisms is associated with the release of sulfur compounds;
swelling and soreness of the gums - a feature of the accumulation of plaque, which will be discussed below, affects the soft tissues, developing inflammatory processes.

Important! It is very important to remove tartar before gum recession begins - a decrease in soft tissue, “lowering” or “raising” of the gums. This leads to exposure of the tooth root and increased sensitivity.

Types of Tartar

Based on their location, there are two types of plaque:

Supragingival - visible stone, located above the gum, often found on the lower front teeth on the inside and in the area of the upper molars;
Subgingival - as the name suggests, plaque, which is located in the periodontal pocket, in the groove between the tooth and the gum, cannot be seen with the naked eye;
Stone bridge - microbes can cover the enamel of several teeth in a row, the most advanced case.

Cleaning tartar will also depend on the method of its attachment to the surface:

with the inclusion in the process of organic pellicles on “cement” (this is a specific tissue covering the root part of the tooth);
with the inclusion of organic pellicles on the enamel in the process;
synthesis on uneven abrasive surfaces, for example, in the early stages of caries disease, or at chipped sites (and also, as mentioned earlier, during the formation of food plaque);
attachment in the depressions and ridges between teeth on the enamel or tooth root.

Consequences of dental plaque

Dentists know how to remove tartar to avoid damaging your smile.

What complications threaten?

inflammation of the gums and gingivitis - tartar, especially the subgingival type, has a direct effect on the tissue, promoting softening and redness, then the pocket between the gum and tooth begins to increase, increasing the formation of new bacteria;
periodontitis - in which bone tissue is also involved, which gradually begins to break down, which ultimately leads to complete loss of teeth.

Therefore, it is important to pay attention to the formation of tartar in a timely manner and contact a dental clinic to remove it.

Tartar removal

There are several ways to get rid of future diseases.

Ultrasound

Ultrasonic tartar removal is the most common and safe method used in dentistry today.

The principle of operation is small, rapid vibration of the tip of the device - the scaler. When it comes into contact with a tooth, it creates enough resonance to destroy hard plaque.

Additionally, the nozzle treats the tooth surface with a chlorhexidine solution or water, thus polishing the surface to prevent the attachment of new plaque.

The advantage is minimal impact on the native enamel.

Air Flow

In fact, the method is based on the destruction of plaque by a thin jet directed under high pressure, consisting of water and air, non-abrasive particles.

If necessary, additional antiseptic substances are used.

Laser

It is rarely used due to the high cost of the equipment, and the principle of operation is the same as that of ultrasound - a directed beam destroys the stone, and air or water “washes” it out of the dental spaces.

Mechanical cleaning

Sometimes a mechanical, that is, manual cleaning method is used using:

hand scalers - metal sticks with straight and curved attachments;
excavators - sticks with attachments, similar to spatulas;
chisels - so called precisely because of their external resemblance to their larger brother;
curette - thin metal hooks;
rasps - the ribbed attachment is designed for scraping.

This type of cleaning is quite unpleasant and painful, but it is the most effective, especially with complex deposits.

However, if the doctor is careless, he can irreversibly damage the tooth enamel, so it is important to choose a dental clinic with professionals in the field of hygienic cleaning.

Which method to choose

The cleaning procedure most often includes several stages, which vary depending on the quantity and quality of plaque. But the standard set of actions looks like this:

Ultrasound;
Air-flow;
Polishing with a brush;
Remineralizing therapy.

Finally, the doctor will polish the surface of the tooth and coat it with fluoride to prolong the effect of the manipulation.

How tartar is removed in a particular case depends on the diagnosis. It is important that the dentist use a microscope to detect the early stages of plaque.

As a rule, even after improving nutrition and oral hygiene, it is necessary to come for a preventive examination, which includes professional cleaning every six months. This will avoid problems with gums, and will also allow timely detection of caries and other disorders.

Types of Tartar

Fossils on enamel come in different types depending on location. So they distinguish:

supragingival stones – formed on the first molars (lateral) and front or lower teeth;
subgingival - hard areas that penetrate soft tissue;
stone bridge – covering the main and adjacent teeth.

Kinds

Experts distinguish the following types of pathological process:

Supragingival - the consistency of the stone resembles clay. The expression on the enamel is clear. Removal is easy if you contact your dentist without delaying treatment.
Subgingival - visually it cannot be recognized at home. You can find out about the problem by incising the gums in the dental office. The formations are dense and hard if you touch it.
Loose.
Hardened.

Important! The problem of tartar formation cannot be left without medical (dental) control. If you do not start the removal process on time, inflammation will occur with further formation of caries and damage to the oral mucosa.

It must be remembered that bacteria form under tartar, which constantly release toxins. They then begin to penetrate the blood, with the current of which negative substances spread throughout the body. These substances contribute to the exacerbation of various chronic diseases present in humans.

Symptoms and consequences of tartar

Patients experience the following symptoms:

bad breath;
bleeding gums;
caries;
purulent discharge;
gingivitis;
pulpitis;
periodontitis – inflammation of tissue areas near the root of the tooth;
mobility and tooth loss.

Gingivitis

The initial form of gum disease.

If left untreated, gingivitis can develop into periodontitis, which is a serious, irreversible gum disease and the most common cause of tooth loss in adults.

The main 4 signs of gingivitis:

Bleeding gums. Healthy gums do not bleed. If blood comes out when using a toothbrush or floss, this may indicate the onset of gingivitis. Even if it happens from time to time. The symptom should not be ignored as it may be a sign of the onset of gum disease.
Unpleasant smell. There are many reasons for a bad odor: specific foods, poor hygiene, but it can also be the first sign of gingivitis. This is due to the fact that the bacteria that cause gum disease produce an unpleasant odor by breaking down food particles in the mouth.
Swollen gums. They are usually pink and firm. Redness and swelling may indicate the onset of the disease.
Receding gums. They begin to separate, and the root of the tooth is exposed, the incisors appear longer. Increased sensitivity is another sign.

A common cause of toothache is inflammation of the dental nerve, called pulpitis. Anyone suffering from this should seek help from a dentist as soon as possible.

Pulpitis

In acute pulpitis, pain usually occurs spontaneously. The pain may be constant or occur periodically. In rare cases, the inflammatory process is completely painless.

If the affected tooth is sensitive to pressure and impact, this is a sign of a dead dental nerve. It hurts when you touch the tongue, but especially when you squeeze it. The pain is often worse at night, as the warmth of the bed increases the inflammatory process. If left untreated, bacteria from the medullary cavity of the tooth can penetrate through the hole at the root tip into the surrounding bone and soft tissue. Accordingly, inflammation spreads, the cheek and lymph nodes swell.

Periodontitis

Periodontal disease is defined as chronic inflammatory disease of the gums. It is mainly caused by bacterial plaque (biofilm, plaque), especially in old age.

As a result of inflammation, your teeth may hurt and your gums may bleed more easily. If left untreated, periodontitis can also lead to tooth loss.

Patients with periodontitis usually show few symptoms at first. However, some signs may indicate the disease:

bleeding gums;
red and swollen gums;
Gum recession;
open and sensitive necks of teeth;
putrid odor from the mouth;
unpleasant taste, especially when pus leaks from the inflamed areas;
The spaces between the teeth widen;
loose teeth, misaligned teeth.

Symptoms

Symptomatic manifestations of tartar:

The appearance of dark circles and spots on the enamel.
A characteristic manifestation is an unpleasant odor from the oral cavity (even after brushing).
Redness of the gums.
The appearance of a blue tint on the gums.
The appearance of blood during brushing or mechanical impact on the gums (for example, while a person eats apples).
Inflammatory processes in the oral cavity with itching and pain.

At the very beginning of its formation, tartar forms around the neck of the tooth. Visually, it looks like a yellow or brown rim. If no action is taken to eliminate it, the plaque will spread to the crown and then to the periodontal pocket.

How to prevent tartar formation

By observing good oral hygiene, you can prevent the (re)formation of tartar:

Brush your teeth thoroughly at least twice a day using a good manual or electric toothbrush and fluoridated toothpaste.
Clean between teeth once a day using dental floss or interdental brushes.
With these measures it is possible to prevent the formation of plaque and therefore tartar, as well as to prevent tooth discoloration and decay.

An electric toothbrush -

Oral-B toothbrushes have a round rotating head with bristles, which in standard mode makes 8,800 rotational and 20,000 pulsating movements per minute. Pulsating movements loosen plaque, and rotational movements sweep it away from the teeth and polish them. It must be said that such brushes are 2 times better at removing plaque (compared to ordinary manual toothbrushes), but usually even they can no longer cope with tightly attached plaque. Therefore, we will use such a brush with a special paste.

For our purposes, it is better to choose a toothbrush model that, in addition to the traditional “Daily Cleaning” mode, will have a “Whitening/Polishing” or “For Sensitive Teeth” mode. This is necessary so that the brush operates at lower speeds, because in this case, “faster does not mean better.” And keep in mind that electric brushes with a different operating principle (for example, sonic or ultrasonic) are not suitable for our purposes.

My electric toothbrushes -

The first photo shows my first toothbrush, “Oral-B PRO 500 CrossAction” (it’s a great brush, but I don’t use it anymore). This is an excellent brush for hygiene, but there is only 1 operating mode, “Daily Cleaning,” in which the nozzle makes 8,800 reciprocating and 20,000 pulsating movements per minute. This mode is not very suitable for polishing teeth with special pastes, because... the paste will splash heavily at high speed, and besides, such pastes remove dental plaque better at low speeds.

The second photo shows the Oral-B Genius 9000 toothbrush, which I have been using for the last 3 years. This model has many modes, including the “Whitening/polishing” mode we need. Another important detail - for our purposes, the most suitable type of attachments is “Precision Clean” (see photo below), which almost exactly resembles polishing brushes in a dentist’s office. Well, in the next section we will move on to discussing polishing agents.

Methods for removing tartar

Physical method. Consists of mechanical destruction of deposits using a dental instrument with a thin tip. Modern medicine uses the Air flow system. Fine particles of soda are applied under high pressure, causing a stream of air containing the powder to knock the fossils off the tooth. A subsequent stream of water washes away the separated particles.
Chemical method. Allows you to remove formations with the help of compounds that dissolve the basis of tartar - deposits of mineral salts. A composition is applied to the teeth that softens plaque, but does not cause significant harm to the enamel. Then the impurities are removed.
Ultrasound. Ultrasonic waves do not injure teeth and gums. Contraindicated in patients using a pacemaker.
Laser. The laser method can be used specifically in dentistry for various procedures. It is one of the most effective and expensive procedures. The laser beam is very thin and can be used precisely. This way, only truly unwanted tissue is destroyed. Healthy tissues are preserved. Local anesthesia is often not required. Laser treatment does not cause noise or vibration like drilling. The virtually painless treatment is especially suitable for anxious patients.

Lemon, celandine and soda

On the Internet you can find many articles with headings from the series “how to clean tartar at home” or “how to dissolve tartar at home.” In these materials you can find dozens of “one hundred percent” recipes that will miraculously help get rid of tartar. In fact, all this is a myth. No traditional medicine can effectively remove hard dental plaque. Moreover, most of these tinctures and decoctions can also cause harm. For example, a decoction of celandine (often recommended) is poisonous and can cause poisoning. Lemon juice, which is a component of most of these recipes, contains acid, which is generally harmful to dental tissue and is ineffective at removing hard deposits.

To summarize, there is more harm from such recipes than good. The only more or less effective remedy, whose chemical properties help to somehow break down small dental deposits, is a solution of soda and hydrogen peroxide. At the same time, the same peroxide (especially if you make a mistake with the proportions) can cause serious harm to the enamel, so you can use it only at your own peril and risk.

How is tartar removal performed?

At the first stage, the presence or absence of allergies in the patient to drugs will be determined.

Then the degree of sensitivity of the teeth is determined, and an anesthetic is applied as necessary.

The method by which the procedure will be carried out is selected.

For rough tartar removal, an ultrasonic scaler is often used first. This is followed by processing with special hand tools to remove stubborn dirt.

The enamel is cleaned of residual particles of contamination and the doctor begins to polish the teeth so that the surface is completely smooth.

Small irregularities and areas of rougher texture on the teeth are also smoothed out, providing protection against further plaque buildup.

The enamel of the teeth is coated with varnish.

After the work has been done, the dentist will advise how often you should plan to remove tartar.

It should be noted that professional cleaning is only intended to be an addition to daily thorough oral hygiene and should in no way be considered a replacement for brushing your teeth twice daily with fluoride toothpaste.

Removing tartar at home

Home remedies for tartar can be useful for removing soft plaque without the help of a dentist.

If there is already a hard coating, then you should definitely seek treatment from a specialist. Trying to pick out deposits on your own will not work. As a result, the enamel will only be damaged. It cannot be restored.

Vinegar and lemon. The acid contained in vinegar and lemon acts against tartar. However, the taste is unpleasant, and the acid has an aggressive effect on tooth enamel. These home remedies should be used no more than once a month.
Baking powder. The crystals found in baking powder and baking soda act like sandpaper and remove unwanted coating. Dip your fingertip in baking soda and vigorously rub the affected areas. However, the powder can potentially damage healthy gums and tooth enamel.
Tea tree oil. Rinse your teeth thoroughly with a solution of 1-2 drops in a glass of warm water.
Xylitol. Xylitol is a sugar substitute and, as an ingredient in chewing gum, can support oral hygiene. Research shows that xylitol is beneficial for dental health.
Tincture of myrrh. Has a preventive effect. Brush sensitive areas along the gum line to reduce acid buildup. The liquid is also used for gum inflammation caused by tartar or its removal.
Coconut oil and olive oil. Take one or two tablespoons of natural oil into your mouth and thoroughly rub the liquid between your teeth for several minutes. You must be careful not to swallow it and then rinse your mouth thoroughly with clean water.
Sesame seeds. Chewing sesame seeds vigorously provides the body with healthy fats and also helps against the formation of tartar. Apply the well-fertilized seed paste several times to the affected areas of the teeth, using your tongue as a tool to create the necessary friction for grinding.
Celandine. A good remedy not only for skin diseases, but also helps cleanse teeth of plaque. Prepare a decoction and rinse your mouth without swallowing. The plant contains toxins that can harm the stomach.

A mixture of lemon juice and black radish. Suitable for treatment and preventive measures. Apply to teeth, then rinse with warm water. You cannot clean with a brush after acidic juice, because it softens not only the stones, but also the enamel. You need to wait 30 minutes.
Decoction of burdock and green beans. Burdock can be picked locally or purchased dry crushed leaves at the pharmacy. The combination of these plants will help soften the stratum corneum.
Dental floss. You can use it to thoroughly and permanently clean hard-to-reach spaces between teeth.

Preventive measures

The best method of prevention is careful hygiene. Basic rules that should be followed to prevent the formation of stones and other problems with teeth are as follows:

Teeth must be brushed after every meal;
Before using the paste, you should use dental floss, since the brush cannot penetrate into all the spaces between the teeth;
If you can't floss outside the home, you can chew chewing gum.

Side effects from scaling

These effects can appear after professional removal and when using folk remedies.

Uncomfortable sensitivity from ultrasound: Some patients are sensitive to pain from ultrasound because the dental nerve or gums may be irritated. In addition, some people are bothered by accompanying sounds.
Temperature Sensitivity: Once plaque is removed, teeth may be more sensitive to stimuli such as cold or heat. This is because tartar protects the tooth from these irritants. After removal, he first needs to get used to the intensity of the stimuli.
Loose teeth: If you begin to notice loose teeth after tartar removal, especially the incisors, this may be a sign of periodontitis, which was previously unrecognized because the tartar was holding the teeth together. Depending on the severity of periodontitis, the dentist treats the bacterial infection of the periodontium with medications.

Free consultation on the cost of treatment in our dentistry

Leave a request and the clinic administrator will contact you within 15 minutes!

The scaler effectively removes dental plaque because:

1. Its nozzle creates oscillatory movements that destroy plaque and tartar. In order for the removal of dental plaque to be carried out efficiently and without damaging the teeth, it is extremely important that the vibrations of the nozzle are directed along the dental surfaces.

2. During the operation of the scaler, water is supplied to the oral cavity, which is needed not only to wash out destroyed deposits and cool the nozzle. Ultrasound in an aqueous environment creates many small bubbles, which immediately burst, releasing a large amount of energy. This energy promotes improved removal of dental plaque from tooth enamel, and in addition, helps eliminate pathogenic microflora in the oral cavity.

After removing plaque, the second stage of ultrasonic cleaning is carried out - teeth polishing.

STEP 2: Polishing teeth after removing dental plaque with ultrasound

Polishing teeth after removing dental plaque is an event that must be carried out without fail.
After removing deposits with ultrasound, microscopic particles of plaque and stone may remain on the dental surfaces, making the tooth enamel uneven and rough, which will provide optimal conditions for the accelerated accumulation of a new layer of plaque. Polishing teeth after removing deposits can be done with hand tools, but most often the Air Flow technology is used for polishing, which we briefly told you about above. When manually polishing teeth, after removing plaque, pastes, brushes and strips are used - thin strips with an abrasive layer, which polish the space between the teeth.

STAGE 3: Remineralization of teeth after removal of plaque and tartar

This stage is not considered mandatory and, moreover, many clinics do not include it in the procedure for professional removal of dental plaque.
However, remineralization must be carried out after removing plaque and tartar from the teeth. It helps strengthen tooth enamel and relieve sensitivity that may occur in the neck area of teeth after plaque removal. Remineralization of teeth is carried out immediately after removing plaque and tartar and uses special preparations based on sodium fluoride.

Proper brushing of teeth to remove plaque

Bass technique has been developed to remove food debris from the gum area. It is performed according to the following algorithm:

Apply paste to brush
Rinse your mouth with water
Position the brush parallel to the teeth
Slightly tilt the brush approximately 45 degrees.
Move the device without pressing
Then move in a circle, trying to get the bristles between the teeth
Go over the entire jaw 15-20 times
Move in a circular motion along the side teeth
Do not ignore your tongue; 80% of pollution accumulates on it.
Remove plaque from tongue
There are brushes with a rough or bumpy back wall, specially made for cleaning this organ.
After the outer part is completed, it is necessary to move on to the back wall of the incisors and molars. To do this, the brush is placed vertically with its bristles.
It is recommended to carry out the procedure near a mirror to see the correctness of your actions.

As you can see, problems in the oral cavity and teeth occur in most cases due to non-compliance with hygiene rules.

Residues of food and the accumulation of bacteria on them create a plaque that hardens over time and cannot be removed by regular cleaning.

This is not only an aesthetic defect, but also serves as the basis for the development of dangerous diseases.

Brushing your teeth twice a day and regular dental check-ups will help reduce the risk of formations.

Is it harmful - ultrasonic removal of dental plaque?

Many patients are interested in the question of the safety of ultrasonic removal of dental plaque. We hasten to reassure you - the safety of the procedure has long been proven and confirmed by a number of clinical studies. The use of ultrasonic equipment to remove plaque and tartar from teeth does not cause any negative side reactions or pathological changes in the human body.

However, it is worth considering that there are a number of contraindications to the procedure that must be taken into account. Ultrasound removal of dental plaque should be avoided if you have serious pathologies of the heart and blood vessels, severe respiratory diseases, pathological tooth sensitivity, and ultrasonic teeth cleaning is not performed in children and adolescents.

During pregnancy, it is possible to remove dental plaque with ultrasound, but not in the first trimester.

Calculate the cost of treatment by taking a short test in 20 seconds!

Do not delay your treatment, because in this matter time plays against us.

Prices for tartar removal in Moscow

Removal of dental plaque (1 tooth)	150 rub.
Ultrasonic cleaning (1 jaw)	2000 rub.
Comprehensive professional preventive oral hygiene (including ultrasonic cleaning, Air Flow, polishing and fluoridation)	5500 rub.
Polishing 1 tooth with abrasive paste	500 rub.
Local enrichment of the 1st tooth with fluoride	300 rub.
Fluoridation (1 jaw)	2000 rub.
Air-flow (1 tooth)	250 rub.
Air-flow (1 jaw)	2000 rub.

Are there any disadvantages to ultrasonic tartar removal?

There are no downsides to the technology of removing tartar using ultrasound - it is the most modern and effective method of professional oral hygiene. However, before you go to the dentist’s office to remove tartar with ultrasound, you should find out the level of competence of the doctor, as well as the level of equipment of the clinic.

Why is it important? The fact is that if the removal of tartar and plaque from teeth is carried out by an inexperienced or illiterate specialist, or using outdated equipment, there is a high risk of damage to tooth enamel and poor quality of cleaning them from deposits.

Contraindications

The most important contraindication is the presence of a pacemaker in the patient. Ultrasonic waves can disrupt its operation.

Other restrictions also apply to health conditions:

asthma, bronchospasm, tuberculosis,
increased risk of bleeding,
allergies to the drugs used,
infectious and viral diseases,
oncology,
mental illness, epilepsy.

Attention: Relative contraindications are pregnancy (first trimester), childhood (up to 16-18 years). The decision to perform the procedure is made by the dentist.