Dental calculus disease
Right mandibular pain, CT neck shows abscess for theater.
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18, 28, 35, 38, 45 and 48 are absent. Previous dental restorations noted to most of the remaining molar teeth. No periapical lucency identified in the right half of the mandible. Minor increase in the periodontal space of 34. No dental caries appreciated. Extensive calculus disease at the gumline causing small radiopaque spurs on the surface of the teeth.
Dental calculus disease, also known as tartar is the hardened plaque seen on the surface of many of the teeth along the gumline in this case. It is due to the precipitation of minerals from the saliva and may develop above and/or below the gumline (supra and subgingival tartar). Once formed, due to its hardness, tartar needs to be removed with instruments by a dentist as brushing is ineffective. It is associated with caries and tooth decay and can progress to gingivitis and periodontitis.