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Plaque vs. Tartar: The Complete Guide to Your Oral Health

Plaque vs. Tartar: The Complete Guide to Your Oral Health

Key points

  • Formation: Plaque begins forming on teeth just hours after eating or drinking, especially sugary or starchy foods. Bacteria in your mouth thrive on these sugars, producing acids that can attack tooth enamel.
  • Appearance and Feel: If you haven't brushed in a while, you might feel a "fuzzy" coating on your teeth—that's plaque.
  • Removal: The good news is that plaque is soft and can be easily removed with a consistent daily oral hygiene routine, including thorough brushing and flossing.

You may have heard your dentist talk about plaque and tartar, but many people use the terms interchangeably. While they are related, they represent two very different stages of the same problem. Understanding the distinction is crucial for maintaining good oral hygiene and protecting your overall health.

Plaque is the starting point—a soft, sticky bacterial film you can fight at home. Tartar is what happens when you don't; it's a hardened deposit that requires a professional to defeat.

What is Dental Plaque?

Dental plaque is a soft, sticky, and typically colorless to pale yellow film that constantly forms on your teeth. It’s a biofilm composed of bacteria, their byproducts, food particles, and saliva.

  • Formation: Plaque begins forming on teeth just hours after eating or drinking, especially sugary or starchy foods. Bacteria in your mouth thrive on these sugars, producing acids that can attack tooth enamel.
  • Appearance and Feel: If you haven't brushed in a while, you might feel a "fuzzy" coating on your teeth—that's plaque.
  • Removal: The good news is that plaque is soft and can be easily removed with a consistent daily oral hygiene routine, including thorough brushing and flossing.

A diagram showing how plaque forms on a tooth surface. Image Source: aspendds.com

What is Tartar (Dental Calculus)?

When plaque is not removed, it begins to absorb minerals from your saliva. This process causes the plaque to harden and calcify, transforming it into tartar, also known by the dental term calculus.

  • Formation: Plaque can harden into tartar in as little as 24 to 72 hours. Once formed, it bonds strongly to the tooth enamel.
  • Appearance and Feel: Tartar is a rough, crusty deposit that is typically yellow or brown in color. It can form both above the gumline (supragingival calculus) and below it (subgingival calculus).
  • Removal: Unlike plaque, tartar is too hard to be removed by brushing and flossing. It requires professional removal by a dentist or dental hygienist using special tools.

Plaque vs. Tartar: A Side-by-Side Comparison

To make the differences clear, here’s a simple breakdown:

Feature Plaque Tartar (Calculus)
Texture Soft, sticky, fuzzy film Hard, rough, crusty deposit
Color Colorless to pale yellow Yellow to brown
Formation Forms continuously from bacteria and food Hardened, mineralized plaque
Removal Removable with daily brushing and flossing Requires professional dental cleaning (scaling)
Health Impact The initial cause of cavities and gum issues An advanced stage that worsens dental problems

Why Tartar is a Bigger Threat to Your Oral Health

While plaque is the root cause, tartar significantly amplifies the danger to your teeth and gums.

  1. Difficult to Remove: Tartar's bond to tooth enamel is incredibly strong, making at-home removal impossible and unsafe.
  2. A Haven for More Plaque: The rough, porous surface of tartar is a perfect breeding ground for more plaque to accumulate, creating a vicious cycle of buildup.
  3. Gum Disease (Gingivitis and Periodontitis): Tartar buildup at and below the gumline irritates the gums, leading to inflammation known as gingivitis. Symptoms include red, swollen, and bleeding gums. If left untreated, it can progress to periodontitis, a serious infection that damages the soft tissue and bone supporting your teeth, potentially leading to tooth loss.
  4. Cavities and Bad Breath: The concentration of acid-producing bacteria within plaque and tartar can erode tooth enamel, leading to cavities. The bacterial buildup is also a primary cause of chronic bad breath (halitosis).

The Dangers of DIY Tartar Removal

You may see "plaque scraper" tools for sale online, but attempting to remove tartar yourself is extremely dangerous. Dental professionals use sterilized, specialized instruments with precise training. Attempting this at home can lead to:

  • Permanent enamel damage
  • Gum injury and recession
  • Pushing tartar deeper below the gumline
  • Infection

As stated by experts at Teeth Talk Girl, you cannot safely remove tartar from your own teeth. Always leave this task to a professional.

How to Prevent Plaque and Tartar Buildup

Prevention is the most effective strategy. Since tartar comes from plaque, controlling plaque is the key to a healthy mouth.

Your Daily Oral Hygiene Routine

  • Brush Correctly: Brush your teeth at least twice a day for two minutes each time. Use a soft-bristled toothbrush and fluoride toothpaste. An electric toothbrush may be more effective at plaque removal.
  • Floss Daily: Flossing is essential for removing plaque from between your teeth and under the gumline, where a toothbrush can't reach.
  • Use Mouthwash: Rinsing with a therapeutic or antibacterial mouthwash can help reduce the bacteria that cause plaque.

The Role of 'Tartar-Control' Products

Tartar-control toothpastes contain active ingredients like pyrophosphates or zinc citrate. These agents don't remove existing tartar. Instead, they work by inhibiting the mineralization of plaque, making it harder for new tartar to form. They are a helpful addition to your routine but are not a substitute for flossing or professional cleanings.

Diet and Lifestyle Factors

  • Eat a Balanced Diet: Limit your intake of sugary and starchy foods and drinks, which feed plaque-forming bacteria.
  • Stay Hydrated: Drinking water helps wash away food particles and bacteria.
  • Avoid Tobacco: Smoking is a major risk factor for tartar buildup and gum disease.

The Importance of Professional Cleanings

Regular dental checkups, typically every six months, are non-negotiable. During a professional cleaning, a dental hygienist will perform scaling to safely remove all the tartar that has accumulated since your last visit.

The consequences of tartar buildup can extend beyond your mouth. The chronic inflammation caused by severe gum disease is linked to a host of other health problems. Bacteria from infected gums can enter the bloodstream and travel throughout the body, potentially contributing to:

  • Cardiovascular Disease: Research suggests a link between periodontitis and an increased risk of heart disease and stroke.
  • Diabetes: The relationship is a two-way street. People with diabetes are more susceptible to gum disease, and severe gum disease can make it harder to control blood sugar levels.
  • Other Inflammatory Conditions.

This connection underscores that caring for your oral health is an integral part of maintaining your overall well-being.

Special Considerations

Individual Variability

Why do some people seem to build up tartar faster than others? The rate of tartar formation is highly individual and can be influenced by genetics, the specific composition of your saliva (such as pH levels and calcium content), and lifestyle factors.

Pregnancy and Oral Health

Hormonal changes during pregnancy can make gums more sensitive and prone to inflammation. Because of this, dental cleanings are not only safe but are considered an essential part of prenatal care to prevent oral infections, according to dental experts at Beach Cities Dentistry.

References

Benjamin Carter, MD

About the author

Otolaryngologist

Benjamin Carter, MD, is a board-certified otolaryngologist specializing in head and neck surgery, with an expertise in treating throat cancer. He is an associate professor and the residency program director at a medical school in North Carolina.