Hygiene & Prevention

Tartar Removal: How Calculus Forms and How It Is Safely Removed

Tartar is plaque that has hardened onto the tooth. Once it has set, no toothbrush or home scraper removes it safely, but daily cleaning stops new deposits from forming.

Written by Creative Arts Clinical TeamClinically reviewed: 8 min read

Quick answer

How is tartar removed from teeth?

Tartar (calculus) is mineralised plaque bonded to the tooth, so it has to be removed professionally. At Creative Arts in Dubai, soft biofilm and stain are lifted first with warm water, air and fine powder; an ultrasonic scaler and fine hand instruments then remove the hardened deposits that remain, above and, where needed, below the gum line. Brushing and flossing cannot remove set tartar, but they stop new deposits forming.

What is tartar, and how is it different from plaque?

Plaque is the soft, sticky film of bacteria (biofilm) that builds up on teeth every day. It is pale, hard to see, and comes off with a toothbrush and floss. Where plaque is left undisturbed, minerals from saliva start to harden it, often within a few days. The result is tartar, also called calculus: a chalky deposit bonded firmly to the tooth.

Tartar forms in two places. Above the gum line it is usually creamy-yellow and collects where saliva pools: behind the lower front teeth and on the cheek side of the upper back teeth. Below the gum line it is darker, often brown or black, because it forms in contact with blood from inflamed gums. The hidden deposit matters more, because it sits against the root and keeps the gum inflamed.

Tartar is not the infection itself, but its rough, porous surface holds plaque against the gum where you cannot clean it. That is how tartar drives bleeding gums, gum recession and bad breath.

Plaque vs tartar at a glance

Plaque (biofilm)Tartar (calculus)
What it isA soft layer of bacteria and their by-productsPlaque hardened by minerals from saliva
How it feelsFurry or slippery to the tongueA rough, hard ridge; floss may catch or shred
ColourAlmost invisible until stainedYellow to brown above the gum; dark below it
Removed byBrushing and interdental cleaning at homeProfessional instruments only
How fast it returnsWithin hoursOver days to weeks, faster in some people
Main riskDecay and gingivitisGum disease, recession and bone loss when it sits below the gum

Build-up rates vary between people, mainly with saliva, diet, smoking and home care.

Why tartar cannot be brushed off

Once mineralised, calculus locks into microscopic irregularities in the enamel and root surface. It is harder than toothbrush bristles and does not dissolve in toothpaste, mouthwash or water. What home care can do is remove plaque before it has time to harden.

Tartar-control toothpastes contain ingredients that slow the formation of new tartar above the gum line. They are useful if you build up deposits quickly, but they do not remove tartar that is already there and have no effect below the gum. Whitening toothpastes polish away some surface stain with mild abrasives; they do not remove calculus either, and the more abrasive ones can wear the area near the gum line over time.

Is it safe to scrape tartar off at home?

Metal picks and "tartar scrapers" are easy to buy online, and videos make the job look simple. Dentists advise against them for practical reasons:

  • Gum injury. A sharp tip slips easily, cutting or bruising the gum and opening a route for infection.
  • Pushing deposits deeper. Scraping at the gum line can push fragments of tartar and bacteria under the gum.
  • Damage to tooth surfaces. Root surfaces exposed by recession are much softer than enamel and scratch easily, and scratches hold more plaque.
  • Damage to restorations. Picks can chip composite, scratch the glaze on veneers and crowns, and mark implant components.
  • False reassurance. You may remove the visible ridge on the front teeth while the deposit below the gum, which does the real damage, stays in place.

Home remedies carry their own risks. Baking soda and charcoal are abrasive and do not dissolve calculus. Vinegar and lemon juice are acids that soften enamel rather than tartar. Our guide to DIY whitening products and home remedies looks at these in more detail.

A dark line at the gum: tartar, stain or decay?

Brown or black marks near the gum line can be stain, tartar or decay, and in a mirror they look alike. Stain polishes off, tartar needs scaling and decay needs a filling. A short examination tells them apart; scraping at the mark yourself can damage whichever one it is.

At the clinic

How professional tartar removal works

At Creative Arts, tartar is removed as part of a Guided Biofilm Therapy visit. The order matters: soft deposits first, hard deposits last, and metal instruments only where they are needed.

  1. Check the gums

    The dentist examines the teeth and gums, measures pocket depths where needed and notes bleeding points. X-rays are taken when deposits or bone loss below the gum need assessing.

  2. Show the biofilm

    A disclosing dye colours the plaque, so you and the dentist can see where it collects and which areas your brushing misses.

  3. Air-polish the soft deposits

    Warm water, air and a fine, low-abrasive powder lift biofilm and stain from teeth, gum margins, restorations and implants.

  4. Scale only the tartar

    An ultrasonic scaler with a fine tip and water spray breaks up the hardened deposits that remain. Fine hand instruments finish areas the tip cannot reach.

  5. Check and set your interval

    The teeth are checked again, fluoride is applied where indicated, and your next visit is set according to your risk.

What if the tartar is below the gum line?

When tartar builds up beneath the gum, the gum often pulls away from the tooth and forms a pocket. A routine clean reaches the shallow part of that pocket. Deeper pockets need deep cleaning (scaling and root planing), which is usually done under local anaesthetic, one section of the mouth at a time, followed by a re-check some weeks later to see how the gums have responded.

Signs that deposits may be below the gum include bleeding when you brush, persistent bad breath, gums that look swollen or have receded, and teeth that feel loose or have started to drift. These point to gum disease, which is assessed and treated through our gum treatment service.

Rough deposits behind your lower front teeth, or gums that bleed? A professional clean removes tartar safely and shows you where it keeps coming back.

See professional teeth cleaning

Will my teeth feel different after tartar removal?

After a heavy build-up is removed, many people notice gaps between their teeth or a slightly loose feeling. The cleaning has not created those gaps. Tartar was filling spaces where the gum had already shrunk back, and sometimes it was bridging teeth together. Once it is gone, the true state of the gums is visible, and treating them is what helps stabilise the teeth.

Exposed root surfaces can also be sensitive to cold for a few days to a couple of weeks, and a desensitising toothpaste usually helps. Used correctly, an ultrasonic scaler removes calculus, not enamel. If discomfort worries you, our guide on whether teeth cleaning hurts explains what makes it more comfortable.

How to slow tartar build-up between visits

  • Brush twice a day with a fluoride toothpaste, paying extra attention to the inside of the lower front teeth.
  • Clean between the teeth every day; interdental brushes suit most adults with small gaps.
  • Try a tartar-control toothpaste if deposits return quickly.
  • Drink water through the day, and tell your dentist if your mouth often feels dry.
  • Avoid smoking and shisha, which increase both stain and tartar.

Some people form tartar quickly however carefully they brush, mainly because of their saliva. For them, a shorter recall works better than harder scrubbing. See how often to have your teeth cleaned for typical intervals.

Patient questions

Frequently asked questions

Can tartar be removed at home with a dental scaler?

It is not recommended. Home scalers can cut the gum, scratch exposed roots, damage veneers or implant crowns, and push deposits below the gum line. They also miss the tartar under the gum that causes most of the harm. Home care should focus on removing plaque every day, while set tartar is removed professionally.

Does tartar-control toothpaste remove existing tartar?

No. Tartar-control toothpastes slow the formation of new tartar above the gum line, which helps if you build deposits quickly. They cannot dissolve calculus that has already hardened, and they have no effect on tartar below the gum.

Why does tartar build up so fast behind my lower front teeth?

The ducts of major salivary glands open near the lower front teeth and the upper back teeth. Saliva carries the minerals that harden plaque, so these areas calcify first. Brushing the inside of the lower front teeth carefully, and cleaning between them every day, slows the build-up.

Is black tartar worse than yellow tartar?

Dark tartar usually forms below the gum line, where it picks up pigment from blood in inflamed gums. The colour itself is not the problem, but its position is: it sits against the root and is often a sign of gum disease that needs checking. Dark marks can also be stain or decay, so an examination is needed.

Will my teeth look whiter after tartar removal?

Often a little, because tartar and the stain it holds make teeth look yellow or brown, especially near the gums. After removal, teeth return to their natural colour. Tartar removal does not lighten the tooth itself; that needs whitening, which is planned once the teeth and gums are clean.

Can tartar cause bad breath?

It can contribute. Tartar holds bacteria against the gums, and gum disease is a common cause of persistent bad breath. Removing the deposits and treating inflamed gums usually helps. Other causes, such as a coated tongue, dry mouth or sinus problems, are considered too.

How many visits does tartar removal take?

Light to moderate tartar is usually removed in one routine appointment. Heavy deposits, very sensitive teeth or tartar in deeper pockets below the gum may need two or more visits, sometimes with local anaesthetic. The dentist explains the plan before starting.

Talk to a dentist about your case

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