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В состав входят остатки пищи, отмершие клетки, бактерии, соли фосфора, железа и кальция [2](https://ru.wikipedia.org/wiki/%D0%97%D1%83%D0%B1%D0%BD%D0%BE%D0%B9_%D0%BA%D0%B0%D0%BC%D0%B5%D0%BD%D1%8C). \n\nВыделяют две разновидности зубного камня [7](https://klinikabudzdorov.ru/diseases/zubnoi-kamen/): \n1. **Наддесневой** — образуется на видимой части зуба, обычно вблизи протоков слюнных желёз [7](https://klinikabudzdorov.ru/diseases/zubnoi-kamen/). Имеет светлый или желтоватый цвет, при утолщении становится тёмно-коричневым, реже — зеленоватым [7](https://klinikabudzdorov.ru/diseases/zubnoi-kamen/). \n2. **Поддесневой** — формируется в пародонтальных карманах под десной [7](https://klinikabudzdorov.ru/diseases/zubnoi-kamen/). Отличается более плотной структурой и тёмным цветом (коричневым, чёрным или зелёным) [7](https://klinikabudzdorov.ru/diseases/zubnoi-kamen/).\n\n\n\n## Причины\nГлавная причина — **некачественная гигиена, неправильная чистка зубов** [7](https://klinikabudzdorov.ru/diseases/zubnoi-kamen/). Особенно обильно мягкий налёт скапливается в трудных для чистки местах — межзубных промежутках, пространстве под дёснами [1](https://www.fdoctor.ru/bolezn/zubnoy_kamen/)[7](https://klinikabudzdorov.ru/diseases/zubnoi-kamen/). \n\nТакже на образование камня могут влиять: \n* **Курение** — создаёт дополнительную смолянистую плёнку, тяжело поддающуюся удалению [6](https://lahtadental.ru/blog/causes-of-tartar). \n* **Изменения прикуса** — нарушенное расположение зубных единиц создаёт сложности в очищении труднодоступных мест [6](https://lahtadental.ru/blog/causes-of-tartar). \n* **Ношение ортодонтических конструкций** — брекеты и другие коррекционные системы могут служить препятствием для качественного очищения, из-за чего налёт быстрее накапливается [6](https://lahtadental.ru/blog/causes-of-tartar).\n\n## Симптомы\nНа ранних стадиях зубной камень может не вызывать явных симптомов [12](https://mgclinic.ru/blog/pochemu-obrazuetsya-zubnoy-kamen/). Однако по мере увеличения количества и размеров отложений могут возникнуть следующие признаки: \n* **Изменение цвета эмали** — около дёсен появляются полосы и пятна различных оттенков — от желтоватых до коричневых и даже черноватых [10](https://ViruClinic.ru/articles/poleznaya-informatsiya/zubnoy-kamen-prichiny-posledstviya-i-metody-ustraneniya/). \n* **Шероховатость поверхности зубов** — при проведении языком по зубам ощущаются неровности, шершавые участки, особенно возле края десны или на внутренних сторонах передних зубов [10](https://ViruClinic.ru/articles/poleznaya-informatsiya/zubnoy-kamen-prichiny-posledstviya-i-metody-ustraneniya/). \n* **Кровоточивость дёсен** — налёт у линии десны травмирует десневую оболочку [10](https://ViruClinic.ru/articles/poleznaya-informatsiya/zubnoy-kamen-prichiny-posledstviya-i-metody-ustraneniya/). \n* **Неприятный запах изо рта** — из-за пористой структуры зубного камня в нём скапливаются бактерии, что приводит к постоянному несвежему дыханию [10](https://ViruClinic.ru/articles/poleznaya-informatsiya/zubnoy-kamen-prichiny-posledstviya-i-metody-ustraneniya/).\n\n## Диагностика\nПри появлении зубного камня рекомендуется обратиться к стоматологу для диагностики [12](https://mgclinic.ru/blog/pochemu-obrazuetsya-zubnoy-kamen/). Некоторые методы диагностики: \n* **Визуальный осмотр** — стоматолог исследует все участки зубов, особенно труднодоступные [14](https://stomatologiya.lecardo.ru/articles/kak-stomatolog-proverjaet-uroven-naleta-i-kamnja-na-prieme/). \n* **Использование зонда** — с помощью специального зонда врач выявляет поддесневой камень [15](https://Dana.Spb.ru/blog/snyatie-zubnogo-kamnya/). \n* **Рентгенологическое исследование** — рентген зубов помогает выявить поддесневой камень, который невозможно обнаружить визуально или с помощью зонда [15](https://Dana.Spb.ru/blog/snyatie-zubnogo-kamnya/).\n\n## Лечение\n**Самостоятельно избавиться от зубного камня невозможно** — устранить твёрдые отложения может только врач-стоматолог [6](https://lahtadental.ru/blog/causes-of-tartar). 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