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 Table of Contents  
LETTER TO EDITOR
Year : 2015  |  Volume : 15  |  Issue : 2  |  Page : 119-120

Giant tumor calculus


Department of Oral and Maxillofacial Pathology and Microbiology, School of Dentistry, D. Y. Patil University, Navi Mumbai, Maharashtra, India

Date of Web Publication12-May-2016

Correspondence Address:
T Pereira
Department of Oral and Maxillofacial Pathology and Microbiology, School of Dentistry, D. Y. Patil University, Sector 7, Nerul, Navi Mumbai - 400 706, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1596-4078.182327

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How to cite this article:
Pereira T, Shetty S, Chande M, Kamath P. Giant tumor calculus. Niger J Health Sci 2015;15:119-20

How to cite this URL:
Pereira T, Shetty S, Chande M, Kamath P. Giant tumor calculus. Niger J Health Sci [serial online] 2015 [cited 2022 Jan 16];15:119-20. Available from: https://www.chs-journal.com/text.asp?2015/15/2/119/182327

We would like to report an interesting case of a giant dental calculus found in the mandibular anterior region of a 65-year-old male patient. It was impairing his oral functional movements. The patient had consulted us for mobility of teeth in the mandibular anterior region. He gave a history of chewing tobacco and rarely used to brush his teeth. There was a fixed prosthesis in the mandibular anterior region which was fabricated 20 years back. General hematological examination along with blood pressure tests were within normal range. Intra-oral examination revealed a brownish mass, hard in consistency extending from the mandibular right canine to the mandibular left canine which mimicked a neoplastic lesion [Figure 1]. The mass had caused the entire prosthesis to tilt labially due to which there was a lack of labial sealing, and the occlusion was hampered. He also had a social difficulty in eating and talking. Moreover, the patient would not brush that area as the prosthesis was mobile and he was of afraid that it may exfoliate. The other teeth were periodontally involved, and the absence of oral care was evident. Even though the lesion was of a 20-year duration the patient had not sought any dental evaluation due to his financial instability. An orthopantamogram was advised which revealed a fixed prosthesis in the maxillary and mandibular anterior region. In the mandibular region, the prosthesis had a huge mass attached at the base which had caused resorption of the underlying bone [Figure 2]. With a clinical diagnosis of a giant calculus, the mobile prosthesis was extracted. After extraction, it was noticed that the entire prosthesis was covered with calculus [Figure 3]. Following this treatment, a complete healing was observed. Giant calculus has been described previously to be associated with poorly controlled Type 2 diabetes. [1],[2],[3] It has been observed that people in rural India are relatively less concerned about their oral hygiene, and many of them are not aware of proper brushing techniques. In our practice, this is probably an extreme case of poor oral hygiene.
Figure 1: Brownish mass mimicking a neoplastic lesion.

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Figure 2: Orthopentamogram showing a radio-opaque mass in the mandibular anterior region.

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Figure 3: Extracted fixed prosthesis specimen.

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Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

 
  References Top

1.
Ortega KL, Luiz AC, Martins FM. Calculus or tumour? Br Dent J 2008;205:582.  Back to cited text no. 1
    
2.
Minoru M, Akinori I, Hitomi S, Yumiko O, Shun′ichiro N. A case of a giant dental calculus suspected to be a neoplastic lesion. Jpn J Oral Maxillofac Surg 2004;50:442-5.  Back to cited text no. 2
    
3.
Woodmansey K, Severine A, Lembariti BS. Giant calculus: Review and report of a case. Gen Dent 2013;61:e14-6.  Back to cited text no. 3
    


    Figures

  [Figure 1], [Figure 2], [Figure 3]



 

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