Marina brushed properly: morning and evening, with an electric toothbrush, for two minutes. But tartar still appeared. This is normal. Even with perfect hygiene, soft plaque in hard-to-reach areas mineralises and hardens into deposits that a toothbrush cannot remove.
Tartar (Zahnstein, dental calculus) forms when bacterial plaque absorbs minerals from saliva. It most commonly appears on the inner surface of the lower front teeth and on the outer surface of the upper molars, near the salivary gland ducts.
Why tartar must be removed
Tartar itself does not hurt. But beneath the mineralised layer, bacteria continue to multiply. They cause gum inflammation (gingivitis), which over time can progress to periodontitis.
Supragingival and subgingival tartar
Supragingival tartar is visible to the naked eye. Yellow or brown in colour, it sits above the gum line.
Subgingival tartar (Konkrement) forms in periodontal pockets. It is darker, harder, and more dangerous because it contacts the tooth root directly.
How the procedure works
In Germany, tartar removal is performed with an ultrasonic scaler. The procedure takes 15-30 minutes and is usually painless.
What the GKV covers
The statutory health insurance (GKV) covers tartar removal once per calendar year. No co-payment is required.
Important: tartar removal and professional teeth cleaning (PZR) are different procedures. PZR is more comprehensive but is not covered by the GKV.
How to slow tartar build-up
- Brush twice a day for two minutes. Electric toothbrushes remove plaque more effectively.
- Use floss or interdental brushes daily.
- Pay attention to the inner surface of your lower incisors, where tartar forms fastest.
- Do not skip preventive appointments. The GKV covers tartar removal once a year.