Calculus Versus Stain
Both are described as yellowing, but one is a health issue and the other cosmetic.
How calculus forms
Soft bacterial plaque builds up constantly. Where it is not removed, calcium and phosphate from saliva precipitate into it and harden it within days, and the hardened deposit can no longer be brushed or flossed away, so it is broken off with ultrasonic tips. It gathers mostly where the salivary ducts open — behind the lower front teeth and beside the upper back teeth. Its rough surface holds fresh plaque against the gum and keeps inflammation going, which is why scaling is a health procedure, not a cosmetic one.
How stain forms and how it is removed
A thin protein film called the pellicle covers the tooth, and pigments from tea, coffee, red wine, spices and tobacco smoke bind to it. The colour sits on the tooth, not inside it, so external stain is removed by polishing or air-polishing without thinning the tooth. Colour coming from inside — a root-treated tooth darkening, dentine yellowing with age, developmental defects — is not solved by cleaning and needs a different approach.
Telling them apart
- A hard, crust-like deposit you can feel with a nail → calculus
- Colour change with a smooth surface → external stain
- Concentrated behind the lower front teeth → calculus
- Bleeding at the gum margin alongside → inflammation from calculus
- Gradual darkening with tea, coffee or tobacco → external stain
- One single tooth darker than the rest → internal, cleaning will not help
Getting Here, Booking and Emergencies from Avsallar
Route, booking and emergency arrangements for patients from Avsallar.
Getting here from Avsallar
Avsallar lies in the Alanya district of Antalya; Alanya is a coastal tourism district, about 132 kilometres from the clinic. We also see patients from neighbouring areas that share the route from Avsallar, such as Bıçakçı, Çakallar, Dinek, Güller Pınarı. You can ask for the location on WhatsApp when travelling from Avsallar.
Appointments for Avsallar
Over the distance between Avsallar and the clinic each visit means a day, so a long slot is set aside and the number of visits needed is stated at the outset. As with patients from Alanya generally, appointments for families from Avsallar can be scheduled consecutively.
Emergencies from Avsallar
Always call before setting out from Avsallar at night; over this distance the guidance you receive on the phone matters in keeping the situation from worsening. For patients coming from Dental Clinic in Avsallar, the clinic is open 24/7 and in an emergency the order is set by severity rather than arrival time. For spreading facial swelling, difficulty swallowing or breathing, or toothache with fever, go to the nearest emergency department.
When Baby Teeth Come In and When They Fall Out
The eruption timetable varies widely between children, and that range is normal. What warrants concern is not a few months' delay but a disrupted sequence or marked asymmetry.
The rough sequence
Most children follow this order:
- The lower front incisors come first, usually around six months
- The upper incisors follow, then the laterals
- First molars, then canines — this order can seem odd but is normal
- Second molars complete the set at around three years
- At around six the first PERMANENT molar erupts behind, with no tooth falling out
The six-year molar: the most misidentified tooth
Because it is mistaken for a baby tooth, this one is often neglected — yet it is permanent and stays for life. It erupts at the back with no tooth falling out first, so parents do not notice. The deep grooves on its chewing surface are where decay most often starts, which makes a fissure sealant shortly after eruption one of the most effective preventive steps.
Discomfort during teething
Tender gums, more drooling and irritability are normal. A chilled teething ring and gentle massage with a clean finger help. Some active ingredients in teething gels and tablets are not advised for small children; ask before choosing a product. High fever, diarrhoea and vomiting are not signs of teething and call for another cause to be sought.

































































