Worlds Largest Dental Calculus Weighing 2850 mg And 31mm X 32 mm

The patient, 34 years old female, reported with the chief complaint of mobile teeth and bad breath. On examination it was found that she is having chronic generalize periodontitis. The most amazing finding however was a large calculus that lied in relation to the lower anterior teeth. One of tooth was completely embedded in the huge mass of calculus.
I removed the labial aspect of calculus to find out that the tooth is really completely embedded in the calculus from occlusal to the apical area. The entire apex was inside the calculus. The root was not even attached to the gingiva and the alveolar bone was far below the calculus.
After careful removal of the remaining part I weighed it in Pharmacology lab. It weighed a whopping 2850 mg. To measure the exact dimension I used Vernier calipers. The dimensions were 31 mm by 32 mm.

Intraoral view of the patients, where this giant calculus was found.

Tissue side of the calculus, mark the embedded apex in the calculus mass

A huge mass of dental calculus removed from the lower lingual area.

Measuring the same with Vernier Calipers

Weighing the calculus in pharmacology lab.

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What is the cause of this central incisor notching?

What is the cause of this central incisor notching?
The patient is 32 years old male, presented with the chief complaint of sensitivity in anterior teeth.

Bilateral Central Incisor Notching

The story of this and similar cases is based on a very old tradition of Rajasthan, Uttar Pradesh And Some Areas of Bihar. Some people in these areas get their teeth tattooed with gold in various forms. Most common pattern is a triangle with three dots at each corner and apex at the superior end. Small round holes are drilled in the teeth with the help hand driven drills. The holes are placed at about 2 to 3 mm superior to the incisal edges. Gold is then filled in the prepared cavities.
In this patient, the teeth underwent severe attrition which lead to the expulsion of the tattoos and conversion of round holes into semicircles which appear as notches.
Finally the complete correct answer was given by Dr. Zulfiqar Hafeez (AMU) and a closest best was given by Dr. Anshul Gupta (JDC) and Dr. Kritika Roy (JDC).

Dramatic Appearance Of An Innocuous Gingival Lesion

The patient age 27 years male reported with the chief complaint of swelling and spontaneous bleeding from the lesion. Swelling started about 7 months back. Since then it is growing in size and shown increased tendency to bleed. No tenderness on palpation. Very soft in consistency. Profuse bleeding on palpation. Both the Maxillary Central Incisors have been RC treated about 3 years back.

The final diagnosis was Localized Inflammatory Gingival Hyperplasia

Post operative result at 14 days recall.

Treatment

The treatment instituted was oral prophylaxis with manual scaling instruments. The patient was advised to swish and gargle with warm saline water 3 times a day. Second prophylaxis was performed after 7 days. The results can be seen in the above picture.

Winner Of Discovering Dentistry Quiz No. 10001 Announced

Dear Friends,
I thank you all for the tremendous response to Discovering Dentistry Quiz No. 10001. Since multiple correct enteries were recieved, the prize was selected on the basis of a lucky draw as mentioned in the terms.

Dr. Sayeeda (with yahoo profile id) is the Winner of Discovering Dentistry Quiz No. 10001. We congratulate her for winning - A Pocket Atlas Of Oral Diseases, Thieme Publications.

The winner is requested to send the postal address for the shipment of the prize. The address should be written in the same comment section, through the same profile id that was used to write the answer, for the quiz.