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The epidemiology of periodontal disease is one of the most important challenges before the dental profession at the moment. Plaque is considered the etiology involved in the destruction of the periodontal tissues. Calculus, on the other hand is considered merely as a contributing factor by some and as an etiological agent by others. The following case report describes the presentation of a huge mass of calculus in the maxillary left molar region. This was thought to be correlated to the salivary calcium and phosphorus levels. However, the biochemical analysis revealed normal salivary calcium and phosphorus levels. Hence, the increase in mass was attributed to absolute negligence of oral hygiene. Developing countries show low awareness and poor oral hygiene habits among large sections of the population, which is resulting in increased incidence of the dental problems. Health education and promotion should thus be given utmost importance to combat the various oral health related problems. [ABSTRACT FROM AUTHOR]