20. Classification Of Periodontal Disease: Health And Plaque Induced Gingivitis

Question 1

LOs

Answer 1

Question 2

What codes in a BPE indicate health or gingivitis?
What do the codes mean

Answer 2

0
1
2

Question 3

What to do once you’ve decided the BPE code for codes 0,1,2?

Answer 3

• No radiographs required
• Ascertain bleeding on probing:
  • Health (<10% bleeding)
  • Localised gingivitis (10-30% bleeding)
  • Generalised gingivitis (>30% bleeding)

Question 4

What does the classification of health mean?

Answer 4

• Heath: <10% bleeding sites
• Intact periodontium
• Reduced periodontium

Question 5

What does intact periodontium mean/ features?

What does reduced periodontium mean/ features?

Answer 5

Question 6

Plaque induced gingivitis features?

Answer 6

Question 7

Classification of Plaque- induced gingivitis

Intact periodontium VS reduced periodontium features?

Answer 7

Question 8

Patients has a BPE score of 0,1,2

2.
What to assess after?

3.
diagnosis categories?

Answer 8

Question 9

Further reading

Answer 9

Further reading
Guidance documents from the British society of Periodontology

• https://www.bsperio.org.uk/assets/downloads/BSP_BPE_Guidelines_2019.pdf

• https://www.bsperio.org.uk/assets/downloads/111_153050_bsp-flowchart-implementing-the-2017-
classification.pdf

Periodontal diagnosis in the context of the 2017 classification system of periodontal diseases and conditions – Implementation in Clinical Practice, T. Dietrich, P. Ower, M. Tank, N. X. West, C. Walter, I. Needleman, F. J. Hughes, R. Wadia, M. R. Milward, P. J. Hodge, I. L. C. Chapple & on behalf of the British Society of Periodontology, BDJ volume 226, pages 16–22
https://pubmed.ncbi.nlm.nih.gov/30631188/