3. Periodontology

Question 1

What examinations are there in perio?

Answer 1

BPE
6 ppc

Question 2

What are the 4 BPE codes and what are they?

Answer 2

0 - pockets less than 3.5mm with no bop or calculus
1 - pockets less than 3.5mm with bop
2 - pockets less than 3.5mm with calculus
3 - pockets 3.5-5.5mm
4 - pockets greater than 5.5mm
* - furcation involvement

Question 3

What is assessed in a 6 ppc?

Answer 3

Pockets
Plaque
Bleeding
Mobility
Furcation

Question 4

What is the ideal radiograph for periodontal diagnosis?

Answer 4

Periapicals

Question 5

What are the 4 periodontal diagnosis subheadings?

Answer 5

1. Gingival disease
2. Periodontitis
3. Other
4. Peri- implant diseases

Question 6

What is gingivitis?

Answer 6

Biofilm induced inflammation of the gingival tissues

Question 7

What are the two types of periodontitis?

Answer 7

Necrotising periodontal disease
Periodontitis

Question 8

What are 2 other types of periodontal diagnosis?

Answer 8

Periodontal abscess
Perio- endodontic lesions

Question 9

What are the two types of peri- implant diseases?

Answer 9

Peri- implant mucositis
Peri-implantitis

Question 10

What are the 7 modifiable risk factors for periodontal diseases?

Answer 10

Plaque biofilm
Smoking
Diabetes
Alcohol
Stress
Deficiencies in restorations
Malocclusions

Question 11

What is the 1 non modifiable risk factor for periodontal disease?

Answer 11

Genetics

Question 12

What are the signs of gingivitis?

Answer 12

BOP
Redness
Soreness

Question 13

What are the signs of periodontitis?

Answer 13

BOP
Pocketing
Bone loss

Question 14

What are the 4 components of a periodontal diagnosis?

Answer 14

Stage (i, II, iii, iv)
Grade ( A, B, C )
Stability
Risk factors associated

Question 15

What are the 5 stages of periodontal treatment planning according to BSP?

Answer 15

1. Build foundations
2. Evaluate engagement
3. Subgingival PMPR
4. Revatuae in 3/12
5. Maintainance OR Manage non responding sites

Question 16

What is included in stage 1: building foundations
of periodontal treatment planning?

Answer 16

Explain disease
OHI
Risk factor intervention
Supra gingival PMPR
Recall

Question 17

What would be involved in maintaining successful periodontal treatment?

Answer 17

OHI
Risk factor control
PMPR

Question 18

How would you manage non- responding periodontal sites?

Answer 18

OHI
Repeat subgingival PMPR
Refer

Question 19

What are the 4 key points for OHA:

Answer 19

Brush 2x daily
Use fluoridated toothpaste
Interdentak cleaning daily
Brush tongue

Question 20

What is the purpose of PMPR?

Answer 20

Removes calculus to disrupt pathogenic biofilm.

Question 21

What would perio Tx success look like?

Answer 21

• pt is comfortable
• pockets = 4mm or less
• no or low BOP
• optimal plaque control maintained

Question 22

What would perio Tx failure look like?

Answer 22

• pt is uncomfortable
• pockets = 4mm+
• persitant BOP
• increasing pocket depths

Question 23

What are the 3 indications for perio surgery?

Answer 23

Residual deep sites of 6mm +
Infraboney defects
Furcation involvement

Question 24

What is the general aims of perio surgery?

Answer 24

Reduce pocket depths
Improve gingival contour
Improve access for OH

Question 25

List 3 types of perio surgery

Answer 25

1. Resective
2. Repairative
3. Regenerative

Question 26

What is resective perio surgery?

Answer 26

Pocket elimination with apical displacement

Question 27

What is repairative perio surgery?

Answer 27

Pocket reduction

Question 28

What is regenerative perio surgery?

Answer 28

Recreation of periodontal tissues