3. Periodontology Flashcards
What examinations are there in perio?
BPE
6 ppc
What are the 4 BPE codes and what are they?
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
What is assessed in a 6 ppc?
Pockets
Plaque
Bleeding
Mobility
Furcation
What is the ideal radiograph for periodontal diagnosis?
Periapicals
What are the 4 periodontal diagnosis subheadings?
- Gingival disease
- Periodontitis
- Other
- Peri- implant diseases
What is gingivitis?
Biofilm induced inflammation of the gingival tissues
What are the two types of periodontitis?
Necrotising periodontal disease
Periodontitis
What are 2 other types of periodontal diagnosis?
Periodontal abscess
Perio- endodontic lesions
What are the two types of peri- implant diseases?
Peri- implant mucositis
Peri-implantitis
What are the 7 modifiable risk factors for periodontal diseases?
Plaque biofilm
Smoking
Diabetes
Alcohol
Stress
Deficiencies in restorations
Malocclusions
What is the 1 non modifiable risk factor for periodontal disease?
Genetics
What are the signs of gingivitis?
BOP
Redness
Soreness
What are the signs of periodontitis?
BOP
Pocketing
Bone loss
What are the 4 components of a periodontal diagnosis?
Stage (i, II, iii, iv)
Grade ( A, B, C )
Stability
Risk factors associated
What are the 5 stages of periodontal treatment planning according to BSP?
- Build foundations
- Evaluate engagement
- Subgingival PMPR
- Revatuae in 3/12
- Maintainance OR Manage non responding sites
What is included in stage 1: building foundations
of periodontal treatment planning?
Explain disease
OHI
Risk factor intervention
Supra gingival PMPR
Recall
What would be involved in maintaining successful periodontal treatment?
OHI
Risk factor control
PMPR
How would you manage non- responding periodontal sites?
OHI
Repeat subgingival PMPR
Refer
What are the 4 key points for OHA:
Brush 2x daily
Use fluoridated toothpaste
Interdentak cleaning daily
Brush tongue
What is the purpose of PMPR?
Removes calculus to disrupt pathogenic biofilm.
What would perio Tx success look like?
- pt is comfortable
- pockets = 4mm or less
- no or low BOP
- optimal plaque control maintained
What would perio Tx failure look like?
- pt is uncomfortable
- pockets = 4mm+
- persitant BOP
- increasing pocket depths
What are the 3 indications for perio surgery?
Residual deep sites of 6mm +
Infraboney defects
Furcation involvement
What is the general aims of perio surgery?
Reduce pocket depths
Improve gingival contour
Improve access for OH
List 3 types of perio surgery
- Resective
- Repairative
- Regenerative
What is resective perio surgery?
Pocket elimination with apical displacement
What is repairative perio surgery?
Pocket reduction
What is regenerative perio surgery?
Recreation of periodontal tissues
