6 - Paediatric periodontology Flashcards

1
Q

What are the 2017 classifications of periodontal health and disease?

A
  • periodontal health
  • gingivitis
  • gingival diseases and conditions (non-biofilm)
  • necrotising periodontal diseases
  • periodontitis
  • periodontitis as a manifestation of systemic disease
  • systemic diseases affecting periodontium
  • periodontal abscesses / endodontic-perio lesions
  • mucogingival deformities
  • traumatic occlusal forces
  • tooth and prothesis factors
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2
Q

Describe healthy periodontium in children.

A
  • absence of gun inflammation and calculus, no more than 1 sextant with plaque
  • gingival margin several mm coronal to CEJ
  • gingival sulcus 0.5-3mm deep
  • (in teenagers) alveolar crest 0.4-1.9mm apical to CEJ
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3
Q

What can cause gingival overgrowth?

A
  • systemic and metabolic diseases
  • genetic factors (hereditary gingival fibromatosis)
  • local factors
  • medications
  • more commonly seen in puberty
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4
Q

How do you treat gingival overgrowth?

A
  • rigorous home care and OH
  • PMPR frequently
  • +/- surgery for drug induced growth
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5
Q

How does mixed dentition affect the periodontal exam?

A

Be aware of false pocketing around erupting permanent dentition

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6
Q

Give examples of systemic disease that manifest as periodontitis in children.

A
  • papillon lefevre syndrome (PLS)
  • Ehlers danlos syndrome
  • down syndrome
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7
Q

What should be recorded during a routine exam?

A
  • gingival condition
  • OH status
  • calculus present?
  • local risk factors
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8
Q

What is BPE?

A
  • basic periodontal exam
  • screening tool
  • does not consider historic LOA or bone loss
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9
Q

What is the sBPE?

A
  • simplified basic periodontal exam
  • all cooperative children 7-18 years
  • 6 teeth
  • WHO 621 probe (one black band)
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10
Q

What teeth are used in the sBPE?

A

16
11
26
36
31
46

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11
Q

What sBPE codes are used for children 7-11 years?

A

0
1
2

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12
Q

What sBPE codes are used for children 12-17 years?

A

0
1
2
3
4
*

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13
Q

What is the O’Leary index?

A
  • plaque free and marginal bleeding free chart
  • used to motivate children
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14
Q

What are the SDCEP plaque scores?

A

10/10 - perfectly clean tooth
8/10 - plaque at cervical margin
6/10 - plaque covering cervical third
4/10 - plaque covering middle third

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15
Q

What treatment is required for sBPE 0?

A

Nil

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16
Q

What treatment is required for sBPE 1?

A

OHI

17
Q

What treatment is required for sBPE 2?

A
  • OHI
  • PMPR
  • manage plaque retentive factors
18
Q

What treatment is required for sBPE 3?

A
  • OHI
  • PMPR of shallow pockets
  • manage plaque retentive factors
19
Q

What treatment is required for sBPE 4?

A
  • full periodontal assessment including 6ppc of full mouth
  • consider referral whilst completing initial therapy
20
Q

What treatment is required for sBPE *?

A
  • full periodontal assessment including 6ppc of full mouth
  • consider referral whilst completing initial therapy
21
Q

What is the recall policy for sBPE 0?

A

Screen at routine recall or within 1 year

22
Q

What is the recall policy for sBPE 1?

A

Screen at routine recall or within 1 year

23
Q

What is the recall policy for sBPE 2?

A

Screen at routine recall or within 6 months

24
Q

What is the recall policy for sBPE 3?

A

3 months, full periodontal assessment including 6ppc in affected sextants

25
Q

What is the recall policy for sBPE 4?

A

Refer to specialist

26
Q

When should paediatric patients be refer to a periodontitis specialist?

A
  • stage 2/3 periodontitis not responding to treatment
  • grade C
  • stage 4
  • MH that affects periodontitis treatment
  • periodontitis as a manifestation of systemic disease
  • surgical interventions