Advanced Periodontal Disease

Question 1

50-year old pt attends GDP. CO of bleeding gums, loose back teeth. Smoke 20/day. Generalised BOP and deep PD. RAD demonstrate 60%bone loss extending to middle third of root. What is dx?

Answer 1

Generalised periodontal disease, stage III, grade , RFs: smoker

Question 2

What should be included in referral to hygienist?

Answer 2

Baseline indicies
Reason referral
Timeline for review

Question 3

What is pathogenesis for periodontitis?

Answer 3

Multifactorial and chronic disease

1. direct mechanism
2. Indirect mechanism

Question 4

What is direct mechanism for periodontitis?

Answer 4

Periodontal pockets provide a direct entry point for periodontal bacteria into systemic circulation

Question 5

What is indirect mechanism for peridotontitis?

Answer 5

Inflammatory response to periodontal bacteria or their by-products may have indirect systemic effects

Question 6

What should a formal referral to specialist periodontist include?

Answer 6

Pt details and demographic
Past MH
Reason for referral
Previous periodontal tx carried out
Relevant investigation inc periodontal charts

Question 7

How to follow GDPR when sending referral?

Answer 7

Informing pt about sharing their personal data w/ third parties
Obtain consent from pt to send to named practice
Sending sensitive information using secure encrypted service