Assessment and screening: BPE Flashcards
Criteria
Bleeding on probing (BPE probe) Presence of calculus Presence of other retention factors e.g. overhanging restorations Pocket probing depth (WHO probe 621) Score is per sextant
Use of BPE probe
Highest score in each sextant recorded
Place between tooth and soft tissue, follow tooth morphology
Use correct amount of force (20-25 grams)
Are you hitting calculus? Can you feel CEJ?
Bucally to lingually
BPE code 0
No pockets >3.5mm
No calculus/ overhangs
No bleeding after probing
Black band completely visible
BPE code 1
No pockets >3.5mm
No calculus/ overhangs
Bleeding after probing
Black band completely visible
BPE code 2
No pockets >3.5mm
Supra- or subgingival calculus/ overhangs
Black band completely visible
BPE code 3
Probing depth 3.5-5.5mm
Black band partially visible, pocket depth 4-5mm
BPE code 4
Pocket depth 6mm or more, probing depth >5.5mm
Black band entirely within the pocket
BPE code *
Furcation involvement
BPE code 0: px instructions
Provide px with encouragement
BPE code 1: px instructions
Plaque score, OH instruction
BPE code 2: px instructions
Plaque score, OH instruction, scale and polish, adjust retention factors
BPE code 3: px instructions
Plaque score, OH instruction, pocket probing depths, bleeding score, diagnosis, further treatment (NSPT)
BPE code 4: px instructions
Plaque score, OH instruction, pocket probing depths, bleeding score, diagnosis, further treatment (NSPT may or may not be followed by surgery)
Plaque score
(Total number tooth parts with plaque)/ (6 x number teeth present) x 100% = %
Bleeding index
(Total number tooth parts with bleeding)/ (6 x number teeth present) x 100% = %