Basic assessment Flashcards
What does BPE stand for?
Basic Periodontal Examination
What is the BPE used for?
A screening tool to determine if a patient has periodontal disease, where they have it and its severity
What is the name of the probe used for BPE?
Periodontal probe
What are the 2 types of periodontal assessment?
- Basic Periodontal examination (BPE)
- Full periodontal assessment
What is this instrument?
The WHO probe
Explain the features of a WHO probe:
- Ball end = 0.5mm diameter
- Coloured band = 3.5. - 5.5 mm
- Second band = 8.5 to 11.5 mm
What is the target probing force?
Should not exceed 20-25g weight (0.2-0.25 N)
= as hard as you have to press your finger nails for it to start to blanch
What is the purpose of the ball ended tip of the WHO probe?
Doesn’t hurt gum
Easier to detect calculus
How many points on each tooth are examined?
At least 6!
Mesial, distal & mid surfaces of both the lingual and buccal sides of the tooth
How do we explore the tnire extent of the pocket?
Walking the probe around gingival margin
At which angle should you aim the end of your probe?
Down the length of the root
How do we record the BPE score?
We write down the worst score in the sextant
Why do we not include the wisdom teeth in BPE charting?
The wisdom teeth not fully come through properly = lots of false pocketing
What are the different possible BPE scores?
0
1
2
3
4
*
What is a code 0 BPE scoring?
The coloured band is completely visible
= healthy gingiviae & no bleeding after gentle probing
What is the management for Code 0 BPE?
No treatment
Screen again in 1 yr
What is the BPE scoring of this patient?
0
What is code 1 BPE scoring?
The coloured band is completely visivle
No calculus (or plaque retentitve defective restoration margins)
Bleeding on probing
What is the BPE scoring of this patient?
1
What is the management for code 1 BPE?
Oral hygiene instruction
Screen again in 1 yr
What is code 2 BPE scoring?
Coloured band completely visible
Calculus or defective restoration margin detected by the probe tip
What is the management for Code 2 BPE?
Oral hygiene instruction
Calculus removal by scaling/ removal of plaque retentive restorative margins
Screen in 1 year
What is code 3 BPE scoring?
Coloured band only partly visible (periodontal pocket depth of 3.5 to 5.5.)
= mild to moderate periodontitis
What is the BPE scoring of this patient?
3
What is the management for code 3 BPE?
Oral health instruction
Scaling/root surface debridment as required
Reasses, repeat scaling & oral health instruction in 3 months (if still scoring 3 following this treatment should consider full periodontal assessment)
What is code 4 BPE scoring?
Coloured band on prove is hidden = pocket over 5.5. mm
-> moderate to severe periodontitis
What is the management for Code 4 BPE?
Full periodontal assessment
Radiographs
Oral health instruction
Scaling/ marginal restoration correction
Root surface debridement as required
GDP consider referral to periodontist
Full reassessment after treatment = formulate new treatment plan
What is Code * BPE scoring?
FURCATION INVOLVEMENT -> probe can be put under furcation
What is the BPE scoring of this patient?
4
What is an X BPE scoring?
No teeth in that sextant
