Basic assessment

Question 1

What does BPE stand for?

Answer 1

Basic Periodontal Examination

Question 2

What is the BPE used for?

Answer 2

A screening tool to determine if a patient has periodontal disease, where they have it and its severity

Question 3

What is the name of the probe used for BPE?

Answer 3

Periodontal probe

Question 4

What are the 2 types of periodontal assessment?

Answer 4

1. Basic Periodontal examination (BPE)
2. Full periodontal assessment

Question 5

What is this instrument?

Answer 5

The WHO probe

Question 6

Explain the features of a WHO probe:

Answer 6

• Ball end = 0.5mm diameter
• Coloured band = 3.5. - 5.5 mm
• Second band = 8.5 to 11.5 mm

Question 7

What is the target probing force?

Answer 7

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

Question 8

What is the purpose of the ball ended tip of the WHO probe?

Answer 8

Doesn’t hurt gum

Easier to detect calculus

Question 9

How many points on each tooth are examined?

Answer 9

At least 6!

Mesial, distal & mid surfaces of both the lingual and buccal sides of the tooth

Question 10

How do we explore the tnire extent of the pocket?

Answer 10

Walking the probe around gingival margin

Question 11

At which angle should you aim the end of your probe?

Answer 11

Down the length of the root

Question 12

How do we record the BPE score?

Answer 12

We write down the worst score in the sextant

Question 13

Why do we not include the wisdom teeth in BPE charting?

Answer 13

The wisdom teeth not fully come through properly = lots of false pocketing

Question 14

What are the different possible BPE scores?

Answer 14

0

1

2

3

4

*

Question 15

What is a code 0 BPE scoring?

Answer 15

The coloured band is completely visible

= healthy gingiviae & no bleeding after gentle probing

Question 16

What is the management for Code 0 BPE?

Answer 16

No treatment

Screen again in 1 yr

Question 17

What is the BPE scoring of this patient?

Answer 17

0

Question 18

What is code 1 BPE scoring?

Answer 18

The coloured band is completely visivle

No calculus (or plaque retentitve defective restoration margins)

Bleeding on probing

Question 19

What is the BPE scoring of this patient?

Answer 19

1

Question 20

What is the management for code 1 BPE?

Answer 20

Oral hygiene instruction

Screen again in 1 yr

Question 21

What is code 2 BPE scoring?

Answer 21

Coloured band completely visible

Calculus or defective restoration margin detected by the probe tip

Question 22

What is the management for Code 2 BPE?

Answer 22

Oral hygiene instruction

Calculus removal by scaling/ removal of plaque retentive restorative margins

Screen in 1 year

Question 23

What is code 3 BPE scoring?

Answer 23

Coloured band only partly visible (periodontal pocket depth of 3.5 to 5.5.)

= mild to moderate periodontitis

Question 24

What is the BPE scoring of this patient?

Answer 24

3

Question 25

What is the management for code 3 BPE?

Answer 25

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)

Question 26

What is code 4 BPE scoring?

Answer 26

Coloured band on prove is hidden = pocket over 5.5. mm

-> moderate to severe periodontitis

Question 27

What is the management for Code 4 BPE?

Answer 27

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

Question 28

What is Code * BPE scoring?

Answer 28

FURCATION INVOLVEMENT -> probe can be put under furcation

Question 29

What is the BPE scoring of this patient?

Answer 29

4

Question 30

What is an X BPE scoring?

Answer 30

No teeth in that sextant