BPE and Perio Assessment

Question 1

What is a BPE?

Answer 1

Basic periodontal examination, used a screening tool to assess whether a patient has evidence of gingivitis/periodontitis.

Question 2

What is a BPE score of 0, and what treatment is indicated?

Answer 2

Black band completely visible, no calculus/overhands, no BOP.

No perio treatment required.

Question 3

What is a BPE score of 1, and what treatment is indicated?

Answer 3

Black band completely visible, no calculus/overhangs, but bleeding on probing.

MPBS, and OHI.

Question 4

What is a BPE score of 2, and what treatment is indicated?

Answer 4

Black band completely visible, but supra/sub-gingival calculus/overhands present.

MBPS, OHI, and PMPR.

Question 5

What is a BPE score of 3, and what treatment is indicated?

Answer 5

Black band partially visible, indicating a pocket depth 3.5-5.5mm deep.

MBPS, OHI, PMPR, full perio assessment including 6PPC and mobility assessment.

Question 6

What is a BPE score of 4, and what treatment is indicated?

Answer 6

Black band entirely within pocket, indicating pockets of 6mm or more.

MBPS, OHI, PMPR, full perio assessment. Assess the need for specialist help and spend more time on root surface PMPR.

Question 7

What does * indicate on a BPE score?

Answer 7

Furcation involvement, treatment will depend on sextant score and consider referral to a specialist.

Question 8

What would a code 0-2 indicate if there is no evidence of interdental recession?

Answer 8

Gingivitis or clinical gingival health depending on bleeding scores.

Question 9

How would you diagnose clinical gingival health?

Answer 9

<10% bleeding on probing.

Question 10

How would you diagnose localised gingivitis?

Answer 10

10-30% bleeding on probing.

Question 11

How would you diagnose generalised gingivitis?

Answer 11

> 30% bleeding on probing.

Question 12

What should be done in the event of a code 3 with no evidence of interdental recession?

Answer 12

Radiographic assessment and initial periodontal therapy. Localised 6PPC of involved sextant and reviewed in six months.

Question 13

What should be done in the event of a code 3 with some evidence of interdental recession?

Answer 13

Code 3 - Diagnose whether MIP, localised periodontitis, or generalised periodontitis.

Stage, grade, status, and risk assment.

Question 14

What should be done in the event of a code 4 with evidence of interdental recession?

Answer 14

Code 4 - Diagnose whether MIP, localised periodontitis, or generalised periodontitis.

Stage, grade, status, risk assment.

Question 15

How would you stage periodontal disease?

Answer 15

<15% = Stage I
Coronal third = Stage II
Mid third = Stage III
Apical third = Stage IV

Question 16

How would you grade periodontal disease?

Answer 16

% of bone loss/patient age
if <0.5 - Grade A (slow)
if 0.5-1.0 - Grade B (moderate)
If >1.0 - Grade C (rapid)

Question 17

How could you identify stable periodontitis?

Answer 17

BOP <10%
PPD <4mm
No BOP at 4mm sites

Question 18

How could you identify periodontitis in remission?

Answer 18

BOP >10%
PPD <4mm
No BOP at 4mm sites

Question 19

How could you identify unstable periodontitis?

Answer 19

PPD >5mm
PPD >4mm and BOP

Question 20

What risk factors should be identified for periodontitis?

Answer 20

Smoking, diabetes, family history, hormonal changes, recreational drug use.

Question 21

What does PMPR stand for?

Answer 21

Professional mechanical plaque removal.

Question 22

How often should a BPE be performed?

Answer 22

Every new patient or at least every year - as long as the patient has teeth.

Question 23

What factors can impact a patients risk of periodontal disease?

Answer 23

Smoking status
Alcohol intake
Osteoporosis
Diabetes mellitus
Metabolic syndrome
Diet - vitamin D and calcium