BPE and periodontal charting

Question 1

This should include:

Answer 1

1. 6 point pocket depth measurements (ideally this sites >5mm highlighted)
2. bleeding on probing (red dot above pocket measure)
3. Recession
4. Furcation involvement (I,II,III,IV)
5. Mobility score (I,II,III)

Question 2

How?

Answer 2

By dividing mouth into sextants + recording the presence + depth of any unnatural spaces down the side of teeth (periodontal pocket) - BPE assessment

Question 3

Healthy periodontal tissue

Answer 3

appear pink, firmly attached to necks of teeth with gingival crevice no deeper than 3mm + don’t bleed when touched. Teeth firmly held in their sockets by periodontal supporting tissues, + no plaque present

Question 4

Basic Periodontal Exam (BPE)

Answer 4

This index formerly known as CPITN is measured by WHO probe. is introduced into gingival sulcus + light pressure used around buccal, lingual + palatal. The mouth is divided into sextant represented by box charts and only the highest score is recorded

Question 5

Code 0

Answer 5

healthy gingival tissues with no bop

Question 6

Code 1

Answer 6

BOP, black band remains visible as pocket depth no more than 3.5mm. no calculus or other plaque retention factor present.

Question 7

Code 2

Answer 7

black band visible as pocket no more than 3.5mm but plaque retention factor detected

Question 8

Code 3

Answer 8

black band partially visible (shallow pocket 5mm) in deepest pocket as up to 5.5mm may not be visible

Question 9

Code 4

Answer 9

pocket deeper than 5.5mm, furcation involvement and gingival recession added to probing gives depth of 7mm or more

Question 10

Code *

Answer 10

gingival recession or furcation involvement present

Question 11

Higher codes

Answer 11

indicate more serious periodontal problem, codes greater than 3 are recorded, full periodontal assessment, presence of bleeding, plaque found + tooth mobility

Question 12

Tooth mobility grades

Answer 12

grade I - side to side tooth movement less than 2mm
grade II- side to side tooth movement more than 2mm
grade III - vertical movement present