BPE coding Flashcards
When are radiographs required aswell for Periodontology diganosis?
Code 3 and 4
Diagnosis for:
<10 % bleeding on probing
clinical gingival health
Diagnosis for
10-30% bleeding on probing
localised gingivitis
Diagnosis for:
>30% bleeding on probing
generalised gingivitis
Describe healthy Intact periodontium
no attachment loss
probing pocket depths <3mm
bleeding on probing <10%
no radiographic bone loss
Describe reduced Periodontium
probing pocket depths:
BOP:
Bone loss?
(Patient has history of periodontitis, remission)
Health (stable/successfully treated periodontitis)
evidence of probing attachment loss
probing pocket depths <4mm
bleeding on probing <10%
signs of radiographic bone loss
Describe stage I of periodontitis
<15 % bone loss
(or <2mm attachment loss from CEJ)
EARLY/MILD
What is staging based on
radiograph bone loss
Describe stage II of periodontitis
coronal third of root
MODERATE
Describe stage III of periodontitis
Mid third of root
SEVERE
Describe stage IV of periodontitis
Apical third of the root
Very severe
What is grading of periodontitis
How is it calculated
rate of progression
% bone loss / patient age
(use worst site of bone loss)
Describe grade A of periodontitis
<0.5
slow rate of progression
Describe grade B of periodontitis
0.5-1.0
Moderate rate of progression
Describe grade C of periodontitis
> 1.0
Rapid rate of progression
What are the risk factors when diagnosing
Smoking (include how many a day)
How controlled diabetes is
Assessment of current periodontitis status:
Currently stable
BoP <10%
PPD <4mm
No BoP at 4mm sites
Assessment of current periodontitis status:
currently in remission:
BoP >10%
PPD <4mm
No BoP at 4mm sites
Assessment of current periodontitis status:
Currently unstable:
PPD >5mm or
PPD >4mm and BOP
What are the 5 things you should include when diagnosing periodontitis
Extent Stage Grade Stability Risk factors
