BSP 2017 Periodontal Classification Guideline Flashcards
Describe the findings of a patient who is classified as “clinical gingival health” as per the 2017 BSP guidelines?
BPE Code 0/1/2
<10% BoP
Describe the findings of a patient who is classified as “localised gingivitis” as per the 2017 BSP guidelines?
BPE Code 0/1/2
10-30% BoP
Describe the findings of a patient who is classified as “generalised gingivitis” as per the 2017 BSP guidelines?
BPE Code 0/1/2
>30% BoP
Describe the findings of a patient who is classified as “local periodontitis” as per the 2017 BSP guidelines?
BPE Code 3/4
<30% of teeth involved
Describe the findings of a patient who is classified as “generalised periodontitis” as per the 2017 BSP guidelines?
BPE Code 3/4
>/= 30% of teeth involved
What is Stage I periodontal disease?
<15% interproximal bone loss
What is Stage II periodontal disease?
Interproximal bone loss extending to coronal third of root
What is Stage III periodontal disease?
Interproximal bone loss extending to mid third of root
What is Stage IV periodontal disease?
Interproximal bone loss extending to apical third of root
How is grading worked out when giving someone a periodontal diagnosis?
% bone loss / patient age
What findings would a periodontal patient that is currently in remission have?
BoP >/= 10%
PPD </= 4mm
No BoP at 4mm sites
What findings would a periodontal patient that is currently stable have?
BoP <10%
PPD </= 4mm
No BoP at 4mm sites
What findings would a periodontal patient that is currently unstable have?
PPD >/= 5mm
OR
PPD >/= 4mm with BoP
What is involved in Step 1 of periodontal treatment according to the BSP guidelines?
- explain disease, risk factors & treatment options
- OHI
- removal of plaque retentive factors
- smoking cessation
- diabetes control
- supra & subgingival PMPR
You have completed Stage 1 of periodontal treatment according to the BSP guidelines, when do you recall your patient for re-evaulation?
3 months
You have completed Stage 1 of periodontal treatment according to the BSP guidelines, what options are there at the re-evaluation stage?
Non-engaging patient = return to step 1 & repeat
Engaging patient = mode to step 2 & consider referral
What is involved in Step 2 of periodontal treatment according to the 2017 BSP guidelines?
- reinforce OH, risk factor control & behaviour change
- subgingival instrumentation
- use of adjunctive systemic antimicrobials
When do you re-evaluate a patient after Stage 2 of periodontal treatment according to BSP?
3 months
You are at re-evaluation stage of a pt after completing Stage 2 of periodontal treatment. What would advancement to Stage 3 be caused by?
UNSTABLE re-evaluation
You have completed Stage 2 of periodontal treatment according to the BSP guidelines, what options are there at the re-evaluation stage?
Move to step 3 if perio unstable/non-responding
Move to step 4 if perio stable & maintain
What is involved in Step 3 of periodontal treatment according to the 2017 BSP guidelines?
- OH reinforcement
- re-perform subgingival instrumentation on 4-5mm pockets
- consider referral for pockets >6mm
- if referral not possible just subgingival scale
What is involved in Step 4 of periodontal treatment according to the 2017 BSP guidelines?
Maintenance
- supportive periodontal care
- reinforce OH
- regular targeting PMPR
Define an engaging patient according to the 2017 BSP guideline:
- favourable improvement in OH
- plaque levels </= 20%
- BoP </= 20%
- pt meeting targets set in their personal plan
Define a non-engaging patient according to the 2017 BSP guideline:
- insufficient improvement in OH
- plaque levels >20%
- BoP >30%
- pt states preference to a palliative approach to perio care