BSP 2017 Periodontal Classification Guideline

Question 1

Describe the findings of a patient who is classified as “clinical gingival health” as per the 2017 BSP guidelines?

Answer 1

BPE Code 0/1/2
<10% BoP

Question 2

Describe the findings of a patient who is classified as “localised gingivitis” as per the 2017 BSP guidelines?

Answer 2

BPE Code 0/1/2
10-30% BoP

Question 3

Describe the findings of a patient who is classified as “generalised gingivitis” as per the 2017 BSP guidelines?

Answer 3

BPE Code 0/1/2
>30% BoP

Question 4

Describe the findings of a patient who is classified as “local periodontitis” as per the 2017 BSP guidelines?

Answer 4

BPE Code 3/4
<30% of teeth involved

Question 5

Describe the findings of a patient who is classified as “generalised periodontitis” as per the 2017 BSP guidelines?

Answer 5

BPE Code 3/4
>/= 30% of teeth involved

Question 6

What is Stage I periodontal disease?

Answer 6

<15% interproximal bone loss

Question 7

What is Stage II periodontal disease?

Answer 7

Interproximal bone loss extending to coronal third of root

Question 8

What is Stage III periodontal disease?

Answer 8

Interproximal bone loss extending to mid third of root

Question 9

What is Stage IV periodontal disease?

Answer 9

Interproximal bone loss extending to apical third of root

Question 10

How is grading worked out when giving someone a periodontal diagnosis?

Answer 10

% bone loss / patient age

Question 11

What findings would a periodontal patient that is currently in remission have?

Answer 11

BoP >/= 10%
PPD </= 4mm
No BoP at 4mm sites

Question 12

What findings would a periodontal patient that is currently stable have?

Answer 12

BoP <10%
PPD </= 4mm
No BoP at 4mm sites

Question 13

What findings would a periodontal patient that is currently unstable have?

Answer 13

PPD >/= 5mm
OR
PPD >/= 4mm with BoP

Question 14

What is involved in Step 1 of periodontal treatment according to the BSP guidelines?

Answer 14

• explain disease, risk factors & treatment options
• OHI
• removal of plaque retentive factors
• smoking cessation
• diabetes control
• supra & subgingival PMPR

Question 15

You have completed Stage 1 of periodontal treatment according to the BSP guidelines, when do you recall your patient for re-evaulation?

Answer 15

3 months

Question 16

You have completed Stage 1 of periodontal treatment according to the BSP guidelines, what options are there at the re-evaluation stage?

Answer 16

Non-engaging patient = return to step 1 & repeat

Engaging patient = mode to step 2 & consider referral

Question 17

What is involved in Step 2 of periodontal treatment according to the 2017 BSP guidelines?

Answer 17

• reinforce OH, risk factor control & behaviour change
• subgingival instrumentation
• use of adjunctive systemic antimicrobials

Question 18

When do you re-evaluate a patient after Stage 2 of periodontal treatment according to BSP?

Answer 18

3 months

Question 19

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?

Answer 19

UNSTABLE re-evaluation

Question 20

You have completed Stage 2 of periodontal treatment according to the BSP guidelines, what options are there at the re-evaluation stage?

Answer 20

Move to step 3 if perio unstable/non-responding

Move to step 4 if perio stable & maintain

Question 21

What is involved in Step 3 of periodontal treatment according to the 2017 BSP guidelines?

Answer 21

• OH reinforcement
• re-perform subgingival instrumentation on 4-5mm pockets
• consider referral for pockets >6mm
• if referral not possible just subgingival scale

Question 22

What is involved in Step 4 of periodontal treatment according to the 2017 BSP guidelines?

Answer 22

Maintenance
- supportive periodontal care
- reinforce OH
- regular targeting PMPR

Question 23

Define an engaging patient according to the 2017 BSP guideline:

Answer 23

• favourable improvement in OH
• plaque levels </= 20%
• BoP </= 20%
• pt meeting targets set in their personal plan

Question 24

Define a non-engaging patient according to the 2017 BSP guideline:

Answer 24

• insufficient improvement in OH
• plaque levels >20%
• BoP >30%
• pt states preference to a palliative approach to perio care