BSP Guidelines Flashcards
Basic periodontal exam - BPE
What is it?
Simple and rapid screening tool
What is BPE used for
Used to indicate level of further examination needed and provide basic guidance on tx needed
What should BPE not be usd for
Diagnosis - (only screening)
How to record BPE
Dentition dived into 6 sextants and the highest score for each sextant is recorded
For a sextant to qualify for recording it must contain?
At least 2 teeth
What probe is used for BPE
WHO probe
Ball end 0.5mm
Black band 3.5-5.5mm
Light probing force?
20-25g
How should probe be used for BPE
Walk probe around teeth in each sextant
Why should all sites be examined before moving onto the next sextant
To ensure highest score is recorded
What should you do if code 4 is identified in a sextant
Continue to walk around all sites to gain a better understanding of the periodontal condition
Ensures furcation not missed
Scoring grades 0
Pocket < 3.5mm
No calculus / overhangs
No BOP
Black band entirely visible
Scoring grades 1
Pockets < 3.5mm
No calculus / overhangs
BOP
Black band entirely visible
Scoring grade 2
Pockets < 3.5mm
Supra/sub gingival calc / overhangs
Black band entirely visible
Scoring grade 3
Probing depth 3.5-5.5mm
Black band partially visible (pocket 4-5mm)
Scoring code 4
Probing depth >5.5mm
Black band disappears - pocket 6mm +
*
Furcation involvement
Who should have BPE recorded
All new pt
When should BPE be recorded for pt with code 0, 1, 2
At every routine exam
For pt with codes 3 or 4 what do we do
More detailed periodontal charting
What do we do for code 3
- Initial therapy (OHI + RF control)
- Post initial therapy, record 6PPC in that sextant only
What do we do for code 4
If code 4 in any sextant,
6PPC in entire dentition
Why can BPE not be used to monitor response to periodontal therapy?
Doesn’t provide info about how sites within a sextant change after treatment
How do we assess response to treatment
6PPC pre and post tx
For pt who have undergone initial therapy for periodontitis and who are now in the maintenance phase of care, when should full probing depths be carried out throughout entire dentition
Annually
BPE should not be used around
implants - 6PPC should be used instead
Radiographs should be available for?
Code 3 and 4 sextants
Why are PA best for code 4
Allow assessemnt of bone loss as a % of root length and of the periapical tissue
For 6PPC what do we record
Sites > 4mm
BOP recorded in conjunction with?
6PPC
Code 0 requires
No perio tx
Code 1 req
OHI
Code 2 req
OHI
Removal PRF + supra / sub calc
Code 3 req
OHI
Removal PRF + supra / sub calc
RSD if sites > 4mm
Code 4 req
OHI
Removal PRF + supra / sub calc
RSD if sites > 4mm
Assess need for referral / more complex tx
- req
May req referral
