BSP guidelines

Question 1

periodontitis - stable meaning

Answer 1

<10% BOP
</= 4mm PPD
no BOP at 4mm sites

Question 2

periodontitis - currently in remission

Answer 2

BoP greater than or equal to 10% of sites
PPD less than or equal to 4mm
no BOP at 4mm sites

Question 3

unstable periodontitis

Answer 3

PPD >/= 5mm
or
PPD >/= 4mm and BoP

Question 4

features of a periodontitis diagnosis

Answer 4

• localised/generalised
• stage
• grade
• stability
• risk factors

Question 5

Outline Periodontology treatment step 1

Answer 5

building foundations for optimal treatment outcomes
- explain disease, risk factors and treatment alternatives and risks and benefits including no treatment
- OHI and encourage behaviour change
- provide individually tailored advice
- select recall period

Question 6

periodontitis step 2 treatment

Answer 6

reinforce OH and risk factor control
sub gingival instrumentation

Question 7

periodontitis step 3

Answer 7

managing non responding sites
- re-perform sub gingival instrumentation on moderate residual pockets - 4-5mm
- consider alternative causes for deep residual pockets over 6mm
- consider referral
- if referral not possible - re-perform sub gingival instrumentation

If all sites stable after step 3 proceed to step 4

Question 8

periodontitis step 4

Answer 8

maintenance
supportive periodontal care
reinforce OH
regular targeted PMPR to limit tooth loss
maintenance recall
- every 3-12 months