BSP - Implementing 2018 Classification

Question 1

Code 0 / 1 / 2

With no obvious Interdental recession

<10% BOP

Answer 1

Clinical gingival health

Question 2

Code 0 / 1 / 2

With no obvious Interdental recession

10-30% BOP

Answer 2

Localised gingivitis

Question 3

Code 0 / 1 / 2

With no obvious Interdental recession

> 30% BOP

Answer 3

Generalised gingivitis

Diagnosis must include comment on plaque retentive factors

Question 4

Code 3

With no obvious Interdental recession

What do we do?

Answer 4

Appropriate radiographic assessment

Initial periodontal therapy
Review in 3 months with localised 6PPC in involved sextant(s)

Question 5

Code 3

After 3months review what do we do if…

No pockets > 4mm and no radiogrpahic evidence of bone loss due to periodontitis

Answer 5

Continue with 0 / 1 / 2 pathways

Question 6

Code 3

After 3months review what do we do if…

Pockets > 4mm and/or radiogrpahic evidence of bone loss due to periodontitis

Answer 6

Continue with code 4 pathway

Question 7

Code 4

And /or obvious interdental recession

Answer 7

Appropriate radio-graphic assessment

Full periodontal assessment (including 6PPC)
Established how widespread (MIP, <30%, >30%)

Question 8

Code 4

And /or obvious interdental recession

MIP

Answer 8

Periodontitis Molar incisor pattern

Question 9

Code 4

And /or obvious interdental recession

<30% of teeth

Answer 9

Localised periodontitis

Question 10

Code 4

And /or obvious interdental recession

> 30%

Answer 10

Generalised periodontitis

Question 11

Staging

Interproximal bone loss (use worst site)

Stage 1

Answer 11

<15% (or 2mm attachment loss from CEJ)

Question 12

Staging

Interproximal bone loss (use worst site)

Stage 2

Answer 12

Moderate

Coronal third of root

Question 13

Staging

Interproximal bone loss (use worst site)

Stage 3

Answer 13

Severe

Mid third of root

Question 14

Staging

Interproximal bone loss (use worst site)

Stage 4

Answer 14

Very severe

Apical third of root

Question 15

Grading - how do we work this out

Answer 15

% bone loss (use worst site) divided by pt age

Question 16

Grade A

Answer 16

Slow rate of progression
<0.5

Question 17

Grade B

Answer 17

moderate rate of progression

0.5-1.0

Question 18

Grade c

Answer 18

> 1.0
Rapid rate of progression

Question 19

Assessment of current periodontitis status

Currently stable

Answer 19

BOP < 10%
PPD < 4mm
No BOP at 4mm sites

Question 20

Assessment of current periodontitis status

Currently in remission

Answer 20

BOP > 10%
PPD < 4mm

No BOP at 4mm sites

Question 21

Assessment of current periodontitis status

Currently unstable

Answer 21

PPD > 5mm

OR

PPD > 4mm + BOP