BSP - Periodontal Screening Flashcards

1
Q

How is a BPE carried out

A

It is divided into 6 sextants
all teert in each sextant are examined
the probe should be walked around the sulcus/pockets in each sextant and the highest score recoded for each

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

How many teeth are needed in a sextant for it to qualify

A

2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What probe is used for BPE

A

WHO CPITN

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Describe the WHO CPITN probe

A

It has a ball end of 0.5 mm in diameter.

Two black bands are present from 3.5mm to 5.5mm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

If a code 4 is identified in a sextant which is it a good idea to continue to examine all sites in the sextant

A

to gain a fuller understanding of the periodontal condition and this will make sure furcation involvements are not missed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

When do you record BPE

A

for new patients
for those with codes 0, 1 and 2 it is done at every routine examination
those with BPE 3/4 require more detailed periodontal charting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What can BPE not be used for

A

implants

response to therapy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Why can a BPE not be used post therapy

A

because it does not provide information about how the sites within a sextant change. To assess the response to treatment, a 6 point pocket chart should be recorded pre and post treatment.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What BPE should radiographs be taken for

A

code 3 and 4 sextants

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Where is it necessary to record 6 point pocket charts

A

at sites 4mm or above

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the guidance for a code 0

A

No need for Tx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the guidance for a code 1

A

OHI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the guidance for a code 2

A

As for code 1 + removal of plaque retentive factors including all supra and sub gingival calculus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the guidance for a code 3

A

As for code 2 + RSD if required

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the guidance for a code 4

A

OHI, RSD

Access the need for more complex Tx, referral to specialist may be indicated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are special investigations for code 0

A

none

17
Q

What are special investigations for code 1

A

plaque and bleeding charts

18
Q

What are special investigations for code 2

A

plaque and bleeding charts

19
Q

What are special investigations for code 3

A

plaque and bleeding charts

radiographs should be considered to establish if there is attachment loss

20
Q

What are special investigations for code 4

A

Plaque and bleeding charts

radiographs

21
Q

What is the periodontal reassessment for code 0

A

repeat BPE at next check up appointment

22
Q

What is the periodontal reassessment for code 1

A

repeat BPE at next check up

23
Q

What is the periodontal reassessment for code 1

A

repeat BPE at next check up

24
Q

What is the periodontal reassessment for code 2

A

periodontal charting of sextants scoring 3, after initial therapy

25
Q

What is the periodontal reassessment for code 3

A

Full periodontal charting before and after treatment

26
Q

What is the periodontal reassessment for code 4

A

Full periodontal charting before and after treatment

27
Q

What is the warrant for referral in patients <18 YO

A
  • Diagnosis of aggressive periodontitis
  • Incipient chronic periodontitis not responding to treatment
  • Systemic medical condition associated with periodontal destruction
  • Medical history that significantly affects periodontal treatment or requiring multi-disciplinary care
  • Genetic conditions predisposing to periodontal destruction
  • Root morphology adversely affecting prognosis
  • Non plaque induced conditions requiring complex or specialist care
  • Cases requiring diagnosis/management or rare/complex clinical pathology
  • Drug induced gingival overgrowth
  • Cases requiring evaluation for periodontal surgery