BSP - Periodontal Screening Flashcards
How is a BPE carried out
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 many teeth are needed in a sextant for it to qualify
2
What probe is used for BPE
WHO CPITN
Describe the WHO CPITN probe
It has a ball end of 0.5 mm in diameter.
Two black bands are present from 3.5mm to 5.5mm
If a code 4 is identified in a sextant which is it a good idea to continue to examine all sites in the sextant
to gain a fuller understanding of the periodontal condition and this will make sure furcation involvements are not missed
When do you record BPE
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
What can BPE not be used for
implants
response to therapy
Why can a BPE not be used post therapy
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.
What BPE should radiographs be taken for
code 3 and 4 sextants
Where is it necessary to record 6 point pocket charts
at sites 4mm or above
What is the guidance for a code 0
No need for Tx
What is the guidance for a code 1
OHI
What is the guidance for a code 2
As for code 1 + removal of plaque retentive factors including all supra and sub gingival calculus
What is the guidance for a code 3
As for code 2 + RSD if required
What is the guidance for a code 4
OHI, RSD
Access the need for more complex Tx, referral to specialist may be indicated
What are special investigations for code 0
none
What are special investigations for code 1
plaque and bleeding charts
What are special investigations for code 2
plaque and bleeding charts
What are special investigations for code 3
plaque and bleeding charts
radiographs should be considered to establish if there is attachment loss
What are special investigations for code 4
Plaque and bleeding charts
radiographs
What is the periodontal reassessment for code 0
repeat BPE at next check up appointment
What is the periodontal reassessment for code 1
repeat BPE at next check up
What is the periodontal reassessment for code 1
repeat BPE at next check up
What is the periodontal reassessment for code 2
periodontal charting of sextants scoring 3, after initial therapy
What is the periodontal reassessment for code 3
Full periodontal charting before and after treatment
What is the periodontal reassessment for code 4
Full periodontal charting before and after treatment
What is the warrant for referral in patients <18 YO
- 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
