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BSP > BSP - Periodontal Screening > Flashcards

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

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2
Q

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

A

2

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3
Q

What probe is used for BPE

A

WHO CPITN

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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

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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

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6
Q

What teeth does the BPE for children assess

A 
16
11
26
36
31
46
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7
Q

What is the ideal probe for a childs BPE

A

WHO 621

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8
Q

What BPE codes are used in children 7-11 years old

A

0-2

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9
Q

When can the full range of BPE codes be used in children

A

In 12-17 year old’s when the permanent teeth erupt

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10
Q

What is a code 0 in children

A

healthy

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11
Q

What is a code 1 in children

A

bleeding after gentle probing

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12
Q

What is a code 2 in children

A

calculus or plaque retention factors

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13
Q

What is a code 3 in children

A

Shallow pocket 4mm-5mm

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14
Q

What is a code 4 in children

A

> 6mm pocket

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15
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

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16
Q

What can BPE not be used for

A

implants

response to therapy

17
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.

18
Q

What BPE should radiographs be taken for

A

code 3 and 4 sextants

19
Q

Where is it necessary to record 6 point pocket charts

A

at sites 4mm or above

20
Q

What is the guidance for a code 0

A

No need for Tx

21
Q

What is the guidance for a code 1

A

OHI

22
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

23
Q

What is the guidance for a code 3

A

As for code 2 + RSD if required

24
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

25
Q

What are special investigations for code 0

A

none

26
Q

What are special investigations for code 1

A

plaque and bleeding charts

27
Q

What are special investigations for code 2

A

plaque and bleeding charts

28
Q

What are special investigations for code 3

A

plaque and bleeding charts

radiographs should be considered to establish if there is attachment loss

29
Q

What are special investigations for code 4

A

Plaque and bleeding charts

radiographs

30
Q

What is the periodontal reassessment for code 0

A

repeat BPE at next check up appointment

31
Q

What is the periodontal reassessment for code 1

A

repeat BPE at next check up

32
Q

What is the periodontal reassessment for code 1

A

repeat BPE at next check up

33
Q

What is the periodontal reassessment for code 2

A

periodontal charting of sextants scoring 3, after initial therapy

34
Q

What is the periodontal reassessment for code 3

A

Full periodontal charting before and after treatment

35
Q

What is the periodontal reassessment for code 4

A

Full periodontal charting before and after treatment

36
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

BSP (1 decks)

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