Classification of Periodontal Diseases : gingivitis and periodontitis Flashcards
What is BPE?
A screening tool to reach provisional diagnosis
A BPE (WHO) probe is used
You record the highest BPE code for each sextant
look at slide
What’s the minimum amount of teeth a sextant can have to qualify?
Minimum of 2 teeth, if only one tooth is present in a sextant, you include it in the sextant next to it.
How many sextants is the dentition divided into?
6 sextants
look at the slides
What are the possible BPE codes?
0, 1, 2, 3, 4 and a * to indicate presence of furcation
BPE 3- black band partially covered
BPE 4- Black band is fully covered
What is the 2017 classification of periodontal diseases?
look at the slides
What should you do if your patient has a BPE code of 3 or 4?
-Take radiographs
-Record 6 point pocket chart (if there is a 4 present, you do the whole dentition but if there is a code max of 3, you only do it for the sextant that has code 3)
What do you need to do once you’ve ascertained the disease extent?
look at the slide
Describe BPE codes 0,1,2:
Black band is always visible
0- no bleeding on probing + calculus
1-Bleeding on probing, no calculus
2-Bleeding, overhangs and calculus.
look at the slide
How can we use bleeding percentage?
look at slide
What is an intact periodontium?
look at slide
What is a reduced periodontium?
look at slide
What is staging and what is it based on?
Staging reflects the severity of disease and is based on Radiographic bone loss alone, specifically the percentage of bone loss in relation to Bone length.
How is periodontitis status assessed?
look at the slide
What is grading?
Grading (rate of progression) reflects the patients susceptibility to periodontitis and is determined by working out the ratio of bone loss percentage over age
look at slide
What will your final diagnosis include?
- staging
- grading
- extent
- current disease status
- risk factor assessment
Example of a diagnosis in pic attached
look at slide
