Classification of Periodontitis Flashcards
how should you deal with periodontitis and pregnancy
periodontal treatment is safe for pregnant patients - treat in second trimester
what treatment should you avoid during pregnancy
periodontal surgery
full mouth debridement
what is captured in the new classification for perio disease
capture extent and severity
patuent susceptibility
current periodontal state
what are the different types of periodontal disease
health
plaque - induced gingivitis
non-plaque induced gingival conditions
periodontitis
necrotising periodontal diseases
periodontitis as a manifestation of systemic disease
systemic diseases or conditions affecting teh periodontal tissues
periodontal abscesses
perio-endodontic lesions
muco-gingival deformities
how is periodontitis classified
four stages and three grades
what does stage 1 perio disease mean
early/ mild - less than 15% bone loss at worst site
what does stage 2 perio disease mean
moderate - coronal third of root bone loss
what does stage 3 perio disease mean
severe - mid third of root bone loss
what does stage 4 perio disease mean
very severe - apical third of root
how do you grade teeth
percentage bone loss divided by age of the patient
what is a grade A
slow progression - less than 0.5
what is a grade B
moderate progression - 0.5-1
what is a grade C
rapid progression - more than 1
what does the extent of the disease capture
the distribution
localised/ generalise/ molar-incisor pattern
how often should you review initial periodontal treatment with localised 6PPC
3 months
what can you use if it is not indicated to take radiographs or you only have bitewings
measure bone loss from CEJ
when would a patient be considered stable
BOP less than 10%
pocket probing depth less than 4mm
no BOP at 4mm sites
when would a patient be considred in remission
BOP more than 10%
pocket probing depth of less than 4mm
no BOP at 4mm sites
when would a patient be considered currently unstable
pocket probing depth of 5mm or
pocket probing depth of 4mm and BOP
what are some examples of risk assessments for periodontal disease
smoking
sub-optimally controlled diabetes
what does a BPE of three suggest
BSP guidelines - remove every bit of supra and subgingival plaque, OH advice and 6PPC for that sextant only
