Classification of Periodontitis

Question 1

how should you deal with periodontitis and pregnancy

Answer 1

periodontal treatment is safe for pregnant patients - treat in second trimester

Question 2

what treatment should you avoid during pregnancy

Answer 2

periodontal surgery
full mouth debridement

Question 3

what is captured in the new classification for perio disease

Answer 3

capture extent and severity
patuent susceptibility
current periodontal state

Question 4

what are the different types of periodontal disease

Answer 4

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

Question 5

how is periodontitis classified

Answer 5

four stages and three grades

Question 6

what does stage 1 perio disease mean

Answer 6

early/ mild - less than 15% bone loss at worst site

Question 7

what does stage 2 perio disease mean

Answer 7

moderate - coronal third of root bone loss

Question 8

what does stage 3 perio disease mean

Answer 8

severe - mid third of root bone loss

Question 9

what does stage 4 perio disease mean

Answer 9

very severe - apical third of root

Question 10

how do you grade teeth

Answer 10

percentage bone loss divided by age of the patient

Question 11

what is a grade A

Answer 11

slow progression - less than 0.5

Question 12

what is a grade B

Answer 12

moderate progression - 0.5-1

Question 13

what is a grade C

Answer 13

rapid progression - more than 1

Question 14

what does the extent of the disease capture

Answer 14

the distribution
localised/ generalise/ molar-incisor pattern

Question 15

how often should you review initial periodontal treatment with localised 6PPC

Answer 15

3 months

Question 16

what can you use if it is not indicated to take radiographs or you only have bitewings

Answer 16

measure bone loss from CEJ

Question 17

when would a patient be considered stable

Answer 17

BOP less than 10%
pocket probing depth less than 4mm
no BOP at 4mm sites

Question 18

when would a patient be considred in remission

Answer 18

BOP more than 10%
pocket probing depth of less than 4mm
no BOP at 4mm sites

Question 19

when would a patient be considered currently unstable

Answer 19

pocket probing depth of 5mm or
pocket probing depth of 4mm and BOP

Question 20

what are some examples of risk assessments for periodontal disease

Answer 20

smoking
sub-optimally controlled diabetes

Question 21

what does a BPE of three suggest

Answer 21

BSP guidelines - remove every bit of supra and subgingival plaque, OH advice and 6PPC for that sextant only