L53. Treatment, Planning and Management

Question 1

Give 4 signs of plaque-induced gingivitis.

Answer 1

bleeding on probing
high plaque score
high bleeding scores
redness and swelling

Question 2

Give the definition of periodontitis.

Answer 2

In susceptible people, bacteria causes severe inflammation and oral bone loss.
gingival recession
radiographic bone loss
probe depth >4mm

Question 3

What is a BPE?

Answer 3

Basic periodontal exam

Question 4

• What is the BPE probe for?

Answer 4

A screening tool for periodontal disease.

Question 5

*Why is a BPE probe not fool-proof?

Answer 5

The ball can catch on calculus and overhangs

Question 6

What size is the BPE ball?

Answer 6

0.5mm

Question 7

Where is the black band on the BPE probe?

Answer 7

3.5mm to 5.5mm

Question 8

Annotate the following with the teeth present in each sextant of the BPE chart.
____|_____|_____
| |

Answer 8

UR7-4 | 3-3 | UL4-7
LR7-4 | 3-3 | LL4-7

(imagine looking at a patient straight on)

Question 9

Which teeth are not included in a BPE?

Answer 9

8s

Question 10

Where is the probe inserted?

Answer 10

Into the gingival crevice.

Question 11

What does a BPE score of 0 mean?

Answer 11

Black band completely visible
no probe depth greater than 3.5mm
no calculus/overhangs
no bleeding on probing

Question 12

What does a BPE score of 1 mean?

Answer 12

Black band completely visible
no probe depth greater than 3.5mm
no calculus/overhangs
BLEEDING ON PROBING
Possible gingivitis

Question 13

What does a BPE score of 2 mean?

Answer 13

Black band completely visible
no probe depth greater than 3.5mm
SUB-/SUPRA-GINGIVAL CALCULUS/OVERHANGS PRESENT
BLEEDING ON PROBING

Question 14

What does a BPE score of 3 mean?

Answer 14

BLACK BAND PARTIALLY VISIBLE

PROBE DEPTH 3.5MM-5.5MM

Question 15

What does a BPE score of 4 mean?

Answer 15

BLACK BAND ENTIRELY WITHIN POCKET

PROBE DEPTH >5.5MM

Question 16

What does a * next to the BPE score mean?

Answer 16

Furcation involvement

Question 17

If 4 teeth in the same sextant are scored 1,1,1,3, which score is noted for that sextant?

Answer 17

3

Question 18

What can cause a false pocket?

Answer 18

Gingivitis

Question 19

What would a plaque/gingivitis score of 0 mean?

Answer 19

Plaque/bleeding is absent.

Question 20

What would a plaque/gingivitis score of 1 mean?

Answer 20

Plaque/bleeding is present.

Question 21

When would you term the patients to have generalised plaque and/or gingivitis?

Answer 21

> 30% of sites

Question 22

When would you term the patients to have localised plaque and/or gingivitis?

Answer 22

> or equal to 10% but less than 30% of sites.

Question 23

How do you determine a plaque/bleeding score?

Answer 23

((no. of surfaces with plaque/bleeding) divided by (no. of teeth x4)) x100

Question 24

Which teeth are more prone to calculus build-up?

Answer 24

Malpositioned teeth

Question 25

What increases plaque retention?

Answer 25

Dentures as they are not natural

Question 26

How is a denture marked on a BPE?

Answer 26

X

Question 27

What level of plaque must there be before a sub-gingival scale can be given?

Answer 27

Less than 20% plaque.