L53. Treatment, Planning and Management Flashcards
Give 4 signs of plaque-induced gingivitis.
bleeding on probing
high plaque score
high bleeding scores
redness and swelling
Give the definition of periodontitis.
In susceptible people, bacteria causes severe inflammation and oral bone loss.
gingival recession
radiographic bone loss
probe depth >4mm
What is a BPE?
Basic periodontal exam
- What is the BPE probe for?
A screening tool for periodontal disease.
*Why is a BPE probe not fool-proof?
The ball can catch on calculus and overhangs
What size is the BPE ball?
0.5mm
Where is the black band on the BPE probe?
3.5mm to 5.5mm
Annotate the following with the teeth present in each sextant of the BPE chart.
____|_____|_____
| |
UR7-4 | 3-3 | UL4-7
LR7-4 | 3-3 | LL4-7
(imagine looking at a patient straight on)
Which teeth are not included in a BPE?
8s
Where is the probe inserted?
Into the gingival crevice.
What does a BPE score of 0 mean?
Black band completely visible
no probe depth greater than 3.5mm
no calculus/overhangs
no bleeding on probing
What does a BPE score of 1 mean?
Black band completely visible no probe depth greater than 3.5mm no calculus/overhangs BLEEDING ON PROBING Possible gingivitis
What does a BPE score of 2 mean?
Black band completely visible
no probe depth greater than 3.5mm
SUB-/SUPRA-GINGIVAL CALCULUS/OVERHANGS PRESENT
BLEEDING ON PROBING
What does a BPE score of 3 mean?
BLACK BAND PARTIALLY VISIBLE
PROBE DEPTH 3.5MM-5.5MM
What does a BPE score of 4 mean?
BLACK BAND ENTIRELY WITHIN POCKET
PROBE DEPTH >5.5MM
What does a * next to the BPE score mean?
Furcation involvement
If 4 teeth in the same sextant are scored 1,1,1,3, which score is noted for that sextant?
3
What can cause a false pocket?
Gingivitis
What would a plaque/gingivitis score of 0 mean?
Plaque/bleeding is absent.
What would a plaque/gingivitis score of 1 mean?
Plaque/bleeding is present.
When would you term the patients to have generalised plaque and/or gingivitis?
> 30% of sites
When would you term the patients to have localised plaque and/or gingivitis?
> or equal to 10% but less than 30% of sites.
How do you determine a plaque/bleeding score?
((no. of surfaces with plaque/bleeding) divided by (no. of teeth x4)) x100
Which teeth are more prone to calculus build-up?
Malpositioned teeth
What increases plaque retention?
Dentures as they are not natural
How is a denture marked on a BPE?
X
What level of plaque must there be before a sub-gingival scale can be given?
Less than 20% plaque.
