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Periodontal Disease > Perio History and Examination > Flashcards

Perio History and Examination Flashcards

1
Q

prognosis means

A

predicted outcome of treatment

considered after you make a diagnosis and before treatment plan

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2
Q

gov recommended alcohol intake

A

14 units per week

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3
Q

if patient has angina what would you consider keeping in clinic

A

glyceryl trinitrate tablet/ spray to relieve angina symptoms

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4
Q

if patient has type 1 diabetes, what are they at risk of

A

HYPO glycaemia

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5
Q

types of anti-coagulants (blood thinners that prevent blood clots)

A

warfarin

apixaban (new anti-coagulant)

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6
Q

if patient is on anti-coagulants, what would you record if certain sugeries taking place

A

the INR - international normalised ratio

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7
Q

when would you need to take INR

A

before any

sub-gingival scaling
root suface debridement
surgery/ extraction with high bleeding risk

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8
Q

how would you take the INR

A
  1. INR test machina on clinic

2. patients can have it recorded in haematology clinic within 24hrs of visit, and bring in their yellow diary

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9
Q

in LDI, the INR must be…

A

BELOW 4

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10
Q

BBV are

A

`HEP B
HEP C
HIV

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11
Q

NICE recommendations, based on systemic reviews of evidence, on PROPHYLAXIS antibiotics are…

A
  1. prophylaxis against INFECTIVE ENDOCARDITIS is NOT ROUTINELY recommended for people undergoing dental treatment
    exempt from this rule are patients with…
    - congenital heart disease
    - previous episode of infective endocarditis
    -prosthetic valve
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12
Q

meaning of pallor

meaning of gait

A

pallor- pale appearance

gait- walking

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13
Q

in 1982 the BPE was called

A

CPITN

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14
Q

IN 2016, the BPE code was revised to update

A

BPE guidelines
update code 3
radiographic guidance

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15
Q

BPE is a mechanism of SCREENING (to help achieve a diagnosis) but it cant be used to…

A

monitor the response to periodontal therapy

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16
Q

what can be used to monitor the RESPONSE to periodontal therapy

A

a 6 point pocket chart (pre and post treatment)

17
Q

5 key summaries from the BSP BPE current guidelines

A
  1. radiographs for all code 3 and 4 sexants and peri-apicals IS recommended
  2. code 3 sexants should only have a 6 point pocket chart AFTER initial therapy
  3. when carrying out a 6 point pocket chart, only record the sites of 4mm and higher
  4. ALWAYS record bleeding on probing with a 6-POINT chart
  5. BPE should not be used around implants
18
Q

features of the WHO BPE probe

A

0.5 mm spherical ball end

light probing force (29-25g)

3.5-5.5 mm black band

markings at: 8.5mm, 11.5 mm

19
Q

BPE sexants in ADULTS

A

ur7- ur4/ ur3- ul3/ ul4- ul7
_____________________

lr7- lr4/ lr3- ll3/ ll4- ll7

20
Q

how would you use the BPE probe in ADULTS

A
  1. walk the probe around the 6 sites OF EACH tooth (db, b, mb, dl, l, ml) EXCEPT the 3rd molars, unless 1st and or 2nd molars are missing
  2. record the WORST score in EACH SEXANT BUT if code 4 is found, then continue to examine ALL sites in sexant
  3. for a BPE score for each sexant to be given, then need a MINIMUM OF 2 TEETH PER SEXANT
  4. scoring in adults is 0-4, * for furcation
21
Q

what does 0, 1, 2, 3, 4 mean on adult BPE score

A

0 = healthy

1= BOP

2= supra OR sub gingival CALCULUS OR plaque retention factor

3= SHALLOW pocket 3.5 mm or 5.5 mm deep. the black band will be PARTIALLY visible

4= DEEP pocket 5.5 mm or more deep. the black band will DISSAPEAR

22
Q

what are the BPE sexants in CHILDREN/ TEENAGERS

A

UR6/ UR1/ UL6
___________

LR6/ LL1/ LL6

23
Q

0-2 code is used for ages….

A

7-11 years

24
Q

if patient had code 0,1,2 you would repeat the BPE ever..

A

12 months

25
Q

if patient had code 3,4 you would repeat the BPE every

A

3 months

and also, if 3= at initial therapy, and post treatment pocket chart
if 4/ *= more detailed perio charting

26
Q

which factors will affect probing

A 
size of probe 
angulation of probe
contour of tooth and root surface 
probing FORCE 
inflammation status of tissues
27
Q

the BPE can help achieve a diagnosis but special tests need to be carried out including….

A

vitality test
radiographs
haematology/microbiology

Periodontal Disease (9 decks)

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