Perio History and Examination Flashcards
prognosis means
predicted outcome of treatment
considered after you make a diagnosis and before treatment plan
gov recommended alcohol intake
14 units per week
if patient has angina what would you consider keeping in clinic
glyceryl trinitrate tablet/ spray to relieve angina symptoms
if patient has type 1 diabetes, what are they at risk of
HYPO glycaemia
types of anti-coagulants (blood thinners that prevent blood clots)
warfarin
apixaban (new anti-coagulant)
if patient is on anti-coagulants, what would you record if certain sugeries taking place
the INR - international normalised ratio
when would you need to take INR
before any
sub-gingival scaling
root suface debridement
surgery/ extraction with high bleeding risk
how would you take the INR
- INR test machina on clinic
2. patients can have it recorded in haematology clinic within 24hrs of visit, and bring in their yellow diary
in LDI, the INR must be…
BELOW 4
BBV are
`HEP B
HEP C
HIV
NICE recommendations, based on systemic reviews of evidence, on PROPHYLAXIS antibiotics are…
- 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
meaning of pallor
meaning of gait
pallor- pale appearance
gait- walking
in 1982 the BPE was called
CPITN
IN 2016, the BPE code was revised to update
BPE guidelines
update code 3
radiographic guidance
BPE is a mechanism of SCREENING (to help achieve a diagnosis) but it cant be used to…
monitor the response to periodontal therapy
what can be used to monitor the RESPONSE to periodontal therapy
a 6 point pocket chart (pre and post treatment)
5 key summaries from the BSP BPE current guidelines
- radiographs for all code 3 and 4 sexants and peri-apicals IS recommended
- code 3 sexants should only have a 6 point pocket chart AFTER initial therapy
- when carrying out a 6 point pocket chart, only record the sites of 4mm and higher
- ALWAYS record bleeding on probing with a 6-POINT chart
- BPE should not be used around implants
features of the WHO BPE probe
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
BPE sexants in ADULTS
ur7- ur4/ ur3- ul3/ ul4- ul7
_____________________
lr7- lr4/ lr3- ll3/ ll4- ll7
how would you use the BPE probe in ADULTS
- 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
- record the WORST score in EACH SEXANT BUT if code 4 is found, then continue to examine ALL sites in sexant
- for a BPE score for each sexant to be given, then need a MINIMUM OF 2 TEETH PER SEXANT
- scoring in adults is 0-4, * for furcation
what does 0, 1, 2, 3, 4 mean on adult BPE score
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
what are the BPE sexants in CHILDREN/ TEENAGERS
UR6/ UR1/ UL6
___________
LR6/ LL1/ LL6
0-2 code is used for ages….
7-11 years
if patient had code 0,1,2 you would repeat the BPE ever..
12 months
if patient had code 3,4 you would repeat the BPE every
3 months
and also, if 3= at initial therapy, and post treatment pocket chart
if 4/ *= more detailed perio charting
which factors will affect probing
size of probe angulation of probe contour of tooth and root surface probing FORCE inflammation status of tissues
the BPE can help achieve a diagnosis but special tests need to be carried out including….
vitality test
radiographs
haematology/microbiology
