Perio Treatment planning

Question 1

First stage of every new patient

Answer 1

History, examination and screening (BPE and assessment of historic periodontitis - interdental recession)

Question 2

Code 0/1/2 - Clinical gingival health

Answer 2

<10% bleeding on probing

Question 3

Code 0/1/2: localised gingivitis

Answer 3

10-30% BoP

Question 4

Code 0/1/2: Generalised gingivitis

Answer 4

> 30%

Question 5

Code 3 or 4

Answer 5

Radiographic assessment and 6 point pocket chart

Question 6

Where a code 2 is present…

Answer 6

diagnosis should also include a comment on plaque retentive factors

Question 7

Bone loss: localised periodontitis

Answer 7

<30% of teeth

Question 8

Bone loss: generalised periodontitis

Answer 8

> 30%

Question 9

Staging

Answer 9

I-IV based off the worst bone loss at the site

Question 10

Stage I

Answer 10

Question 11

Stage II

Answer 11

Question 12

Stage III

Answer 12

Question 13

Stage IV

Answer 13

Question 14

Grading

Answer 14

Bone loss/patients age

Question 15

Grade A

Answer 15

Question 16

Grade B

Answer 16

Question 17

Grade C

Answer 17

Question 18

Status: Currently stable

Answer 18

Question 19

Currently in remission

Answer 19

Question 20

Currently unstable

Answer 20

Question 21

Diagnosis statement

Answer 21

Question 22

Code?

Answer 22

0

Question 23

Pockets <3.5mm, no calculus/overhangs, bleeding on probing (black band entirely visible)

Answer 23

Code 1

Question 24

Pockets <3.5mm, supra or subgingival calculus/overhangs (BB entirely visible)

Answer 24

Code 2

Question 25

Probing depth 3.5-5.5mm, BB partially visible indicating pockets of 4-5mm

Answer 25

Code 3

Question 26

Probing depth >5.5mm, BB disappears indicating a pocket of 6mm or more

Answer 26

Code 4

Question 27

Furcation involved

Answer 27

*

Question 28

Treatment: code 0

Answer 28

no treatment

Question 29

Treatment: code 1

Answer 29

OHI

Question 30

Treatment: code 2

Answer 30

OHI, plus removal of plaque retentive factors, including all supra and subgingival calculus

Question 31

Treatment: code 3

Answer 31

OHI, plus removal of plaque retentive factors, including all supra and subgingival calculus, RSD

Question 32

Code 4: treatment

Answer 32

OHI, RSD, assess the need for more complex treatment; referral to a specialist may be indicated

Question 33

Code *: treatment

Answer 33

Treat according to BPE code 0-4 assess the need for more complex treatment; referral to a specialist may be indicated