Periodontal Care Flashcards
how many teeth need to be in a sextant to count it for BPE
2
what BPE is used for children under 18
simplified BPE using 6s and 1s
what codes are used for 7-11yr olds
0-2
when do we start doing a BPE
age 7
what is grade 1 furcation
furcation felt but less than one third of tooth width
what is grade 2 furcation
loss of support exceeds one third tooth width
what is furcation 3
through and through involvement
how much should a tooth be able to move (mobility)
0.1-0.2mm
what is grade 1 mobility
1mm
what is grade 2 mobility
exceeding 1mm in horizontal direction
what is grade 3 mobility
horizontal AND vertical mobility
what are the key recommendations for modifying behaviour
use TIPPS
raise smoking cessation
encourage to modify other lifestyle factors
what does TIPPS stand for
talk
instruct
practice
plan
support
what OHI do we give
brush twice a day for 2 mins
fluoride toothpaste
clean interdentally once a day
what drugs can cause gingival enlargement
calcium channel blockers (amlodipine)
phenytoin
what do you do if a patient has mild pregnancy gingivitis
use TIPPS
what do you do if a patient has severe pregnancy gingivitis
give oral hygiene and smoking cessation, remove supragingival plaque and calculus and subgingival (after first trimester)
if a patient has sensitivity after PMPR what can you do
advise use of desensitising toothpaste
high fluoride toothpaste
what do you do if someone has a peri-endo lesion
do RCT
recommend chlorhexidine until symptoms subside
review after 10 days then do PMPR
what do you do if someone has a periodontal abscess
PMPR
incise and drain if need be
chlorhexidine use
review after 10 days
what do you do for NUG
TIPPS
PMPR
chlorhexidine
metronidazole if spreading
review within 10 days and further PMPR
what must we do for long term maintenance for the patient
ensure they can carry out optimal plaque removal
remove calculus
assign risk level for recall
what are the key recommendations for patients with implants
ensure they can perform plaque removal
examine for signs of inflammation and BOP
perform radiographs where clinically indicated
what do you do for peri-mucositis on implants
exclude peri-implantitis
use TIPPS
PMPR with implant tips
re-assess
what do you do for peri-implantitis
radiograph
TIPPS and refer to implant clinician
or if they cant see them do PMPR
arrange follow up appointment and seek advice from secondary care
what is they key recommendations regarding referral of a perio patient
consult any local referral guidelines
carry out initial therapy
provide supportive periodontal therapy and monitor patients
what are the key recommendations for record keeping
record results of periodontal examination and standard of oral hygiene
record diagnosis, suggested treatment plan and details of costs
document any discussions you have with patient
