Periodontal examination Flashcards
what probe is used for a BPE?
WHO/CPITN
describe the WHO/CPITN probe
ball ended
3mm increments
ball is 0.5mm
first black band 3.5mm
what is BPE code 0?
<3.5mm pocket
no calculus
no BOP
what is BPE code 1?
<3.5mm pocket
no calculus
BOP
what is BPE code 2?
<3.5mm pocket
calculus
what is BPE code 3?
3.5mm-5.5mm pocket
1st black band
what is BPE code 4?
> 5.5mm pocket
what symbol is used for furcation?
*
how many sextants is a BPE chart?
6
how do you record a sextant with no teeth?
record as no teeth and add single tooth in adjacent sextant
where should you NOT do BPE?
around implants
what is treatment for BPE code 0?
no treatment
reassess next visit
what is treatment for BPE code 1?
OHI
plaque and bleeding charts
reassess next visit
what is treatment for BPE code 2?
OHI + removal of calculus
plaque and bleeding charts
reassess next visit
what is treatment for BPE code 3?
OHI, calculus removal, RSD if required (PMPR)
plaque and bleeding charts
6ppc in 3 scoring areas after initial treatment
what is treatment for BPE code 4?
OHI, PMPR, consider referral
plaque and bleeding charts
x-rays if furcation or LOA >7mm
6ppc before and after treatment
what probe is used for 6ppc?
CP12
what does a detailed perio exam assess?
BOP
PPD
LOA
furcations
mobility
what is the best clinical indicator of active disease?
BOP
What action do you perform to assess BOP?
perio probe along base of gingival sulcus
keep probe moving
what measurement if LOA?
ACJ to base of pocket
what is degree 1 furcation?
horizontal loss of support NOT exceeding 1/3rd of bucco-lingual width
what is grade 2 furcation?
horizontal loss of support exceeding 1/3rd of bucco-lingual width
what is grade 3 furcation?
horizontal destruction of perio tissues in the furcation area - through and through destruction
