Periodontal Screening and Management of Periodontal Conditions in Children Flashcards
what were the aims of the 2021 guidance
outline method of screening
provide guidance on periodontal management
what are the different classifications of periodontal conditions
periodontal health
gingivitis dental biofilm induced
gingival diseases non biofilm induced
necrotising periodontal diseases
periodontitis
periodontitis as manifestation of systemic disease
systemic diseases affecting periodontal supporting tissues
perio and endo abscesses
mucogingival deformities and conditions
traumatic occlusal forces
tooth and prosthesis related factors
what is periodontal health
a state free from inflammatory periodontal disease that allows an individual to function normally that avoids physical or mental consequences to current or past disease
what are the features of gingival health
gingival margin several millimetres coronal to CEJ
gingival sulcus 0.5mm-3mm deep
alveolar crest situated between 0.4mm-1.9mm apical to CEJ
what can a reduced periodontium be due to
crown lengthening surgery
recession
stable periodontitis
what should bleeding on probing be in gingival health
<10%
what are the types of gingivitis
plaque biofilm induced
non-plaque biofilm induced
what is plaque induced gingivitis
as supragingival plaque accumulates on teeth an inflammatory cell infiltrate develops in gingival connective tissue
junctional epithelium is disrupted
apical migration of plaque and increase in gingival sulcus depth
what are the features of necrotising gingivitis
pain
necrosis of interdental papilla
ulceration
spontaneous bleeding
pseudomembrane present
lymphadenopathy
fever
what are the predisposing factors for periodontal diseases
malocclusion
traumatic dental injury
dental biofilm retentive factors
what are the modifying risk factors for periodontal diseases
smoking
metabolic factors - diabetes
pharmacological agents
nutritional factors
increase sex steroids
haematological conditions
what is gingival overgrowth related to
systemic and metabolic diseases
genetic factors
local factors
side effects from medications
how do you treat gingival overgrowth
rigorous home care
PMPR
surgery
when would you consider urgent referral to a physician for haematinic screening
where extent of condition is inconsistent with level of oral hygiene observed
what is periodontitis
chronic multifactorial inflammatory disease associated with dysbiotic plaque biofilms and characterised by progressive destruction of tooth supporting apparatus
what are the key features of periodontitis
apical migration of CEJ
loss of attachment of periodontal tissues to cementum
transformation of junctional epithelium to pocket epithelium
alveolar bone loss
what is an early clinical sign of periodontitis
> 1mm loss of attachment
what systemic diseases have periodontitis as a manifestation
papillon lefevre
downs
neutropenias
what is recorded re the gingival condition
gingival colour
contour
swelling
recession
suppuration
inflammation
marginal bleeding
how do you assess OH status
description of plaque status
describe surfaces covered by plaque
is plaque easily visible
detectable only on probing
use of plaque free scores
who is the simplified BPE used on
co-operative children aged 7-18 years old
why is the BPE simplified for children
quick
easy
well tolerated
avoid false pocketing
what teeth are used for simplified BPE
16, 11, 26, 36, 31, 46
what codes are used for ages 7-11
BPE 0-2
what codes are used for ages 12-17
BPE 0-4
what is the plaque scores like for children
it is out of 10 with 10 being the best and 2 being the worst
what happens when the BPE is code 3 or 4
6ppc
check alveolar bone level with radiographs
what oral health messages are important in prevention
affective toothbrushing
fluoride advice
smoking cessation
oral health measures
what is recall for someone with BPE of 3
3 months for full periodontal assessment and 6ppc in affected sextants
what are the s3 guidelines for treating younger age groups
preventive advice
health education
OHI
what is step 1 of s3 guidelines
behaviour change/motivation to controlling plaque biofilm
supragingival PMPR
what is step 2 of s3 guidelines
subgingival PMPR
what is step 3 of s3 guidelines
further subgingival instrumentation
what is step 4 of s3 guidelines
maintenance
