Periodontal treatment

Question 1

How can gingival health present as

Answer 1

Knife edge, scalloped gingival magin
Stippling (30% of people)
Pink/red

Question 2

What is the definition of gingival health

Answer 2

<10% bleeding sites with probing depths ≤3 mm (with no loss of attachment/radiological bone loss/interdental recession)

Question 3

What bone levels are expected in a patient with gingival health

Answer 3

1-3mm from the apex to the cemento-enamel junction (dentine)

Question 4

What is the definition of gingivitis

Answer 4

Bleeding on probing >10%
No radiological bone loss
No interdentalrecession

Question 5

What is are the differences in examination of healthy and inflamed gingiva

Answer 5

Bleeding on probing is >10% with gingivitis

Question 6

What are the similarities between gingivitis and healthy gingiva

Answer 6

No probing attachment loss
</= 3mm probing pocket depths
no radiological bone loss

Question 7

What is periodontitis

Answer 7

Inflammation
Loss of periodontal (interproximal) attachment

Question 8

What are the clinical differences between health and periodontitis

Answer 8

Periodontitis
-subgingival plaque biofilms
-Attachment loss
-Deep pockets
-boneloss
-gingival inflammation

Question 9

What other issues usually accompany periodontitis

Answer 9

Gingival recession
Halitosis
Bad taste
Tooth sensitivity
Abscesses
Tooth mobility

Question 10

What will unstable periodontitis present as

Answer 10

Probing pocket depth > 4mm
Loss of attachment
May also suppurate on probing

Question 11

What percentage of the adult population have periodontitis

Answer 11

around 50%

Question 12

How many cases of periodontitis are in younger populations (<30/35)

Answer 12

1.7%

Question 13

What is the epidemiology of periodontitis

Answer 13

-Some degree of gingivitisaffects 50-90% of the adult population
-Almost half the adults in the UK have a degree of periodontitis that is not reversible
-Only 17% of adults have no periodontal disease and healthy gums

Question 14

What are the steps to treating periodontitis

Answer 14

Immediate​

Initial or Disease Control/Management​

Re-Evaluation​

Reconstructive or Rehabilitation​

Maintenance​

Question 15

What is the basis of therapy

Answer 15

Examination
Assessment of risk factors
Diagnosis

Question 16

What is optional in the treatment of periodontitis

Answer 16

Step 3
-repeated subgingival instrumentation
-Periodontal surgery, access flap, resective, regenerative

Question 17

What is step 1 in treating periodontitis

Answer 17

-Control oflocal and systemic fcators
-OHI
-Professional mechanical plaque removal

Question 18

What is step 2 in the treatment of periodontitis

Answer 18

Step 1 + Subgingival instrumentation +/- adjuntive measures

Question 19

What is classed as initial disease control

Answer 19

Basis of therapy
Step 1
Step 2

Question 20

What can be used to screen for periodontitis

Answer 20

BPE - basic periodontal exam

Question 21

Could a patient with periodontal disease have a BP of 0

Answer 21

Yes the BPE is not equal to the periodontal status it may be stable

Question 22

When does the first black band on a BP probe disappear

Answer 22

Code 4

Question 23

What are the treatments recommended for each BP score

Answer 23

0
No need for periodontal treatment ​

1
Oral hygiene instruction (OHI) ​

2
OHI, removal of plaque retentive factors, including all supra- and subgingival calculus ​

3
OHI, root surface debridement (RSD) ​

4
OHI, RSD. Assess the need for more complex treatment; referral to a specialist may be indicated.

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

Question 24

What does OHI stand for

Answer 24

Oral health instruction

Question 25

What does interdental recession automatically mean for BP score

Answer 25

Code 4