Periodontology

Question 1

Name of the BPE probe

Answer 1

Who Probe
0.5mm ball ended
Lines at 3.5-5.5, 8.5-11.5

Question 2

BPE codes

Answer 2

0 - Healthy
1- BOP
2- Plaque retentive factor
3 - 3.5-5.5mm pocket
4 - >5.5mm pocket
* - Furcation involvement

Question 3

Teeth tested in MPBS

Answer 3

Ramfjords Teeth
16, 21, 24, 36, 41, 44

Question 4

Effect of poorly controlled diabetes on periodontal disease

Question 5

Effect of smoking on periodontal disease

Question 6

(-) if MPS tooth missing

Answer 6

-6 for each tooth missing

Question 7

(-) if MBS tooth missing

Answer 7

-4 for each tooth missing

Question 8

What do you record in a review 6PPC

Answer 8

Pockets of 4mm or more + position
Mobility
Bleeding

Question 9

MPS + total

Answer 9

0 - nil
1- skimmed plaque
2- visible plaque
N -

/36

Question 10

MBS + total

Answer 10

0 - nil
1- BOP

/24

Question 11

Staging for periodontal diagnosis

Answer 11

1 - early/mild - <15% or 2mm

2 - moderate - coronal 3rd of root

3 - severe - mid 3rd of root

4 - v severe - apical 3rd of root

Question 12

Grading for periodontal diagnosis

Answer 12

A - slow - <0.5
B - moderate - 0.5-1
C - rapid >1

Question 13

Definition of localised periodontal disease

Answer 13

<30% of teeth

Question 14

Definition of generalised periodontal disease

Answer 14

> 30% of teeth

Question 15

Grey scaler use

Answer 15

Sub gingival U+L anteriors

Question 16

Green scaler use

Answer 16

Sub gingival B+L posteriors

Question 17

Orange scaler use

Answer 17

Sub gingival M of posteriors

Question 18

Blue scaler use

Answer 18

Sub gingival D of posteriors

Question 19

Mini sickle use

Answer 19

Supragingival B+ L embrasure

Question 20

Columbia use

Answer 20

Subgingival anywhere but limited access to deep pockets

Question 21

Hoe scaler red use

Answer 21

Gross supra+subgingival on M+D surfaces

Question 22

Hoe scaler yellow use

Answer 22

Gross supra+subgingival on D of posteriors

Question 23

Signs of periodontitis (7)

Answer 23

1. Bleeding gums
2. Swollen/tender gums
3. Bad breath
4. Tooth loss
5. Sensitivity
6. Mobility
7. Gum abscesses

Question 24

Risk factors for periodontal disease

Answer 24

• Diabetes
• Smoking
• Stress
• Diet low in nutrients
• Obesity
• Certain meds (Anticonvulsant/Ca blocker/Immunosuppresant drugs)
• FH
• Lack of exercise

Question 25

Benefits of tx (3)

Answer 25

• Decreased risk of diabetes/heart disease
• Keep teeth longer
• Fresher mouth no bleeding/soreness

Question 26

Side effects of tx (6)

Answer 26

• Short term discomfort
• Sensitivity to hot/sweet
• Gum recession
• Temporary inc in mobility
• Inc root surface caries risk
• Gaps between teeth

Question 27

S3 BSP Guidelines

Answer 27

1. • Explain disease, risk factors, risks+benefits/alternatives
   • OHI, smoking cessation
   • Supragingival PMPR
2. • Subgingival PMPR
   • Re-evaluate after 3mths
3. • Unstable
   • Reinforce OHI
   • If 4-5mm pockets repeat subgingival
4. • Stable
   • Reinforce OHI+ behaviour change
   • Regular PMPR
   • Recall within 3-12mths