Question Prep 2 Flashcards
Patient with multiple scores of 3 for BPE what do you do?
Full mouth 6ppc
What do you do if only 1 tooth in sextant for BPE?
- Cross out that sextant
- Add the score to the adjacent sextant
Why don’t you include 8’s in BPE?
False pocketing
Probe for BPE?
CPETITN/WHO
Probe for 6PPC?
Williams
Probe for bleeding distribution?
BPE or Williams
What are the markings in a WHO probe?
- Ball 0.5
- 3.5-5.5
- 8.5
- 11.5
What are the markings in a Williams probe?
1,2,3,5,7,8,9,10
Force applied when probing for BPE?
20-25g
Where should a finger rest be for a BPE?
Close/on tooth to be worked on
Give 2 examples of plaque retentive factors
- Calculus
- Overhangs
Give the characteristics of healthy gums (5)
- Pink
- Stippled
- Firm consistently
- Scalloped edge
- Sharp knife-edge papillae
Give the characteristics of unhealthy gums (6)
- Red/Bleeding
- Soft consistency
- Loss of scalloped edge
- No stippling
- Inflamed
- Blunted papillae
What does class 1,2,3 mean for tooth mobility?
1: Up to 1mm horizontal
2: 1-2 horizontal
3: >2 horizontal or vertical
Define recession
The apical migration of the gingival margin from the Cemento-Enamel Junction
What is gingival hyperplasia?
Overgrowth of gum tissue around the teeth.
Explain how smoking 10 cigarettes a day is a risk factor of periodontal disease
- Reduces vascularity to the gingival tissues
- Which causes decreased wound healing
- Which impairs WB cell function
- Which increases production of inflammatory substances (cytokines)
- Which causing more tissue destruction
Give some risk factors of periodontal disease
- Smoking
- Poor OH
- Restorations
- Caries
- Medical history of note (eg diabetes)
What are some limitations of the measurements taken during a BPE/6PPC?
- Differing probing pressure
- Misread calibrations
- Incorrect angulations
- Calculus deposits or overhanging restorations
How often should you carry out a BPE for a new patient?
Do it annually, for every new patient
If you had a patient with little supragingival plaque but had a lot of bleeding on probing what does this show?
This shows that their OH is poor and they had probably just brushed their teeth that day to impress the dentist.
What does bleeding on probing mean in terms of gingival tissues?
This shows high levels of inflammation in their gingival tissues
Explain a BPE score of 0
No probing depth >3.5mm
No Calculus
No Overhangs
No bleeding on probing
Explain a BPE score of 1
No probing depth >3.5mm
No Calculus
No Overhangs
Bleeding on probing
