screening for periodontal disease

Question 1

what are the 6 ramfjord teeth

Answer 1

16, 21, 24, 36, 41, 44

Question 2

how is a plaque index score taken

Answer 2

ramfjord teeth taken and split each into buccal, palatal and inter-proximal

0 = no plaque
1= plaque with probe use
2= plaque no probe use
N = no score

score / 36 (x100) = %

Question 3

how is a bleeding score taken?

Answer 3

ramfjord teeth taken and split into 4 sections, buccal, palatal, mesial and distal

1 = bleeding
0 = no bleeding

score / 24 (x100) = %

Question 4

how do you determine if a patient is engaged or not? what does this mean?

Answer 4

<30% modified plaque score
<35% modified bleeding score

Or

<20% plaque score
<30% bleeding score
BSP

or

> or = to 50% improvement

only RSD if engaged patient

Question 5

how is tooth mobility assessed?

Answer 5

0 = no movement

1 = 1mm movement

2 = >1mm movement

3 = severe movement

Question 6

what is a BPE score of 0 and its treatments?

Answer 6

No BOP, no Plaque, pockets >3.5mm

No treatment needed other than reassurance and positive feedback.

Question 7

what is a BPE score of 1 and its treatments?

Answer 7

BOP, no plaque, pockets >3.5mm.

OHI given

assess BOP

Question 8

what is a BPE score of 2 and its treatments?

Answer 8

?BOP, Plaque present, pockets <3.5mm

OHI and removal of plaque retentive factors

assess BOP

Question 9

what is a BPE score of 3 and its treatments?

Answer 9

?BOP, ?Plaque, pockets 3.5-5.5mm (first band semi visible)

Appropriate radiographic assessment

OHI and RSD and removal of PRF

UPON RE-EVALUATION

6ppc sextant:

no pockets deeper than 4mm? see code 2

pockets deeper than 4mm? see code 4

Question 10

what is a BPE score of 4 and its treatments?

Answer 10

?BOP, ?Plaque, pockets >6mm (first band hidden)

Radiograph and 6ppc full mouth

OHI, RSD, PRF removal, assess and refer possibly

assess engagement? P+B?

Question 11

what is a BPE score of * and its treatments?

Answer 11

furcation involvement

assess stage of furcation

OHI, RSD, PRF removal

Question 12

how do you take a BPE?

Answer 12

divide into sextants - only use 8s if 7s and 6s are missing

7654, 321123, 4567 upper and lower

run probe along gingival pockets buccal lingual and inter-proximal and write down score of the worst site of the sextant

Question 13

What is the BPE?

Its pros and cons

Answer 13

A screening tool for periodontal disease

Its pros:

• universally recognised
• quick to do

Limitations:

• not diagnostic
• false pockets can impact score
• does not indicate disease extent

Question 14

What probe is used for a BPE?

Answer 14

BPE/WHO/CPITN probe

Question 15

What probe is used for a 6ppc

Answer 15

PCP12