staging & grading and BPE code treatments Flashcards
what does the staging show us?
how many stages are there?
what are they?
how severe the bone loss and disease is.
there are 4 stages
STAGE I - early/ mild
borderline betweeen gingivitis and periodontitis
< 15% bone loss from CEJ.
STAGE II - moderate
established periodontitis
Bone loss coronal third of root
STAGE III - severe -
Bone loss mid third of root
Patient at risk of tooth loss
STAGE IV - very severe -
Bone loss in apical third of the root.
Hypermobility, occlusal trauma, drifting Loss of aesthetics and function
what does the grading show us?
how many grades are there and what do they mean?
how fast the bone loss and disease is progressing
GRADE A- SLOW bone loss
GRADE B- MODERATE bone loss
GRADE C- SEVERE bone loss
Risks for developing periodontal disease?
Smoking
Poor oral hygiene
Dry mouth
Cannabis use
Alcohol intake
Poor Glycaemic control
Obesity
Poor Diet
BPE of 1
what is this?
what is the treatment?
no pockets below 3.5mm
bleeding on probing
black band completely visible
OHI instruction
BPE of 2
what is this?
what is the treatment?
no pockets below 3.5mm
Bleeding gums with calculus present
black band completely visible
OHI instruction, removal of all plaque retentive factors, supra or sub gingival calculus
BPE of 3
what is this?
what is the treatment?
pockets measuring between 3.5mm-5.5mm
black band partially visible
OHI, RSD (root surface cleaning), 6PPC
BPE of 4
what is this?
what is the treatment?
Pockets measuring deeper than 5.5mm
black band completely gone
OHI, RSD (root surface cleaning), 6PPC