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CDS Restorative Dentistry BDS1 > Treatment Planning of Gingival and Periodontal Disease > Flashcards

Treatment Planning of Gingival and Periodontal Disease Flashcards

1
Q

what is the appearance of healthy gingiva?

A

pink health stippled gingivae with good tone and absence of bleeding on brushing or probing

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2
Q

what is the appearance of gingivitis?

A

plaque-induced inflammation of the gingivae characterised by red, swollen tissues which bleed on brushing or probing

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3
Q

what is plaque-induced gingivitis

A

an inflammatory response of the gingival tissues resulting from bacterial plaque accumulation located at and below the gingival margin

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4
Q

what are the clinical signs of plaque-induced gingvitis?

A

bleeding on probing, high plaque score, high bleeding score, gingival swelling and redness

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5
Q

what does the patient notice with plaque-induced gingivitis?

A

blood in saliva, bleeding with toothbrushing and interdental cleaning, bad breath (halitosis)

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6
Q

what are the key points of plaque-induced gingivitis?

A

reversible inflammation of the gingival tissues, swelling and bleeding at the gingival margins, risk factor for periodontitis, probing depths <3mm, no attachment loss, no radiographic loss

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7
Q

what is the appearance of periodontitis?

A

inflammation of the supporting structures of the teeth, loss of attachment, recession, bleeding on brushing and bone loss

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8
Q

what is periodontitis?

A

an inflammatory disease initiated by bacteria which, in susceptible people, cause severe inflammation and loss of bone around the teeth

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9
Q

what are the clinical signs of periodontitis?

A

bleeding on probing, radiographic bone loss, gingival recession, probing depths >4mm (clinical attachment loss)

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10
Q

what does the patient notice in periodontitis?

A

blood in saliva, bleeding with toothbrushing and interdental cleaning, halitosis, black triangles, tooth movement

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11
Q

what are the key points of periodontitis?

A

inflammation of the supporting structures of the teeth, bleeding on probing in active disease, probing depths >4mm, radiographic bone loss, susceptible patients most at risk for tooth loss, can be modified by systemic disease

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12
Q

what is the BPE?

A

screening tool for periodontal disease

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13
Q

what is the mouth divided into for the BPE?

A

sextants

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14
Q

what do you do in the BPE?

A

walk the probe around the gingival margin of the teeth

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15
Q

what does the BPE indicate?

A

what further assessment and periodontal treatment the patient requires

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16
Q

what does the ball on the end of the probe do?

A

catch the calculus

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17
Q

what does the black band on the probe do?

A

marks gingival and periodontal disease

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18
Q

what are the sextants that the mouth is divided into for the BPE?

A

17-14, 13-23, 24-27, 47-44, 43-33, 34-37

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19
Q

where does the probe go in the BPE?

A

into the gingival crevice

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20
Q

what is the effect of healthy gingivae on the probe?

A

the healthy gingivae would stop the probe getting into the crevice

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21
Q

what is the effect of periodontitis on probing?

A

the probe can go into the crevice and touch the surface of the root

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22
Q

what does BPE 0 diagnose as?

A

health

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23
Q

what is the treatment for BPE 0?

A

none

24
Q

what is the probing depth of BPE 0?

A

black band completely visible

25
Q

what is the observation of BPE 0?

A

no probing depth >3.5mm, no calculus/overhangs, no bleeding on probing

26
Q

what does BPE 1 diagnose as?

A

gingivitis

27
Q

what is the treatment for BPE 1?

A

plaque and gingivitis index, OHI

28
Q

what is the probing depth for BPE 1?

A

black band completely visible

29
Q

what is the observation for BPE 1?

A

no probing depth >3.5mm, no calculus/overhangs, BLEEDING ON PROBING

30
Q

what does BPE 2 diagnose as?

A

gingivitis

31
Q

what is the treatment for BPE 2?

A

plaque and gingivitis index, OHI, removal of supragingival plaque calculus and stain

32
Q

what is the probing depth for BPE 2?

A

black band completely visible

33
Q

what is the observation for BPE 2?

A

no probing depth >3.5mm, bleeding on probing, SUPRA OR SUBGINGIVAL CALCULUS OR OVERHANGS

34
Q

what does BPE 3 diagnose as?

A

periodontitis

35
Q

what is the treatment for BPE 3?

A

plaque and gingivitis index, OHI, removal of supragingival plaque calculus and stain, FULL PERIODONTAL EXAMINATION AND ROOT SURFACE INSTRUMENTATION OF SEXTANTS SCORING 3

36
Q

what is the probing depth for BPE 3?

A

black band partially visible

37
Q

what is the observation for BPE 3?

A

probing depths 3.5-5.5mm

38
Q

what does BPE 4 diagnose as?

A

periodontitis

39
Q

what is the treatment for BPE 4?

A

plaque and gingivitis index, OHI, removal of supragingival calculus and stain, full periodontal examination and root surface instrumentation IN ALL SEXTANTS, CONSIDER REFERRAL TO A SPECIALIST

40
Q

what is the probing depth for BPE 4?

A

black band entirely within pocket

41
Q

what is the observation for BPE 4?

A

probing depth >5.5mm

42
Q

what is the diagnosis if furcation involvement is observed?

A

periodontitis

43
Q

what is the treatment is furcation involvement is observed?

A

treatment need will depend on BPE score 0-4, consider referral to specialist

44
Q

what score do you record in the sextant?

A

the worst score i.e. if there are scores of 1 and 3 you must put the 3 in

45
Q

what does * mean in the BPE?

A

furcation involvement

46
Q

what are the local risk factors?

A

calculus, malpositioned teeth, overhanging restorations, partial dentures

47
Q

what are the systemic risk factors?

A

diabetes, smoking, CVS disease, pregnancy, drugs that cause gingival overgrowth

48
Q

what are the benefits of providing charts detailing plaque and bleeding levels?

A

it can be a very useful way of motivating patients and monitoring their response to oral hygiene demonstration

49
Q

how do you assess the presence of plaque?

A

running a probe gently around the entrance to the gingival sulcus

50
Q

what are the sites of tooth that you check when recording plaque and gingivitis scores?

A

distal, mesial, buccal and lingual

51
Q

what does it mean if you have generalised plaque?

A

plaque is present on >30% of sites

52
Q

what does it mean if you have localised plaque?

A

plaque is present >10% but <30% of sites

53
Q

how do you calculate a plaque score?

A

number of surfaces with plaque x100 / total number of teeth x4

54
Q

how do you calculate a bleeding score?

A

number of surfaces with bleeding x100 / total number of teeth x4

55
Q

what is used to mark if there are no teeth present in the sextant?

A

an X (used when patient wears a denture)

CDS Restorative Dentistry BDS1 (8 decks)

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