2017 classification Flashcards

1
Q

code 0/1/2 with no obvious evidence of interdental recession, and <10% BOP

A

clinical gingival health

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2
Q

code 0/1/2 with no obvious evidence of interdental recession, and 10-30% BOP

A

localised gingivitis

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3
Q

code 0/1/2 with no obvious evidence of interdental recession, and >30% BOP

A

generalised gingivitis

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4
Q

what should also be included in the diagnosis when BPE 2 is present?

A

a comment on plaque-retentive factors

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5
Q

action on BPE 3 with no obvious evidence of interdental recession

A

appropriate radiographic assessment

initial PD therapy and review in 3m with localised 6PPC in involved sextants

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6
Q

after BPE 3 localised 6PPC actions

A

no pockets ≥4mm and no radiographic evidence of bone loss due to periodontitis
= continue with code 0/1/2 pathway

pockets ≥4mm remain and/or radiographic evidence of bone loss due to periodontitis
= continue with code 4 pathway

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7
Q

code 4 and/or obvious evidence of interdental recession actions

A

appropriate radiographic assessment

full periodontal assessment (inc detailed 6PPC)

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8
Q

code 4 and/or obvious evidence of interdental recession, molar-incisor pattern

A

periodontitis molar-incisor pattern

staging and grading, current disease status and risk factor assessment

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9
Q

code 4 and/or obvious evidence of interdental recession, <30% of teeth

A

localised periodontitis

staging and grading, current disease status and risk factor assessment

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10
Q

code 4 and/or obvious evidence of interdental recession, ≥30% of teeth

A

generalised periodontitis

staging and grading, current disease status and risk factor assessment

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11
Q

radiographic assessment

A

PA or OPT

if not clinically justified or if only BWs available use CAL or bone loss from CEJ

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12
Q

Staging

A

interproximal bone loss

use worst site of bone loss due to periodontitis

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13
Q

Stage 1 (early/mild)

A

<15%

or <2mm attachment loss from CEJ

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14
Q

Stage 2 (moderate)

A

coronal 1/3 of root

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15
Q

Stage 3 (severe)

A

mid 1/3 of root

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16
Q

Stage 4 (very severe)

A

apical 1/3 of root

17
Q

Grading

A

% bone loss ÷ pt age

use worst site of bone loss due to periodontitis

18
Q

Grade A (slow rate of progression)

A

<0.5

19
Q

Grade B (moderate rate of progression)

A

0.5-1.0

20
Q

Grade C (rapid rate of progression)

A

> 1.0

21
Q

currently stable

A

BOP <10%
PPD ≤4mm
no BOP at 4mm sites

22
Q

currently in remission

A

BOP ≥10%
PPD ≤4mm
no BOP at 4mm sites

23
Q

currently unstable

A

PPD ≥5mm or

PPD ≥4mm and BOP

24
Q

assessment of current periodontitis status

A

currently stable
currently in remission
currently unstable

25
Q

risk factor assessment

A

e.g.
smoking inc cigarettes/day
sub-optimally controlled diabetes

26
Q

diagnosis statement

A

extent - periodontitis - stage - grade - stability - risk factors