Assessment of Periodontal Diseases Flashcards
(36 cards)
During a periodontal health assessment what may you need to observe?
- Gingival colour
- Gingival contour
What needs to be checked during a periodontal assessment? (5)
- Oral hygiene or plaque control assessment
- Pocket depth and gingival recession
- Bleeding on probing
- Tooth mobility
- Furcation involvement
Describe the appearance of clinically healthy periodontal tissue
- Pink
- Stippled
- Non bleeding
- Little/no recession
- No mobility
- Pocket depths ≤3mm
What changes will you see in gingivae appearance during gingival inflammation? (4)
- Colour change
- Change in consistency
- Change in contour
- Plaque and calculus in contact with inflamed tissue
Name some types of non-plaque induced gingival diseases (8)
- Genetic disorders
- Specific infections
- Inflammatory and immune conditions
- Reactive processes
- Neoplasms
- Endocrine, nutritional and metabolic disorders
- Traumatic lesions
- Gingival pigmentation
How can pseudopockets arise?
- Gingival swelling
- Gingival overgrowth
- Anatomical factors (ie partially erupted teeth)
What are pseudopocktes?
False pockets where PPD is falsely greater than 3mm and there is no attachment loss
When should a Basic periodontal examination (BPE) be carried out?
Should be used as a part of all routine dental examinations in adults and children aged above seven
Describe the BPE method (4)
- Dentition is divided into sextants
- Examination is carried out with a WHO/BPE probe
- Probe gently inserted into the gingival crevice and ‘walked around’
- For each sextant only the highest score is recorded
What does a ‘X’ on a BPE examination indicate?
Signifies a sextant that is edentulous or has only 1 functioning tooth
What does a ‘*’ on a BPE examination indicate?
Signifies furcation involvement and is used as an adjective score
What would you see for a BPE score of 0;
Probing depth?
Black band visibility?
Bleeding?
Overhangs/Calculus?
- <3.5mm
- Completely visible
- No
- No
What would you see for a BPE score of 1;
Probing depth?
Black band visibility?
Bleeding?
Overhangs/Calculus?
- <3.5mm
- Completely visible
- Yes
- No
What would you see for a BPE score of 2;
Probing depth?
Black band visibility?
Bleeding?
Overhangs/Calculus?
- <3.5mm
- Completely visible
- Yes or No
- Yes
What would you see for a BPE score of 3;
Probing depth?
Black band visibility?
Bleeding?
Overhangs/Calculus?
- 3.5mm-5.5mm
- Partially visible
- Yes or No
- Yes or No
What would you see for a BPE score of 4;
Probing depth?
Black band visibility?
Bleeding?
Overhangs/Calculus?
- > 5.5mm
- Entirely within pocket
- Yes or No
- Yes or No
What treatment is needed for a BPE score of 0
No treatment
What treatment is needed for a BPE score of 1
Oral hygiene advice
What treatment is needed for a BPE score of 2 (3)
- Scaling
- Oral hygiene advice
- Elimante plaque retentive restorative margins
What treatment is needed for a BPE score of 3 (5)
- Scaling
- Root surface debridement
- Oral hygiene advice
- Elimante plaque retentive restorative margins
- Full 6 point probing chart needed of the sextant
What treatment is needed for a BPE score of 4 (5)
- Scaling
- Root surface debridement
- Oral hygiene advice
- Elimante plaque retentive restorative margins
- Full 6 point probing chart needed of the sextant
Much more complex treatment
What are the 6 reference teeth used in paediatric BPE?
UR1 UR1 UL6
LR1 LR1 LL6
What codes do you use for paediatric BPE?
When should you use full range of codes?
- Only use 0,1,2
- 12+
What are 2 advantages of BPE?
- Simple and rapid screening to identify periodontal risk
- Good indication of treatment required
