BSP guidelines

Question 1

Define an engaging patient.

Answer 1

1. Improvement of OH
2. Plaque and bleeding decrease of 50%

or

Meeting their own personal care plan.

Question 2

What are the 2 risk factors for periodontitis?

Answer 2

Smoking and poorly controlled diabetes.

Question 3

Which stage corresponds to 15% or less bone loss?

Answer 3

Stage I

Question 4

Which stage corresponds to bone levels at the coronal third of the root?

Answer 4

Stage II

Question 5

Which stage corresponds to bone levels at the middle 1/3 of the root?

Answer 5

Stage III

Question 6

Which stage corresponds to bone level at the apical third of the root?

Answer 6

Stage IV

Question 7

How would you work out the grade of periodontitis?

Answer 7

Percentage Bone Loss / Pt Age

Question 8

What grade periodontitis would a 56 y/o patient with 60% bone loss be?

Answer 8

Grade C

Question 9

What grade would an 85 y/o patient with 35% bone loss be?

Answer 9

Grade A

Question 10

If a patient has less than 10% BoP and pocket depths of ≤4mm, what would their status be?

Answer 10

Currently Stable

Question 11

If a pt has more than 10% BoP and pocket depths of ≤4mm with no bleeding at sites, what would their status be?

Answer 11

Currently in Remission

Question 12

If a patient had pocket depths of ≤4mm with BoP, what would their status be?

Answer 12

Unstable

Question 13

How would you work out pack years?

Answer 13

Number of packs of cigarettes smoked per day x years smoked for.

Question 14

Which radiographs can be taken to aid perio diagnosis?

Answer 14

PAs or OPGs

Question 15

BPEs of 1 and bleeding of 20%?

Answer 15

Localised gingivitis.

Question 16

Clinically, what BPEs of 1 and bleeding score of 8% suggest?

Answer 16

Gingival Health

Question 17

What would BPEs of 1/2 with a bleeding score of 36% be classed as?

Answer 17

Generalised GIngivitis

Question 18

What would BPEs of 2 with a bleeding score of 5% be classed as?

Answer 18

Gingival Health requiring supra PMPR of sites with 2s.

Question 19

Why is it better to perform extensive sub over multiple sessions?

Answer 19

1. Builds up pt and operator rapport.
2. Reduces the amount of bacteria in the blood at one time which may lead to problems like bacterial endocarditis.

Question 20

BPE code 0

Answer 20

Healthy gingival tissues, no bleeding.

Question 21

BPE code 1

Answer 21

Pockets less than 3.5mm with BoP.

Black band entirely visible.

Question 22

BPE code 2

Answer 22

Pockets less than 3.5mm with calculus present.

Black band entirely visible.

Question 23

BPE code 3

Answer 23

Pocket depths between 3.5-5.5mm.

Black band partially visible.

Question 24

BPE code 4.

Answer 24

Probing depth greater than 5.5mm.

Black band disappears, indicating a pocket of 6mm or more.

Question 25

What does the * mean in relation to BPE?

Answer 25

Furcation involvement.

Question 26

What is Grade I furcation?

Answer 26

Horizontal bone loss less than 3mm.

Question 27

What is grade II furcation involvement?

Answer 27

Horizontal bone loss greater than 3mm.

Question 28

What is grade III furcation involvement?

Answer 28

Through and through movement.

Question 29

Which probe is used to measure furcation?

Answer 29

Naber’s Probe *curved, in 3mm increments*

Question 30

Grade I mobility?

Answer 30

≤1mm horizontal movement

Question 31

Grade II Mobility

Answer 31

≥ 1mm horizontal movement

Question 32

Grade III Mobility

Answer 32

Horizontal and vertical movement.

Question 33

What is suppuration?

Answer 33

Pus discharging from pocket, indicating a periapical abscess.

Question 34

Why may a high proportion of down syndrome patients be considered for AB cover for perio tx?

Answer 34

Because they are predisposes to congenital heart disorder.

Question 35

What TDI can result in a deep pocket in an otherwise healthy tooth?

Answer 35

vertical root fracture

Question 36

Which respiratory conditions are associated with periodontitis?

Answer 36

COPD and pneumonia

Question 37

If a pt has a max of code 3 in any sextant, what rads are advised?

Answer 37

horizontal BW

Question 38

Bone graft from another human.

Answer 38

allograft

Question 39

What is the main bacterial involved in severe perio?

Answer 39

P. gingivalis (gram -ve bacteria, anaerobic)

Question 40

Which kind of healing occurs after NSPT?

Answer 40

reparative (a long JE forms)

Question 41

Connective tissue grafts are taken from which tissue?

Answer 41

hard palate

Question 42

What is the minimum amount of bleeding on probing to be deemed as generalised gingivitis?

Answer 42

30%