BSP Guidelines

Question 1

Basic periodontal exam - BPE

What is it?

Answer 1

Simple and rapid screening tool

Question 2

What is BPE used for

Answer 2

Used to indicate level of further examination needed and provide basic guidance on tx needed

Question 3

What should BPE not be usd for

Answer 3

Diagnosis - (only screening)

Question 4

How to record BPE

Answer 4

Dentition dived into 6 sextants and the highest score for each sextant is recorded

Question 5

For a sextant to qualify for recording it must contain?

Answer 5

At least 2 teeth

Question 6

What probe is used for BPE

Answer 6

WHO probe

Ball end 0.5mm
Black band 3.5-5.5mm

Question 7

Light probing force?

Answer 7

20-25g

Question 8

How should probe be used for BPE

Answer 8

Walk probe around teeth in each sextant

Question 9

Why should all sites be examined before moving onto the next sextant

Answer 9

To ensure highest score is recorded

Question 10

What should you do if code 4 is identified in a sextant

Answer 10

Continue to walk around all sites to gain a better understanding of the periodontal condition

Ensures furcation not missed

Question 11

Scoring grades 0

Answer 11

Pocket < 3.5mm

No calculus / overhangs
No BOP
Black band entirely visible

Question 12

Scoring grades 1

Answer 12

Pockets < 3.5mm

No calculus / overhangs
BOP
Black band entirely visible

Question 13

Scoring grade 2

Answer 13

Pockets < 3.5mm

Supra/sub gingival calc / overhangs
Black band entirely visible

Question 14

Scoring grade 3

Answer 14

Probing depth 3.5-5.5mm

Black band partially visible (pocket 4-5mm)

Question 15

Scoring code 4

Answer 15

Probing depth >5.5mm

Black band disappears - pocket 6mm +

Question 16

*

Answer 16

Furcation involvement

Question 17

Who should have BPE recorded

Answer 17

All new pt

Question 18

When should BPE be recorded for pt with code 0, 1, 2

Answer 18

At every routine exam

Question 19

For pt with codes 3 or 4 what do we do

Answer 19

More detailed periodontal charting

Question 20

What do we do for code 3

Answer 20

1. Initial therapy (OHI + RF control)
2. Post initial therapy, record 6PPC in that sextant only

Question 21

What do we do for code 4

Answer 21

If code 4 in any sextant,

6PPC in entire dentition

Question 22

Why can BPE not be used to monitor response to periodontal therapy?

Answer 22

Doesn’t provide info about how sites within a sextant change after treatment

Question 23

How do we assess response to treatment

Answer 23

6PPC pre and post tx

Question 24

For pt who have undergone initial therapy for periodontitis and who are now in the maintenance phase of care, when should full probing depths be carried out throughout entire dentition

Answer 24

Annually

Question 25

BPE should not be used around

Answer 25

implants - 6PPC should be used instead

Question 26

Radiographs should be available for?

Answer 26

Code 3 and 4 sextants

Question 27

Why are PA best for code 4

Answer 27

Allow assessemnt of bone loss as a % of root length and of the periapical tissue

Question 28

For 6PPC what do we record

Answer 28

Sites > 4mm

Question 29

BOP recorded in conjunction with?

Answer 29

6PPC

Question 30

Code 0 requires

Answer 30

No perio tx

Question 31

Code 1 req

Answer 31

OHI

Question 32

Code 2 req

Answer 32

OHI Removal PRF + supra / sub calc

Question 33

Code 3 req

Answer 33

OHI Removal PRF + supra / sub calc RSD if sites > 4mm

Question 34

Code 4 req

Answer 34

OHI Removal PRF + supra / sub calc RSD if sites > 4mm Assess need for referral / more complex tx

Question 35

* req

Answer 35

May req referral