Healthy Gums do Matter

Question 1

what is the modified bleeding score measuring

Answer 1

• marginal bleeding rather than bleeding on probing from the base of the pocket.
• marginal bleeding reflects how well a patient is able to carry out effective plaque control daily
• bleeding on probing form base of the pocket indicates active diseased sites

Question 2

what are the adequate levels of oral hygiene to determine whether a patient is engaging

Answer 2

• 30% plaque score

- 35% bleeding score

Question 3

Define a stable periodontitis patient

Answer 3

• whole mouth bleeding on probing less than 10%
• probing pocket depths of 4mm or less
• no 4mm sites bleeding on probing

Question 4

Define a remission periodontitis patient

Answer 4

• whole mouth bleeding on probing is greater than 10%

- probing pocket depths of 4mm or less with no 4mm sites bleeding on probing

Question 5

Define an unstable periodontitis patient

Answer 5

• probing depth of 5mm or greater

- or probing pockets of 4mm with bleeding on probing

Question 6

What is the aim of the Patient Agreement form

Answer 6

• to encourage the patient in their self-care responsibility
• to focus efforts of prevention and education and to begin treatment at the ideal time in order to achieve the best outcome for each individual patient

Question 7

What is included in the patient agreement

Answer 7

• The BPE score
• modified plaque and modified bleeding scores
• recommended interdental brush sizes
• using a single tufted brush around the gingival margins and interproximal
• smoking and oral nicotine advice
• diabetes screening test
• personal tailored information
• reassessment of gum health and patient engagement

Question 8

What is included in the Patient periodontal information leaflet and consent form

Answer 8

1. An information leaflet about periodontitis including signs and symptoms
2. Information and reinforcement of the patient agreement and importance of self-care with a daily oral health regime
3. Risks and side effects of periodontal treatment and to gain informed consent or refusal
4. The current classification and diagnosis of patients periodontitis

Question 9

What are Ramjford’s teeth

Answer 9

• six teeth distributed in order to best reflect the condition of the whole mouth
• UL4 (21), UL1 (21), UR6 (16), LL6 (36), LR1 (41) and LR4 (44)

Question 10

What are scores 0, 1 and 2 on the MPS

Answer 10

• 0 is when there is no plaque even with probe
• 1 is when you cannot visually identify plaque, but a probe reveals its presence
• 2 is when you can identify plaque visually

Question 11

What does code N mean

Answer 11

• no measurement could be made for this tooth/surface