L77: Non-Surgical Treatment Flashcards
(43 cards)
L77: A BPE probe is used to do a periodontal exam, what are the different banding measurements?
- 0.5mm diameter ball end;
- First black band: 3.5-5.5mm;
- Second black band: 8.5-11.5mm.
L77: What does a BPE score of 0 mean?
- Pockets < 3.5mm;
- First black band clearly visible;
- Healthy periodontal tissues;
- No calculus/ overhangs;
- No BOP.
L77: What does a BPE score of 1 mean?
- Pockets < 3.5mm;
- First black band clearly visible;
- No calculus/ overhangs;
- BOP.
L77: What does a BPE score of 2 mean?
- Pockets < 3.5mm;
- First black band completely visible;
- Supra or sub gingival calculus or plaque retention factor (overhang).
L77: What does a BPE score of 3 mean?
- Probing depth of 3.5-5.5mm;
- First black band partially visible indicating pocket of 4-5mm.
L77: What does a BPE score of 4 mean?
- Probing depth of >5.5mm;
- First black band entirely within pocket indicating a pocket of 6mm or more.
L77: What does a BPE score of * mean?
- Furcation involvement;
- Detection of furcation.
L77: What guidance or tx is indicated with a BPE score of 0?
- No need for tx;
- No special investigations;
- Repeat at next appt.
L77: What guidance or tx is indicated with a BPE score of 1?
- OHI;
- Plaque and bleeding charts;
- Repeat at next appt.
L77: What guidance or tx is indicated with a BPE score of 2?
- As for code 1;
- Plus removal of plaque retentive factors (inc. supra and sub gingival calculus);
- Repeat at next appt.
L77: What guidance or tx is indicated with a BPE score of 3?
- As for code 1 + 2;
- RSD if required;
- Periodontal charting of sextants scoring 3, after initial therapy.
L77: What guidance or tx is indicated with a BPE score of 4?
- As for code 2 + 3;
- Possible need for more complex tx and referral to specialist;
- Full periodontal charting before and after tx.
[N.B. SDCEP says full perio. charting before AND after tx]
L77: What guidance or tx is indicated with a BPE score of *?
- Treat according to BPE score 0-4;
- Assess the need for more complex tx and referral to specialist;
- Full periodontal charting before and after tx.
L77: What percentage of patients have periodontal disease?
50%
L77: What percentage of patients have gingivitis?
80%
L77: NST, CRT and HPT all mean the same thing, what do they stand for?
- Non-surgical treatment;
- Cause-related therapy;
- Hygiene phase therapy.
L77: What are the aims of periodontal therapy?
- To arrest the disease process;
- Regenerate lost tissue (ideally);
- Maintain periodontal health long term.
L77: What are the series of events in a tx plan?
- Emergency care;
- Disease control;
- Re-evaluation;
- (Surgery);
- Re-construction;
- Supportive care.
L77: What defines periodontal disease?
- Loss of attachment;
- True pocket formation;
- Colonisation on the root surface.
L77: What treatments are involved in ‘disease control’?
- Extraction of hopeless teeth;
- HPT;
- Caries management;
- Endodontic therapy;
- Provisional prostheses.
L77: What treatments are involved in ‘HPT’?
- Dental health education;
- OHI;
- Scaling and RSD;
- Removal of other plaque retention factors, e.g. defective restoration margins;
- Re-evaluation.
L77: What is involved in dental health education?
- Evaluate patients reasons for attendance, attitudes to health care, motivation etc.;
- Explain the nature of disease using diagrams, photographs, models etc.;
- Discuss findings of examination.
L77: What is involved in oral hygiene instruction?
- Toothbrushing: modified bass technique;
- Interdental cleaning (floss and tape, interdental sticks, interdental brushes);
- Disclosing tablets.
L77: How should an interdental brush fit a patient?
Snuggly - should displace bristles but not snap the wire
[give patients 2 or 3 sizes to start]
