Perio Cram

Question 1

Clinical gingival health - localised gingivitis - generalised gingivitis

Answer 1

<10% BOP
10-30% BOP
>30%

Question 2

BSP guidelines for code 3

Answer 2

Post tx 6PPC

Question 3

What is a dental sinus?

Answer 3

Abnormal channel that drains from a longstanding dental abscess associated with a necrotic tooth

Question 4

List main causes of recession

Answer 4

Ortho
Abrasion

Question 5

+ value on 6PPC

Answer 5

Recession

Question 6

Work out LOA

Answer 6

Pocket depth + gingival margin

Question 7

What are the furcation grades

Answer 7

1 - up to 3mm horizontal attachment loss
2 - 3-6mm horizontal attachment loss
3 - through and through

Question 8

What are the mobility grades

Answer 8

1 - <1mm
2 - 1-2mm
3 - >2mm and/or rotations

Question 9

List signs of periodontitis

Answer 9

Bleeding gums
Swollen/tender gums
Bad breath
Unexplained tooth loss
Tooth sensitivity
Recession
Mobility
Gum abscesses

Question 10

List some risk factors to gum disease

Answer 10

Diabetes
Smoking
Stress
Diet
Obesity
Certain meds
CVD

Question 11

What are the tx options for gum disease

Answer 11

1. Do nothing
   - Don’t recommend
   - Gum disease leading cause of tooth loss
   - W/O tx will just get worse, will worsen existing symptoms
2. Periodontal tx
   - OHI - help to clean your teeth
   - PMPR - targeted cleaning where you will not be able to reach
   - Baseline charts/ can monitor your progress to look for signs of improvement and stabilisation

Question 12

What are the benefits of perio tx

Answer 12

• Decreased risk of diabetes
• Fresher mouth, pinker tighter gums
• Teeth less wobbly
• Bleeding should stop
• Less discomfort
• Keep teeth longer
• Bad

Question 13

What are the side effects of tx

Answer 13

Short term discomfort after LA wears off
Gum recession
Sensitivity to hot/cold
Temp increase in mobility
Root caries
Gaps between teeth

Question 14

List the BSP guidelines

Answer 14

STEP 1
- Explain disease, RF’s, risks+benefits inc no tx
-OHI, removal of plaque retentive factors
- Smoking cessation
- PMPR

STEP 2
- Subgingival PMPR
- Reinforce OH
- Re-evaluate after 3mths

STEP 3
- Managing unstable sites
- Reinforce OHI
- Repeat sub for 4-5mm pockets
- Consider referral for unresponsive

STEP 4
- Stable
- Supportive perio care
- Reinforce OH + behavioural change
- Regular PMPR
- Recall within 3-12mths

Question 15

Issues of recession

Answer 15

Dentine hypersensitivity
Cervical caries
Aesthetics

Question 16

Tx for recession

Answer 16

DBA - desensitisation
Resto with RMGI

Question 17

MPBS

Answer 17

Healthy Gums do Matter
MPS - 30%
MBS - 35%

Question 18

How do you work out MPS

Answer 18

SITES:
Interprox
Buccal
Lingual

SCORES:
0 - nil
1 - skimmed
2 - visible

/36 x 100

Question 19

How do you work out MBS

Answer 19

SITES:
D/M/B/L

SCORES:
0 - no BOP
1 - BOP

/24 x 100

Question 20

Rfamjords teeth

Answer 20

16, 21, 24, 36, 41, 44

Question 21

BPE probe

Answer 21

WHO 0.5mm ball ended probe
3.5-5.5
8.5-11.5

Question 22

BPE for children teeth

Answer 22

16 11 26
46 31 36

Question 23

Plaque scores for children

Answer 23

10/10
8/10 - cervical margin
6/10 - cervical 3rd
4/10 - mid 3rd

Question 24

List the colours + sites for each hand scaler

Answer 24

Gracey 1/2 (grey)
Subgingival U+L anteriors

Gracey 7/8 (green)
Subgingival B+L posteriors

Gracey 11/12 (orange)
Subgingival M of posteriors

Gracey 13/14 (blue)
Subgingival D of posteriors

Mini Sickle
Supragingival B+L embrasures

Columbia
Subgingival anywhere, limited access to deep pockets

Hoe scaler (red)
Gross supra+sub on M+D surfaces

Hoe scaler (yellow)
Gross supra+sub on D of posteriors