Periodontal Care

Question 1

how many teeth need to be in a sextant to count it for BPE

Answer 1

2

Question 2

what BPE is used for children under 18

Answer 2

simplified BPE using 6s and 1s

Question 3

what codes are used for 7-11yr olds

Answer 3

0-2

Question 4

when do we start doing a BPE

Answer 4

age 7

Question 5

what is grade 1 furcation

Answer 5

furcation felt but less than one third of tooth width

Question 6

what is grade 2 furcation

Answer 6

loss of support exceeds one third tooth width

Question 7

what is furcation 3

Answer 7

through and through involvement

Question 8

how much should a tooth be able to move (mobility)

Answer 8

0.1-0.2mm

Question 9

what is grade 1 mobility

Answer 9

1mm

Question 10

what is grade 2 mobility

Answer 10

exceeding 1mm in horizontal direction

Question 11

what is grade 3 mobility

Answer 11

horizontal AND vertical mobility

Question 12

what are the key recommendations for modifying behaviour

Answer 12

use TIPPS
raise smoking cessation
encourage to modify other lifestyle factors

Question 13

what does TIPPS stand for

Answer 13

talk
instruct
practice
plan
support

Question 14

what OHI do we give

Answer 14

brush twice a day for 2 mins
fluoride toothpaste
clean interdentally once a day

Question 15

what drugs can cause gingival enlargement

Answer 15

calcium channel blockers (amlodipine)
phenytoin

Question 16

what do you do if a patient has mild pregnancy gingivitis

Answer 16

use TIPPS

Question 17

what do you do if a patient has severe pregnancy gingivitis

Answer 17

give oral hygiene and smoking cessation, remove supragingival plaque and calculus and subgingival (after first trimester)

Question 18

if a patient has sensitivity after PMPR what can you do

Answer 18

advise use of desensitising toothpaste
high fluoride toothpaste

Question 19

what do you do if someone has a peri-endo lesion

Answer 19

do RCT
recommend chlorhexidine until symptoms subside
review after 10 days then do PMPR

Question 20

what do you do if someone has a periodontal abscess

Answer 20

PMPR
incise and drain if need be
chlorhexidine use
review after 10 days

Question 21

what do you do for NUG

Answer 21

TIPPS
PMPR
chlorhexidine
metronidazole if spreading
review within 10 days and further PMPR

Question 22

what must we do for long term maintenance for the patient

Answer 22

ensure they can carry out optimal plaque removal
remove calculus
assign risk level for recall

Question 23

what are the key recommendations for patients with implants

Answer 23

ensure they can perform plaque removal
examine for signs of inflammation and BOP
perform radiographs where clinically indicated

Question 24

what do you do for peri-mucositis on implants

Answer 24

exclude peri-implantitis
use TIPPS
PMPR with implant tips
re-assess

Question 25

what do you do for peri-implantitis

Answer 25

radiograph TIPPS and refer to implant clinician or if they cant see them do PMPR arrange follow up appointment and seek advice from secondary care

Question 26

what is they key recommendations regarding referral of a perio patient

Answer 26

consult any local referral guidelines carry out initial therapy provide supportive periodontal therapy and monitor patients

Question 27

what are the key recommendations for record keeping

Answer 27

record results of periodontal examination and standard of oral hygiene record diagnosis, suggested treatment plan and details of costs document any discussions you have with patient