Podcast
Questions and Answers
What describes the condition associated with a BPE code of 2?
What describes the condition associated with a BPE code of 2?
- Comment on plaque retentive factors (correct)
- No bleeding on probing
- Localised gingivitis with pockets ≥4mm
- Generalised periodontitis with ≥30% of teeth affected
Which condition would require a full periodontal assessment including a detailed 6-point pocket chart?
Which condition would require a full periodontal assessment including a detailed 6-point pocket chart?
- Code 4 with evidence of interdental recession (correct)
- Code 1 with bleeding on probing
- Code 0 with no bleeding
- Localized gingivitis with pockets <4mm
What characterizes Stage III periodontal disease?
What characterizes Stage III periodontal disease?
- Attachment loss of <2mm
- Bone loss affecting the apical third of the root (correct)
- Bone loss affecting the coronal third of the root
- Interproximal bone loss <15%
What is the grading criterion for Stage I periodontal disease?
What is the grading criterion for Stage I periodontal disease?
Which clinical finding indicates the need to continue with the code 4 pathway?
Which clinical finding indicates the need to continue with the code 4 pathway?
For a diagnosis of localized periodontitis, what is necessary?
For a diagnosis of localized periodontitis, what is necessary?
What is the threshold for grading periodontal disease when evaluating % bone loss?
What is the threshold for grading periodontal disease when evaluating % bone loss?
In which situation would a clinician indicate a code of 3?
In which situation would a clinician indicate a code of 3?
Flashcards
Full periodontal assessment
Full periodontal assessment
A comprehensive oral health assessment that involves a detailed examination to identify any potential issues, particularly with periodontal health.
6-point pocket chart
6-point pocket chart
A specific type of periodontal assessment that utilizes a 6-point probe and focuses on specific sites around each tooth, creating a detailed map of periodontal health.
Staging periodontitis
Staging periodontitis
The process of classifying periodontal disease based on the severity of bone loss and the rate of progression.
Grading periodontitis
Grading periodontitis
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Clinical Attachment Level (CAL)
Clinical Attachment Level (CAL)
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Periodontal pocket
Periodontal pocket
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Panoramic radiograph (OPG)
Panoramic radiograph (OPG)
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Risk factor assessment (PTO)
Risk factor assessment (PTO)
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Study Notes
Implementing the 2017 Classification of Periodontal Diseases
- History and Examination: Includes assessment of historical periodontitis and interdental recession, alongside baseline periodontal examination.
- Coding System: Uses codes (0/1/2, 3, 4) to classify periodontal disease based on recession and radiographic assessment. Code 0/1/2 indicates no obvious interdental recession, while Code 3 has no recession, or initial therapy review is required. Code 4 implies recession and full periodontal assessment, including a detailed chart, is necessary.
- Bleeding on Probing: Bleeding percentage (less than 10%, 10-30%, or over 30%) on probing helps determine gingival health.
- Clinical Gingival Health: Distinguishes between clinical gingival health, localized gingivitis, and generalized gingivitis
- Diagnosis Considerations: Plaque retentive factors, if present, should be noted when diagnosing.
- Pockets: Depth of pockets (≥4mm and bone loss/ no loss evidence) is an important diagnostic feature.
- Radiographic Assessment: Radiographs (periapicals, OPG/DPT) are assessed to determine radiographic bone loss and identify bone loss from periodontitis.
- Periodontitis Staging and Grading: Staging (I-IV) and grading (A-C) are used to categorize the severity, progression, and rate of periodontitis, influenced by bone loss percentage and patient age. Staging is categorized by the extent of bone/attachment loss.
- Current Periodontal Status Assessment: A periodontal assessment is necessary to evaluate the current stability, including an examination of the presence or absence of bleeding on probing (BoP), and probing pocket depth (PPD)
- Risk Assessment: Includes a review of modifiable risk factors such as smoking, diabetes, etc.
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