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?
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?
What characterizes Stage III periodontal disease?
What characterizes Stage III periodontal disease?
What is the grading criterion for Stage I periodontal disease?
What is the grading criterion for Stage I periodontal disease?
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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?
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For a diagnosis of localized periodontitis, what is necessary?
For a diagnosis of localized periodontitis, what is necessary?
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What is the threshold for grading periodontal disease when evaluating % bone loss?
What is the threshold for grading periodontal disease when evaluating % bone loss?
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In which situation would a clinician indicate a code of 3?
In which situation would a clinician indicate a code of 3?
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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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