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Questions and Answers
If a patient exhibits over 30% of their teeth with bleeding on probing upon examination, what is the appropriate clinical action in accordance with the 2017 Classification of Periodontal Diseases?
If a patient exhibits over 30% of their teeth with bleeding on probing upon examination, what is the appropriate clinical action in accordance with the 2017 Classification of Periodontal Diseases?
What clinical finding, when present, is often indicative of the need for a full periodontal assessment and a move to the code 4 pathway in the 2017 Classification of Periodontal Diseases?
What clinical finding, when present, is often indicative of the need for a full periodontal assessment and a move to the code 4 pathway in the 2017 Classification of Periodontal Diseases?
In the 2017 Classification of Periodontal Diseases, what threshold of bone loss, irrespective of the age of the patient, is required to classify a patient as having Stage III (Severe) Periodontitis?
In the 2017 Classification of Periodontal Diseases, what threshold of bone loss, irrespective of the age of the patient, is required to classify a patient as having Stage III (Severe) Periodontitis?
Which of the following is NOT a characteristic of the code 0/1/2 pathway in the 2017 Classification of Periodontal Diseases?
Which of the following is NOT a characteristic of the code 0/1/2 pathway in the 2017 Classification of Periodontal Diseases?
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In the 2017 Classification of Periodontal Diseases, what is the significance of the Molar-Incisor Pattern?
In the 2017 Classification of Periodontal Diseases, what is the significance of the Molar-Incisor Pattern?
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Which of the following is a crucial element in diagnosing periodontitis under the 2017 Classification of Periodontal Diseases?
Which of the following is a crucial element in diagnosing periodontitis under the 2017 Classification of Periodontal Diseases?
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In the 2017 Classification of Periodontal Diseases, what is the diagnostic significance of a BPE Code 4?
In the 2017 Classification of Periodontal Diseases, what is the diagnostic significance of a BPE Code 4?
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Flashcards
BPE Code 0/1/2
BPE Code 0/1/2
No obvious evidence of interdental recession in periodontal examination.
BPE Code 3
BPE Code 3
Includes cases with no obvious evidence of interdental recession but indicates possible issues.
BPE Code 4
BPE Code 4
Presence of obvious interdental recession indicating greater periodontitis severity.
Bleeding on Probing <10%
Bleeding on Probing <10%
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Stage I Periodontitis
Stage I Periodontitis
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Interproximal Bone Loss
Interproximal Bone Loss
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Stage III Periodontitis
Stage III Periodontitis
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Clinical Gingival Health
Clinical Gingival Health
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Study Notes
Implementing the 2017 Classification of Periodontal Diseases
- Diagnosis: History, examination, and screening for periodontal disease including basic periodontal examination (BPE) and assessment of previous periodontitis (interdental recession).
- Coding System: Three codes (0, 1, 2, 3, 4) differentiate periodontal cases based on interdental recession presence. Code 0/1/2 shows no evidence, Code 3 with no evidence, and code 4 with evidence of recession.
- Bleeding on Probing: Bleeding percentage during probing is crucial for classification (less than 10%, 10-30%, or greater than 30%). Level of bleeding guides treatment decisions
- Clinical Gingival Health: Evaluated if gingival health is clinically healthy, has localised gingivitis, or generalised gingivitis. Clinical diagnosis is supplemented by specific plaque-retentive factor assessment.
- Generalised/Localised: Relates to the extent of involvement. Generalised refers to widespread involvement, whereas localised relates to specific areas.
- Radiographic Assessment: Essential for appropriate assessment. Radiographs confirm bone loss (evidence).
- Initial Periodontal Therapy: Necessary treatment for patients with initial periodontitis. Treatment must include review in 3 months and a localized 6-point chart of affected sextants.
- Full Periodontal Assessment: Complete evaluation encompassing bleeding, probing depths, periodontal pocket charting, and pertinent radiographic assessments for complete evaluation for periodontitis.
- Molar-Incisor Pattern: Describes a pattern of disease; helpful in assessing molar-incisor involvement separately.
- Staging and Grading: Clinically stage and grade patients with periodontal disease in determining disease status and risk assessment.
Current Periodontal Status Assessment
- Stability & Remission: Categorized as currently stable, in remission, or unstable. This assessment is based on bleeding on probing and probing pocket depths.
- Probing Pocket Depths: Measurement of periodontal pocket depths is vital for determining disease stability.
- Bleeding on Probing (BoP): Helps assess inflammation. A percentage value for Bleeding on Probing (BoP) is documented (<10% or >=10%)
- Diagnosis Statement: Specifies periodontal disease (e.g., "Generalized Periodontitis Stage 3 Grade B"). Statements include disease extent (generalized or localized), stage (I-IV), severity grade (A-C), stability status, and any relevant risk factors.
Risk Factor Assessment
- Smoking, Diabetes, and Other Factors: Key risk factors are crucial to consider, including smoking, inadequate blood sugar control, and other key factors. Risk factors for periodontitis are important elements in treatment strategies and future care.
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Description
Test your knowledge on the 2017 Classification of Periodontal Diseases. This quiz covers diagnosis, coding systems, bleeding on probing, and clinical gingival health assessments. Understand the differences in classifications based on interdental recession and bleeding levels.
