Podcast
Questions and Answers
What is the primary purpose of the Basic Periodontal Examination (BPE)?
What is the primary purpose of the Basic Periodontal Examination (BPE)?
- To provide a definitive treatment plan
- To diagnose periodontal disease
- To indicate the level of further examination needed (correct)
- To monitor periodontal treatment outcomes
Is the BPE intended to be prescriptive?
Is the BPE intended to be prescriptive?
- Yes, it provides a detailed treatment protocol
- It is prescriptive for initial periodontal assessment
- No, it represents a minimum standard of care (correct)
- It is prescriptive for advanced cases only
What should the BPE not be used for?
What should the BPE not be used for?
- Determining treatment needs
- Initial assessment
- Screening
- Diagnosis (correct)
Which of the following is a limitation of the BPE?
Which of the following is a limitation of the BPE?
The BPE takes into account calculus, bleeding, overhangs and pocket depths, but what else does it take into account?
The BPE takes into account calculus, bleeding, overhangs and pocket depths, but what else does it take into account?
When was the BPE first developed by the British Society of Periodontology?
When was the BPE first developed by the British Society of Periodontology?
What does CPITN stand for?
What does CPITN stand for?
What is another name for BPE?
What is another name for BPE?
What is the next review date scheduled for the British Society of Periodontology Guidance?
What is the next review date scheduled for the British Society of Periodontology Guidance?
The mouth is divided into how many sextants for a BPE?
The mouth is divided into how many sextants for a BPE?
A sextant in a BPE must contain at least how many teeth to be recorded?
A sextant in a BPE must contain at least how many teeth to be recorded?
Which teeth are generally excluded when recording a BPE?
Which teeth are generally excluded when recording a BPE?
What does a BPE code of '0' indicate?
What does a BPE code of '0' indicate?
What is a key feature of a BPE code of '1'?
What is a key feature of a BPE code of '1'?
What clinical finding is associated with BPE code '2'?
What clinical finding is associated with BPE code '2'?
A probing depth of 3.5 – 5.5mm is indicative of which BPE code?
A probing depth of 3.5 – 5.5mm is indicative of which BPE code?
Which BPE code indicates a pocket depth greater than 5.5mm?
Which BPE code indicates a pocket depth greater than 5.5mm?
Which of the following best describes a BPE score of '* '?
Which of the following best describes a BPE score of '* '?
What BPE code indicates that no treatment is needed?
What BPE code indicates that no treatment is needed?
What is visible when the BPE code is '0'?
What is visible when the BPE code is '0'?
Flashcards
BPE as a Screening Tool
BPE as a Screening Tool
A simple and quick method to assess the level of further dental examination needed, offering basic guidance for treatment.
BPE
BPE
It is a community Periodontal Index of Treatment Needs; stemmed from CPITN.
What BPE takes into account
What BPE takes into account
Calculus, Bleeding, Overhangs and Pocket Depths.
BPE sextant rules
BPE sextant rules
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BPE Code 0
BPE Code 0
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BPE Code 1
BPE Code 1
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BPE Code 2
BPE Code 2
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BPE Code 3
BPE Code 3
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BPE Code 4
BPE Code 4
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Study Notes
Basic Periodontal Examination (BPE)
- Aims to explain features, considerations, limitations, and usage of the BPE
- Explains WHO probe features and how they relate to its use.
- Demonstrates BPE index usage and describes clinical findings with needed treatments for each specific code
British Society of Periodontology Guidance 2019
- The BPE was initially developed by the British Society of Periodontology in 1986
- Previous versions were released in 1986, 1994, 2000, 2011, and 2016
- The next review is scheduled for 2024
- Stemmed form CPITN stands for Community Periodontal Index of Treatment Needs
- Also known as PSR and PEPE.
Periodontal Screening Tool Characteristics
- A simple and rapid screening tool that indicates the level of further examination needed
- Provides basic guidance on necessary treatments
- Not prescriptive, it sets a minimum standard of care for the initial periodontal assessment
- Should be used for screening purposes only, not for definitive diagnosis
Limitations of BPE
- Not suitable for monitoring patients
- Does not serve as a treatment outcome measure
- Does not provide a diagnosis
What a BPE Takes Into Account
- Calculus
- Bleeding
- Overhangs
- Pocket Depths
WHO/BPE Probe
- Considers ball height and features
- Determines rationale
- Includes the base and top of the 1st black band
- Requires consideration of the appropriate pressure
- Requires consideration of the method the probe is moved
Recording a BPE
- Divided into sextants: UR (17-14), UA (13-23), UL (24-27), LR (47-44), LA (43-33), LL (34-37)
- All teeth are included except 8's, unless the first and/or second molar is missing
- Has to contain a minimum of 2 teeth to be included as a sextant
- A sextant may have no teeth accountable
- An asterix indicates furcation
BPE Scoring Codes
- Code 0 has pockets <3.5mm, it includes no calculus or overhangs and no bleeding on probing, and the black band is entirely visible
- Code 0 requires no treatment and the patient should be encouraged to continue current practices
- Code 1 has pockets <3.5mm, includes no calculus or overhangs with bleeding on probing, and the black band is entirely visible
- Code 2 has pockets <3.5mm with supra or subgingival calculus/overhangs, and the black band is entirely visible
- Code 3 has a probing depth of 3.5-5.5mm and the black band is partially visible, indicating a pocket of 4-5mm which requires initial phase therapy
- Code 4 has a probing depth >5.5mm and the black band disappears, indicating a pocket of 6mm or more
- Furcation involvement also exists as a code
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