Basic Periodontal Examination (BPE)
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Questions and Answers

What is one primary purpose of the Basic Periodontal Examination (BPE)?

  • To indicate the level of further examination needed (correct)
  • To guide treatment decisions based on specific diagnoses
  • To determine the exact periodontal diagnosis
  • To provide a definitive treatment plan

    • Which of the following is NOT a limitation of the BPE?

  • It is not a treatment outcome measure
  • It can be used at the end of treatment for comparison (correct)
  • It is not for monitoring patients
  • It does not provide a diagnosis

    • What feature is assessed by the BPE?

  • Presence of calculus and bleeding (correct)
  • Patient's history of gum disease
  • Type of dental fillings present
  • Overall dental hygiene practices

    • What should the BPE not be used for?

    <p>Providing a detailed treatment outcome</p> Signup and view all the answers

    Who developed the Basic Periodontal Examination?

    <p>British Society of Periodontology</p> Signup and view all the answers

    What does the BPE provide in terms of treatment recommendations?

    <p>It represents a minimum standard of care</p> Signup and view all the answers

    Which of the following is a feature found on a WHO probe related to the BPE?

    <p>Measurement markings specific to BPE coding</p> Signup and view all the answers

    What is the frequency of BPE guideline revisions?

    <p>Every 4 years</p> Signup and view all the answers

    What is the stem of BPE derived from?

    <p>Community Periodontal Index of Treatment Needs</p> Signup and view all the answers

    What is the purpose of knowing pocket depth during a periodontal assessment?

    <p>To determine if further periodontal assessment is needed</p> Signup and view all the answers

    Which factor can be visually assessed, but is not recorded?

    <p>Gingival contour</p> Signup and view all the answers

    What is the recommended pressure range for using a WHO/BPE probe?

    <p>20-25g</p> Signup and view all the answers

    How does the ball end of the probe benefit the patient?

    <p>Reduces patient trauma</p> Signup and view all the answers

    What should not be used during the periodontal assessment according to the BPE guidelines?

    <p>Second black band of the probe</p> Signup and view all the answers

    What is assessed to provide tailored oral hygiene to the patient?

    <p>Presence and location of plaque retention factors</p> Signup and view all the answers

    What is the significance of bleeding on probing?

    <p>Suggests inflammation and poor oral hygiene</p> Signup and view all the answers

    What is the black band at the base and top of the WHO/BPE probe used for?

    <p>To indicate probing depth ranges</p> Signup and view all the answers

    Which of the following is NOT used in periodontal assessment?

    <p>Gingival colour assessment</p> Signup and view all the answers

    What is the role of radiographs in the periodontal assessment process?

    <p>Used in periodontal assessment</p> Signup and view all the answers

    What is the range of the walking stroke in millimeters?

    <p>3.5 - 5.5mm</p> Signup and view all the answers

    When recording a Basic Periodontal Examination (BPE), which teeth are typically excluded?

    <p>All wisdom teeth</p> Signup and view all the answers

    How is a sextant defined for a Basic Periodontal Examination?

    <p>It must contain at least 2 accountable teeth.</p> Signup and view all the answers

    What should be done if only one tooth is present in a sextant?

    <p>Add the score to an adjacent sextant.</p> Signup and view all the answers

    What is indicated by a ‘*’ when assessing teeth in a sextant?

    <p>There is furcation involvement</p> Signup and view all the answers

    When performing a BPE, who is responsible for recording results?

    <p>All team members involved in the examination</p> Signup and view all the answers

    Which patients typically do not require a BPE?

    <p>Patients who have been previously assessed for periodontal conditions</p> Signup and view all the answers

    What is the primary purpose of a full periodontal assessment?

    <p>To assess periodontal tissue condition</p> Signup and view all the answers

    What does the presence of ‘-’ signify in a sextant?

    <p>No accountable teeth in that sextant</p> Signup and view all the answers

    At what point should a BPE be recorded for every non-periodontal patient?

    <p>Only during initial assessments</p> Signup and view all the answers

    What is required for a Code 4 periodontal assessment?

    <p>Complete periodontal assessment including mobility and recession</p> Signup and view all the answers

    What does 'PMPR' stand for in the context of Code 4 treatment?

    <p>Quadrant Periodontal Maintenance and Prophylaxis Review</p> Signup and view all the answers

    Which of the following BPE codes indicates the highest level of periodontal treatment needs?

    <p>Code 4</p> Signup and view all the answers

    In the summary chart of BPE scoring, what might the presence of '7mm*' indicate?

    <p>Severe periodontal disease</p> Signup and view all the answers

    What aspect of treatment should be tailored for a patient in Code 4?

    <p>Individualized oral hygiene advice based on their specific condition</p> Signup and view all the answers

    Which of the following is NOT a component of a full periodontal assessment for Code 4?

    <p>Influence of systemic diseases</p> Signup and view all the answers

    What is indicated for a patient with a BPE score of Code 0?

    <p>Encourage to continue good oral hygiene routine</p> Signup and view all the answers

    Which is a characteristic of a BPE score of Code 1?

    <p>Any bleeding after probing</p> Signup and view all the answers

    What is the probing depth range associated with a BPE Code 2?

    <p>3.5mm to 5.5mm</p> Signup and view all the answers

    What should be prioritized when treating a patient with BPE Code 2?

    <p>Removal of calculus</p> Signup and view all the answers

    What is the characteristic of a BPE Code 3?

    <p>Probing depth greater than 5.5mm</p> Signup and view all the answers

    How should a clinician react if a patient's BPE indicates Code 4?

    <p>Immediate referral to a periodontist</p> Signup and view all the answers

    Which statement is true for a BPE score of Code 1?

    <p>Black band partially visible</p> Signup and view all the answers

    What is the primary goal of the treatment for a Code 1 scoring?

    <p>Education on oral hygiene practices</p> Signup and view all the answers

    What is recommended if a patient is scored as BPE Code 2?

    <p>Refer to a dental hygienist for scaling</p> Signup and view all the answers

    What BPE score indicates both calculus and probing depth between 3.5mm and 5.5mm?

    <p>Code 2</p> Signup and view all the answers

    Study Notes

    Basic Periodontal Examination (BPE)

    • The BPE is a simple periodontal screening tool used to determine the level of further examination needed.
    • The BPE is a minimum standard for the initial periodontal assessment.
    • The BPE was developed by the British Society of Periodontology in 1986.
    • The BPE is not prescriptive but provides a minimum standard of care for the initial periodontal assessment.
    • The BPE should be used for screening only, not for diagnosis.
    • The BPE is not for monitoring patients undergoing periodontal treatment.
    • The BPE is not a treatment outcome measure.
    • It can be used to indicate whether a full periodontal assessment is required.

    Limitations of the BPE

    • The BPE does not provide a diagnosis.
    • The BPE does not monitor treatment progress.
    • The BPE does not provide a full assessment of periodontal health.

    What is assessed during a BPE?

    • Bleeding on probing: This assesses inflammation and poor oral hygiene.
    • Pocket depths: This determines if further periodontal assessment is needed – assesses if the pocket depth is greater than 3.5mm.
    • Presence and location of calculus/overhangs: This allows for tailored oral hygiene advice to patients, as this can be a retention factor for plaque.

    BPE Probe

    • BPE probe has a ball end (0.5mm) for reducing trauma to the patient.
    • The probe has two black bands: the first black band is between 3.5mm and 5.5mm.
    • The second black band is not used.
    • The probe is used with a pressure of 20-25g.
    • The probe should be used with a 'walking stroke'.
    • The BPE should be recorded in sextants, excluding the third molars unless the first and/or second molar is missing.
    • A '-' is used to signify that there are no teeth accountable in a sextant.
    • A '*' is used to denote furcation involvement.
    • The BPE should be recorded on every new patient, but not on patients already receiving periodontal treatment.
    • Clinicians should carry out their own BPE during each appointment.

    BPE Codes

    • Code 0: No pockets greater than 3.5mm, no calculus or overhangs, no bleeding on probing.
    • Code 1: No pockets greater than 3.5mm, no calculus or overhangs, bleeding on probing.
    • Code 2: No pockets greater than 3.5mm, presence of calculus or overhangs, no bleeding on probing.
    • Code 3: Pocket depth of 3.5mm to 5.5mm; black band partly visible.
    • Code 4: Pocket depth greater than 5.5mm; black band completely invisible.

    Treatment based on BPE codes

    • Code 0: No treatment required. Encourage good oral hygiene.
    • Code 1: Oral hygiene education and advice.
    • Code 2: Tailored oral hygiene advice. Remove secondary local factors, such as calculus and overhangs.
    • Code 3: Full periodontal assessment required.
    • Code 4: Full periodontal assessment required.
    • Code 3 and 4:** Furcation involvement.

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    Basic Periodontal Examination PDF

    Description

    This quiz covers the Basic Periodontal Examination (BPE), a simple screening tool developed by the British Society of Periodontology. Participants will learn about the purpose, limitations, and assessment criteria of the BPE. It's designed for those interested in understanding initial periodontal assessments in dental practice.

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