Podcast
Questions and Answers
Which of the following is the primary purpose of the Basic Periodontal Examination (BPE)?
Which of the following is the primary purpose of the Basic Periodontal Examination (BPE)?
- To monitor periodontal disease progression in patients.
- To provide a comprehensive periodontal diagnosis.
- To screen and indicate the level of further periodontal examination needed. (correct)
- To determine the precise treatment outcomes after periodontal therapy.
What is the significance of the WHO probe in conducting a Basic Periodontal Examination (BPE)?
What is the significance of the WHO probe in conducting a Basic Periodontal Examination (BPE)?
- It has specific markings to assess pocket depths and detect calculus or overhanging margins. (correct)
- It is used to assess the color and contour of the gingiva.
- It is used to measure tooth mobility.
- It is used to take radiographs.
According to the British Society of Periodontology, how often should the BPE guidance be reviewed and updated?
According to the British Society of Periodontology, how often should the BPE guidance be reviewed and updated?
- Every 10 years
- Every 5 years
- Every 2 years
- Every 3 years (correct)
What does a BPE code of '3' indicate?
What does a BPE code of '3' indicate?
In the context of BPE, what does the term 'sextant' refer to?
In the context of BPE, what does the term 'sextant' refer to?
Which of the following clinical findings would result in assigning a '*' notation to a sextant during a BPE?
Which of the following clinical findings would result in assigning a '*' notation to a sextant during a BPE?
What should be the next step if a patient receives a BPE score that indicates the need for further examination?
What should be the next step if a patient receives a BPE score that indicates the need for further examination?
Why is it important to be aware of the limitations of the BPE?
Why is it important to be aware of the limitations of the BPE?
When using the WHO probe, what does the black band being partially visible indicate?
When using the WHO probe, what does the black band being partially visible indicate?
Why can't the BPE be used around implants?
Why can't the BPE be used around implants?
What is the main difference between a BPE code 0 and a BPE code 1?
What is the main difference between a BPE code 0 and a BPE code 1?
What is the key factor that differentiates a BPE code 2 from a code 1?
What is the key factor that differentiates a BPE code 2 from a code 1?
What is the correct probing pressure to use when performing a BPE?
What is the correct probing pressure to use when performing a BPE?
Under what circumstances is it acceptable to record the BPE code for the third molars (8's)?
Under what circumstances is it acceptable to record the BPE code for the third molars (8's)?
Which of the following factors is NOT directly assessed by the BPE?
Which of the following factors is NOT directly assessed by the BPE?
Why is the BPE considered a 'screening' tool rather than a 'diagnostic' tool?
Why is the BPE considered a 'screening' tool rather than a 'diagnostic' tool?
What should you do if a sextant has only one tooth present?
What should you do if a sextant has only one tooth present?
If a patient presents with a BPE score of 4 in one or more sextants, what does this indicate?
If a patient presents with a BPE score of 4 in one or more sextants, what does this indicate?
The BPE stemmed from which index?
The BPE stemmed from which index?
The BPE takes into account:
The BPE takes into account:
Flashcards
What is a BPE?
What is a BPE?
A simple and quick method to assess the need for further periodontal examination.
How should BPE be used?
How should BPE be used?
The BPE should be used only for screening; it is not suitable for diagnosis or monitoring.
What does BPE assess?
What does BPE assess?
Calculus and plaque, bleeding, overhangs and pocket depths.
What is a WHO probe?
What is a WHO probe?
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How is the mouth divided in BPE?
How is the mouth divided in BPE?
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Minimum teeth per sextant?
Minimum teeth per sextant?
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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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BPE Code *
BPE Code *
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Study Notes
- The Basic Periodontal Examination (BPE) is covered in "Foundations in Clinical Skills and Practice" by Sarah Balian, Eastman Dental Hospital.
Intended Learning Outcomes
- Explain the features and considerations for the Basic Periodontal Examination (BPE).
- Recognize the limitations of the BPE.
- Explain the features of a WHO probe and relate them to its usage.
- Demonstrate the use of criteria associated with the BPE index.
- Describe the clinical findings and treatment needs associated with each BPE code.
British Society of Periodontology Guidance
- Refer to the British Society of Periodontology Guidance 2019.
- The BPE was first developed by the British Society of Periodontology in 1986.
- Previous versions of the document were produced in 1986, 1994, 2000, 2011, and 2016.
- The next review is scheduled for 2024.
- The BPE stemmed from the Community Periodontal Index of Treatment Needs (CPITN).
- The BPE is also known as PSR or PEPE.
Periodontal Screening Tool
- The BPE is a simple & rapid screening tool that indicates the level of further examination needed.
- The BPE provides basic guidance on treatment needed.
- The BPE is not prescriptive but represents a minimum standard of care for initial periodontal assessment.
- The BPE should be used for screening only, not for diagnosis.
Limitations of the BPE
- It is not for monitoring patients.
- It is not a treatment outcome measure.
- It does not provide a diagnosis.
Factors Taken into Account with a BPE
- Calculus
- Bleeding
- Overhangs
- Pocket Depths
WHO/BPE Probe
- Key features include ball height, ball features & rationale, base of the 1st black band, and top of the 1st black band.
- It is important to consider what pressure to use and how to move the probe.
Recording a BPE
- The mouth is divided into sextants.
- Sextants include UR (17-14), UA (13-23), UL (24-27), LR (47-44), LA (43-33), LL (34-37).
- All teeth are accounted for except 8's unless first and/or second molars are missing.
- A sextant must contain at least 2 teeth.
- A hyphen '-' indicates no teeth accountable in the sextant, while '*' indicates furcation.
BPE Scoring Codes
- Code 0: Pockets <3.5mm, no calculus/overhangs, no bleeding on probing, black band entirely visible; No treatment needed, encourage to continue.
- Code 1: Pockets <3.5mm, no calculus/overhangs, bleeding on probing, black band entirely visible; no pockets >3.5mm, bleeding after probing.
- Code 2: Pockets <3.5mm, supra or subgingival calculus/overhangs, black band entirely visible; no pockets >3.5mm, calculus (supra or sub) or overhangs.
- Code 3: Probing depth 3.5-5.5mm, black band partially visible, initial phase therapy.
- Code 4: Probing depth >5.5mm, black band disappears.
- Code *: Furcation involvement.
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