BPE - Foundations in Clinical Skills and Practice

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Questions and Answers

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)?

  • 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?

  • Every 10 years
  • Every 5 years
  • Every 2 years
  • Every 3 years (correct)

What does a BPE code of '3' indicate?

<p>Probing depths between 3.5 and 5.5 mm. (A)</p>
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In the context of BPE, what does the term 'sextant' refer to?

<p>One sixth of the dentition, divided into sections. (A)</p>
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Which of the following clinical findings would result in assigning a '*' notation to a sextant during a BPE?

<p>Furcation involvement (C)</p>
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What should be the next step if a patient receives a BPE score that indicates the need for further examination?

<p>Schedule a comprehensive periodontal assessment. (C)</p>
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Why is it important to be aware of the limitations of the BPE?

<p>To understand it's not for use as a treatment outcome measure. (B)</p>
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When using the WHO probe, what does the black band being partially visible indicate?

<p>Probing depth of 3.5-5.5mm (C)</p>
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Why can't the BPE be used around implants?

<p>The probing depths around implants can have different interpretations (A)</p>
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What is the main difference between a BPE code 0 and a BPE code 1?

<p>Code 1 indicates the presence of bleeding on probing, while code 0 indicates its absence. (C)</p>
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What is the key factor that differentiates a BPE code 2 from a code 1?

<p>Presence of calculus or overhanging margins (D)</p>
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What is the correct probing pressure to use when performing a BPE?

<p>Light pressure of around 0.25N (C)</p>
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Under what circumstances is it acceptable to record the BPE code for the third molars (8's)?

<p>Only if the first and/or second molars are missing. (B)</p>
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Which of the following factors is NOT directly assessed by the BPE?

<p>Gingival recession (A)</p>
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Why is the BPE considered a 'screening' tool rather than a 'diagnostic' tool?

<p>It provides a limited assessment to identify individuals at risk, not a comprehensive diagnosis. (B)</p>
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What should you do if a sextant has only one tooth present?

<p>The sextant must contain at least 2 teeth. (A)</p>
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If a patient presents with a BPE score of 4 in one or more sextants, what does this indicate?

<p>The patient requires a comprehensive periodontal examination and treatment planning. (B)</p>
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The BPE stemmed from which index?

<p>Community Periodontal Index of Treatment Needs (D)</p>
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The BPE takes into account:

<p>Pocket Depths (D)</p>
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Flashcards

What is a BPE?

A simple and quick method to assess the need for further periodontal examination.

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?

Calculus and plaque, bleeding, overhangs and pocket depths.

What is a WHO probe?

A special probe with a ball tip and black band markings used to assess periodontal health.

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How is the mouth divided in BPE?

The mouth is divided into six sections (sextants) for recording BPE scores.

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Minimum teeth per sextant?

Each sextant must have at least two teeth present to be scored, excluding third molars.

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BPE Code 0

No pockets greater than 3.5mm, no calculus or overhangs, and no bleeding on probing with black band completely visible.

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BPE Code 1

No pockets greater than 3.5mm, no calculus or overhangs, and bleeding on probing with black band entirely visible.

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BPE Code 2

No pockets greater than 3.5mm with supra or subgingival calculus/overhangs present. Black band entirely visible.

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BPE Code 3

Probing depth between 3.5-5.5mm, indicated by the black band being partially visible

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BPE Code 4

Probing depth greater than 5.5mm, indicated by the black band disappearing.

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BPE Code *

Indicates furcation involvement.

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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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