Poisson Distribution Explained

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Questions and Answers

According to the BSP implementation of the 2017 classification of periodontal diseases, what is the initial step in reaching a diagnosis?

  • Radiographic assessment to determine bone loss
  • Full periodontal assessment with a detailed 6-point pocket chart
  • Initial periodontal therapy and review in 3 months
  • History, examination, and screening for periodontal disease, including BPE and assessment of historic periodontitis (correct)

In the BSP guideline, what is indicated by a BPE code of 3?

  • No obvious evidence of interdental recession, but necessitating radiographic assessment (correct)
  • Obvious evidence of interdental recession requiring immediate full periodontal assessment
  • Less than 10% bleeding on probing, indicative of clinical gingival health
  • Pockets ≥4mm remain and/or radiographic evidence of bone loss necessitating continuation with code 4 pathway

According to periodontal staging, what classification is given to a patient showing interproximal bone loss extending to the mid-third of the root?

  • Stage II (Moderate)
  • Stage III (Severe) (correct)
  • Stage IV (Very Severe)
  • Stage I (Early/Mild)

If a patient presents with Bleeding on Probing (BoP) ≥10%, probing pocket depths (PPD) ≤4mm, and no Bleeding on Probing (BoP) at 4mm sites, according to the BSP guidelines, how would their current periodontitis status be classified?

<p>Currently in Remission (A)</p> Signup and view all the answers

In determining the grade of periodontitis, what calculation is utilized, according to the BSP implementation?

<p>Ratio of percentage of bone loss to the patient's age (B)</p> Signup and view all the answers

According to the BSP guidelines, what is the appropriate action following a BPE code of 4?

<p>Full periodontal assessment, including detailed 6-point pocket chart (A)</p> Signup and view all the answers

What percentage of bleeding on probing is indicative of localised gingivitis, according to the BSP implementation?

<p>10-30% (D)</p> Signup and view all the answers

According to the BSP guidelines, in the absence of clinical justification or bitewing radiographs, what radiographic assessments should be available when staging periodontitis?

<p>Periapicals or OPG/DPT should be available (D)</p> Signup and view all the answers

Which of the following classifications denotes a rapid rate of periodontitis progression?

<p>Grade C (D)</p> Signup and view all the answers

What condition is suggested by 'pockets ≥4mm remain and/or radiographic evidence of bone loss due to periodontitis'?

<p>Continue with code 4 pathway (A)</p> Signup and view all the answers

Flashcards

Clinical Gingival Health

Bleeding on probing less than 10% with no obvious evidence of interdental recession.

Localised Gingivitis

Bleeding on probing between 10-30% with no obvious evidence of interdental recession.

Generalised Gingivitis

Bleeding on probing greater than 30% with no obvious evidence of interdental recession.

Continue with 0/1/2 pathway

No pockets ≥4mm and no radiographic evidence of bone loss due to periodontitis.

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Continue with code 4 pathway

Pockets ≥4mm remain and/or radiographic evidence of bone loss due to periodontitis. Continue with code 4 pathway.

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Stage I Periodontitis

Less than 15% (or <2mm attachment loss from CEJ).

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Stage II Periodontitis

Coronal third of root affected by bone loss.

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Stage III Periodontitis

Mid third of root affected by bone loss.

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Stage IV Periodontitis

Apical third of root affected by bone loss.

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Currently Stable Periodontitis

BoP less than 10%, PPD less than or equal to 4mm and No BoP at 4mm sites

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Study Notes

  • The Poisson distribution is a discrete probability distribution.
  • It expresses the probability of a number of events occurring in a fixed interval.
  • Events occur with a known constant mean rate.
  • These events occur independently of the time since the last event.

Definition

  • A discrete random variable $X$ has a Poisson distribution with parameter $\lambda > 0$.
  • Probability mass function (PMF): $P(X = k) = \frac{e^{-\lambda} \lambda^k}{k!}$, $k = 0, 1, 2,...$
    • $e$ is Euler's number ($e \approx 2.71828$)
    • $k$ is the number of occurrences of an event.
    • $k!$ is the factorial of $k$.
    • $\lambda$ is a positive real number, equal to the expected number of occurrences in the interval.

Mean and Variance

  • If $X \sim Poisson(\lambda)$, then
    • $E[X] = \lambda$
    • $Var(X) = \lambda$

Example

  • average goals in a soccer match = 2.
  • The chance of 5 goals being scored is 0.0361.
  • $P(X = 5) = \frac{e^{-2} 2^5}{5!} = 0.0361$

Poisson Sums

  • Let $X_1, X_2,..., X_n$ be independent Poisson random variables.
  • The means are $\lambda_1, \lambda_2,..., \lambda_n$, respectively.
  • $X_1 + X_2 +... + X_n$ is a Poisson random variable with mean $\lambda_1 + \lambda_2 +... + \lambda_n$.

Example

  • Two email accounts exist.
  • The number of emails arriving to the first account follows a Poisson distribution at a rate of 3 emails per hour.
  • The number of emails arriving to the second account follows a Poisson distribution at a rate of 5 emails per hour.
  • The probability of receiving 10 emails total in one hour is 0.09926.
  • Let X be the number of emails arriving to the first account, and Y be the number of emails arriving to the second account.
  • Then $X \sim Poisson(3)$ and $Y \sim Poisson(5)$.
  • $X + Y \sim Poisson(3 + 5) = Poisson(8)$
  • $P(X + Y = 10) = \frac{e^{-8} 8^{10}}{10!} = 0.09926$

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