Podcast
Questions and Answers
According to the BSP implementation of the 2017 classification of periodontal diseases, what is the first step in reaching a diagnosis in clinical practice?
According to the BSP implementation of the 2017 classification of periodontal diseases, what is the first step in reaching a diagnosis in clinical practice?
- Taking a thorough history, examination, and screening for periodontal disease, including BPE and assessment of historic periodontitis. (correct)
- Performing a full periodontal assessment including a detailed 6-point pocket chart.
- Undertaking initial periodontal therapy and reviewing in 3 months with localised 6-point pocket chart in the involved sextant(s).
- Taking appropriate radiographs to assess bone loss.
In the BSP guideline, if a patient presents with code 3 without obvious interdental recession, what is the next recommended step?
In the BSP guideline, if a patient presents with code 3 without obvious interdental recession, what is the next recommended step?
- Continue with code 0/1/2 pathway.
- Appropriate radiographic assessment. (correct)
- Prescribe a course of antibiotics.
- Initiate a full periodontal assessment including a detailed 6-point pocket chart.
According to the BSP implementation of the 2017 classification, what clinical scenarios would lead you to continue with the code 4 pathway?
According to the BSP implementation of the 2017 classification, what clinical scenarios would lead you to continue with the code 4 pathway?
- Pockets ≥4mm remain and/or radiographic evidence of bone loss. (correct)
- Bleeding on probing scores are less than 10%.
- The patient has clinical gingival health.
- No pockets ≥4mm and no radiographic evidence of bone loss.
When staging periodontitis according to the BSP implementation of the 2017 classification, what is the key determinant for classifying a case as Stage III?
When staging periodontitis according to the BSP implementation of the 2017 classification, what is the key determinant for classifying a case as Stage III?
According to the BSP implementation of the 2017 classification, what criteria defines periodontitis as 'currently in remission'?
According to the BSP implementation of the 2017 classification, what criteria defines periodontitis as 'currently in remission'?
What parameter is used to determine the Grade of periodontitis?
What parameter is used to determine the Grade of periodontitis?
In what scenario would a radiographic assessment involve using CAL or bone loss from the cementoenamel junction (CEJ) instead of periapicals, OPG, or DPT?
In what scenario would a radiographic assessment involve using CAL or bone loss from the cementoenamel junction (CEJ) instead of periapicals, OPG, or DPT?
Following the BSP implementation of the 2017 classification, a patient is diagnosed with 'Localised Gingivitis'. Based on this information alone, which of the following BPE scores would be most likely?
Following the BSP implementation of the 2017 classification, a patient is diagnosed with 'Localised Gingivitis'. Based on this information alone, which of the following BPE scores would be most likely?
How should a diagnosis statement be structured according to the BSP implementation of the 2017 classification of periodontal diseases?
How should a diagnosis statement be structured according to the BSP implementation of the 2017 classification of periodontal diseases?
A patient presents with probing depths of 6mm, bleeding on probing, and radiographic evidence of bone loss affecting less than 30% of teeth. According to the BSP guideline, after initial periodontal therapy, if pockets of ≥4mm persist, what is the MOST appropriate next step in their periodontal management?
A patient presents with probing depths of 6mm, bleeding on probing, and radiographic evidence of bone loss affecting less than 30% of teeth. According to the BSP guideline, after initial periodontal therapy, if pockets of ≥4mm persist, what is the MOST appropriate next step in their periodontal management?
Flashcards
Clinical Gingival Health
Clinical Gingival Health
Inflammation of the gums with <10% bleeding on probing and no interdental recession.
Localised Gingivitis
Localised Gingivitis
Inflammation of the gums with 10-30% bleeding on probing and no interdental recession.
Generalised Gingivitis
Generalised Gingivitis
Inflammation of the gums with >30% bleeding on probing and no interdental recession.
Continue with code 0/1/2 pathway
Continue with code 0/1/2 pathway
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Continue with code 4 pathway
Continue with code 4 pathway
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Periodontitis Molar-Incisor Pattern
Periodontitis Molar-Incisor Pattern
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Periodontitis Stage I (Early/Mild)
Periodontitis Stage I (Early/Mild)
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Periodontitis Stage II (Moderate)
Periodontitis Stage II (Moderate)
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Periodontitis Stage III (Severe)
Periodontitis Stage III (Severe)
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Periodontitis Stage IV (Very Severe)
Periodontitis Stage IV (Very Severe)
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Periodontitis Grade A
Periodontitis Grade A
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Periodontitis Grade B
Periodontitis Grade B
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Periodontitis Grade C
Periodontitis Grade C
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Currently Stable
Currently Stable
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Currently in Remission
Currently in Remission
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Currently Unstable
Currently Unstable
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Study Notes
The Poisson Distribution
- It's a discrete probability distribution for the number of events in a fixed interval, with a known constant mean rate, independent of the last event's timing.
- The probability mass function (PMF) is $P(X = k) = \frac{e^{-\lambda} \lambda^k}{k!}$ for $k = 0, 1, 2,...$
- $e$ represents Euler's number ($e \approx 2.71828$).
- $k$ is the number of event occurrences.
- $k!$ is the factorial of $k$.
- $\lambda$ is the expected number of occurrences.
- If $X \sim Poisson(\lambda)$, then $E[X] = \lambda$ and $Var(X) = \lambda$.
- For example, given an average of 2 goals in a soccer match, finding the probability of 5 goals being scored is $P(X = 5) = \frac{e^{-2} 2^5}{5!} = 0.0361$.
Poisson Sums
- If $X_1, X_2,..., X_n$ are independent Poisson random variables with means $\lambda_1, \lambda_2,..., \lambda_n$, then $X_1 + X_2 +... + X_n$ is a Poisson random variable with mean $\lambda_1 + \lambda_2 +... + \lambda_n$.
- Imagine two email accounts; the first receives emails at a rate of 3 per hour, and the second at a rate of 5 per hour; to find the probability of receiving 10 emails in total in one hour.
- With $X \sim Poisson(3)$ and $Y \sim Poisson(5)$, then $X + Y \sim Poisson(3 + 5) = Poisson(8)$.
- Solving this, $P(X + Y = 10) = \frac{e^{-8} 8^{10}}{10!} = 0.09926$.
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