Basic Periodontal Examination PDF

19/09/2023 Basic Periodontal Examination Foundations in Clinical Skills and Practice Sarah Balian Intended Learning Outcomes By the end of this session students should be able to: Explain the key features and considerations for the basic periodontal examination (BPE) Be aware of the limitat...

19/09/2023 Basic Periodontal Examination Foundations in Clinical Skills and Practice Sarah Balian Intended Learning Outcomes By the end of this session students should be able to: Explain the key features and considerations for the basic periodontal examination (BPE) Be aware of the limitations of the BPE Explain the features found on a WHO probe and relate to usage of this probe Demonstrate usage of criteria associated with the BPE index Describe clinical findings and treatment needs associated with each BPE code 1  19/09/2023 Basic Periodontal Examination Please refer to British Society of Periodontology Guidance 2019 The BPE was first developed by the British Society of Periodontology in 1986. Previous versions of this document were produced in 1986, 1994, 2000, 2011 and 2016 Next review 2024 Stemmed form CPITN - Community Periodontal Index of Treatment Needs AKA PSR, PEPE 2  19/09/2023 Periodontal Screening Tool Simple & rapid screening tool that indicates the level of further examination needed Provide basic guidance on treatment needed Not prescriptive but represent a minimum standard of care for initial periodontal assessment. BPE should be used for screening only and should not be used for diagnosis Limitations of BPE Is not for monitoring patients Is not a treatment outcome measure Does not provide a diagnosis Can you think of one more? 3  19/09/2023 What we take into account with a BPE? Calculus Bleeding BPE Overhangs Pocket Depths Feature Assessed by BPE? Reason Gingival colour Gingival contour Pocket Depth Bleeding on probing Mobility Levels of plaque / staining Presence & location of calculus Presence & location of plaque retention factor Radiographs – peri-apicals & OPG 4  19/09/2023 WHO / BPE Probe Ball height – Ball features & rationale Base of 1st black band - Top of 1st black band – What pressure? How do we move the probe? Recording a BPE All teeth except 8’s UNLESS first and/or Divided into second molar missing sextants UR (17-14) UA (13-23) UL (24 – 27) LR (47-44) LA (43-33) LL (34 – 37) Sextant must ‘-’ No teeth contain at least 2 accountable in teeth sextant ‘*’ furcation 5  19/09/2023 Example 4 - 3* 2* 4 4* When should a BPE be recorded? 6  19/09/2023 Summary chart of BPE scoring No pockets >3.5mm No calculus or overhangs No bleeding on probing Black band completely visible Code 0 7  19/09/2023 CODE O Treatment indicated No treatment needed Encourage to continue No pockets >3.5mm No calculus or overhangs Bleeding after probing Black band? Code 1 8  19/09/2023 CODE 1 – Treatment indicated No pockets >3.5mm No pockets >3.5mm Calculus (supra or sub) or overhangs Calculus (supra or sub) or Black band? overhangs Code 2 Black band? 9  19/09/2023 CODE 2 - Treatment Probing depth 3.5 – 5.5mm Black band? What was normal healthy pocket depth? Code 3 10  19/09/2023 CODE 3 - Treatment Initial Phase Therapy Discussion 11  19/09/2023 Black band? Probing depth >5.5mm Code 4 Code 4 treatment 12  19/09/2023 Summary chart of BPE scoring Where do we go from here? 13  19/09/2023 Quiz 4 5 3* 4 5 3* 2* 4 4* 7mm* 4 7* 4 5 3* 6 0 3* -* 4 4* 2* 4 4* What are these BPE codes? Describe & treatment needs 14  19/09/2023 Image references Wel l Done GIFs | Tenor https ://www.signaturesmilesmi.com/blog/Why-Do-My-Gums-Bleed-When-I-Floss_AE25.html https ://www.healthline.com/health/dental-and-oral-health/calculus-bridge https ://pocketdentistry.com/3-patient-assessment-examination-and-diagnosis-and-treatment-planning/ https ://www.gskhealthpartner.com/en-sa/oral-health/conditions/gum-health/diagnosis/ https ://www.youtube.com/watch?v=vtowtYEqf5s https ://lowcountryfamilydentistry.com/dental-services/general-dentistry/dental-x-rays/bitewing-x-ray/ https ://www.researchgate.net/figure/Orthogonal-periapical-radiograph-PA-is-seen_fig2_282047450 https ://health.howstuffworks.com/wellness/oral-care/products/dental-scaler.htm https ://www.gskhealthpartner.com/en-sa/oral-health/conditions/gum-health/diagnosis/ https ://ct-dent.co.uk/opg-xray-panoramic-orthopantomogram/ https ://www.medicaldevicesgroup.net/medical-devices/healthcare-referral-system-broken/ https ://tenor.com/search/where-gifshttps://www.gskhealthpartner.com/en-sa/oral-health/conditions/gum- hea lth/diagnosis/ 15