2 x Pocket Chart

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Q: Do I have to do the staging and grading every time I see the patient for a new examination i.e. every 6 months? A: No, Staging and Grading is based on the worst affected tooth with periodontal disease. Whilst a diagnostic statement might give the feeling that a case is severe, but on examination it turns out to be based on one very badly affected tooth, as clinicians we interpret our clinical findings and treat accordingly. The new system, like the previous system, does not dictate treatment based on a specific diagnosis and it is for the clinician to decide on the most appropriate treatment for each case. Obviously, all of this is in the absence of any restorative issues… if there are restorative aspects then that might drive you to PAs sooner, especially for treatment planning where there are other problems.

Reference section 3.2.1 of SDCEP guidance from September attached and here Mitigation of Aerosol Generating Procedures in Dentistry - A Rapid Review (sdcep.org.uk) Hasani-Sadrabadi MM, et al. (2019). Hierarchically patterned polydopamine-containing membranes for periodontal tissue engineering. Q: Just after some advice, I’m trying to set up a protocol for implants but dentists would like proof about recalls for maintenance, what is the time frame is it 3/12 or dependant on individual patients?Many thanks. Many of us have been busy lecturing on the subject and answering questions on social media and we realised that the same questions were coming up time and time again. As such, we decided to collate the frequently asked questions with the BSP’s answers:Will guidance be published on when to take a DPC and how often to repeat them? This was a source of significant discussion. Your dentist will measure the size of the space between your gums and teeth with a periodontal probe.

As you select a position for a quadrant, the quadrant that already has that position will swap over with the one you chose. We have had a very positive response to the BSP implementation of the 2017 Classification and the flowchart to help practitioners has been an overwhelming success.The Perio Chart has comments fields for diagnosis and treatment plan: Configuring single screen perio The main screen of Perio is displayed. The most recent perio chart is automatically displayed. The grid will be blank if the patient does not yet have any charts recorded. The view is read-only. A: No, Staging and grading and your diagnostic statement is based on the radiographs that you take when you first meet a patient. At your review, following treatment, the only thing that can realistically change is the element of the diagnostic statement that relates to disease activity i.e. stable, in remission, unstable, as you will not be taking more radiographs at this stage. You should reflect on this in your notes when you reassess your patient and are deciding on the need for more treatment or progressing to supportive care.

Chronic marginal gingivitis and periodontitis is primarily caused by plaque and poor hygiene (Pihlstrom, Michalowicz, & Johnson, 2005). Patients who have poor oral hygiene and have neglected their dentition, will not benefit from your clinical periodontal/hygiene interventions unless a change in behaviour is adopted. This resource is perfect for introducing different types of texts and the concepts of story elements, characters, settings, and problems. Have students work in groups to find examples of fiction and non-fiction texts and then complete the chart according to their book. A: No, in the case described where there is no other bone loss and the bone “loss” has a known aetiology i.e. the impacted third molars, a diagnosis of either gingival health on a reduced periodontium or gingivitis on a reduced periodontium would be applied. This is not Periodontitis. While the evidence supporting the use of high volume suction to reduce the risk associated with dental AGPs is very low certainty, the use of suction does have other benefits (e.g. saliva/debris removal, airway protection) and is standard practice in dentistry. ..... Therefore, an individual risk assessment to identify such patients may be necessary. High volume suction has a number of variables and is both equipment and operator sensitive. While suction is available in all dental practices, there may be practices where the existing ‘high volume suction’ does not meet the required standard and additional costs may be involved in upgrading facilities to meet these. There are also ongoing costs associated with assessing and calibrating the level of suction, and servicing of the suction equipment, although these costs are unlikely to be additional as use of suction is standard practice. Following consideration of these factors, the Working Group reached an agreed position: Q: Many thanks for making the recent webinars available on the UK's implementation of the new EFP S3 guidelines. A clinician's meeting was held at my place of work to update fellow colleagues and discuss how we need to make the relevant changes.If you have dry mouth, use a mouthwash that doesn’t contain alcohol. You can also try chewing sugar-free gum, sipping water, and avoiding caffeine. The singal screen perio chart can be customised per provider login, or providers can simply use the default settings. What is subgingival scaling of the clinical crown? My understanding of the clinical crown is that is the portion of the tooth above the gingival margin - so how can this be subgingivally scaled? Press a number key to enter a value (from 0-9) in the current box. This also moves the cursor onto the next box. This double-sided chart folds flat for easy storage and has dry-erase cards so you can use it over and over again.

This non-surgical dental procedure is done with a laser or ultrasonic device. Hand instruments, like curettes and scalers, are also common.Furcations of all molars and first premolars of the upper jaw should be assessed with a furcation probe. The horizontal component of probing is graded (0 - 3) according to the following criteria: If the patient’s oral hygiene is poor, bearing the above discussion in mind and with consideration of the BSP guidelines, it is reasonable to claim a band 2 course of initial periodontal therapy without conducting a 6PPC. Press NMLK+'.' to delete the entry in the current field and revert it to blank. The cursor will not move. Q: I have had a read through the 'BSP UK CLINICAL PRACTICE GUIDELINES FOR THE TREATMENT OF PERIODONTAL DISEASES', and I am wanting to clarify one point which is a bit unclear to me. That is in step one, it states '+ /- Professional Mechanical Plaque Removal (PMPR) including supra and subgingival scaling of the clinical crown', and in step 2 which is conducted at a recall with an engaged patient 'Subgingival instrumentation, hand or powered (sonic / ultrasonic), either alone or in combination'.