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Periodontal Screening and assessment

Periodontal Screening and assessment. Kirstie Malley BDS. Prevalence (ADHS 2009). 37% of the adult population suffer from moderate levels of chronic periodontitis (with 4-6mm pocketing) 8% of the population suffer from severe periodontitis (with pocketing exceeding 6mm)

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Periodontal Screening and assessment

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  1. Periodontal Screening and assessment Kirstie Malley BDS

  2. Prevalence (ADHS 2009) • 37% of the adult population suffer from moderate levels of chronic periodontitis (with 4-6mm pocketing) • 8% of the population suffer from severe periodontitis (with pocketing exceeding 6mm) • Severe periodontitis has been found to affect 11% of adults worldwide.

  3. Risk Factors • Poor oral hygiene • Tobacco use • Diabetes • Genetics • Poor Nutrition • Stress

  4. Periodontal Screening BASIC PERIODONTAL EXAMINATION Division into 6 sextants All teeth included (except third molars unless 1st/2nd are missing) Highest score recorded for each sextant Probing force 20-25g Indicates the level of further examination required, and gives basic guidance on treatment  

  5. BPE & Children • Periodontal screening for children assesses six index teeth (UR6, UR1, UL6, LL6, LL1 and LR6). • Uses simplified BPE to avoid the problem of false pockets. The ideal probe for this examination is a WHO 621 style probe, the second black at 8.5 – 11.5mm being useful if there is false pocketing. • BPE codes 0 - 2 are used in 7 to 11 year-olds (during the mixed dentition phase) while the full range of codes 0, 1, 2, 3, 4 and * can be used in 12 to 17 year-olds (when the permanent teeth erupt).

  6. Implants • Tissues surrounding implants are not connected to the implant surface in the same way as those surrounding teeth and are less resistant to probing. • This in combination with the anatomical position of the implant in relation to the bone and soft tissues may lead to deeper probing depths in healthy sites. • BPE TO BE AVOIDED- do a 6-point pocket chart for implants

  7. Radiographs Gold Standard? Peri-apicals • Assessing prognosis • Helping to assess furcation involvements • Identifying possible endodontic complications.

  8. Selection Criteria for Dental Radiography • Available online • General points relating to Radiographs and Periodontal assessment • Recommendations

  9. Recommendations

  10. References • Steele J & O’Sullivan I. (2011), Adult Dental Health Survey 2009. The Health and Social Care Information Centre. Kassebaum NJ, Bernabé E, Dahiya M. (2014), Global burden of severe periodontitis in 1990-2010: a systematic review and meta- regression. J Dent Res 93 (11):1045-1053. • Public Health England. Delivering Better Oral Health 3rd Ed (2014) Section 7: 51-62. • https://www.gov.uk/government/publications/delivering-better-oral-health-an-evidence-based-toolkit-for-prevention • Ainamo J, Nordblad A and Kallio P. (1984) Use of the CPITN in populations under 20 years of age. International Dental Journal 34: 285-291. • British Society of Periodontology. Basic Periodontal Examination (BPE), revised March 2016 • http://www.bsperio.org.uk/publications/downloads/39_150345_bpe-2016-po-v5- nal.pdfClerehugh V. (2008) Periodontal diseases in children and adolescents. British Dental Journal 204:469-471.Guidelines for Periodontal Screening and Management of Children and Adolescents Under 18 Years of Age - Executive Summary • http://www.bsperio.org.uk/publications/downloads/53_085556_executive-summary-bsp_bspd-perio-guidelines-for- the-under-18s.pdf • https://www.fgdp.org.uk/selection-criteria-dental-radiography/52-recommendations

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