1 / 13

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)

vgonzalez
Download Presentation

Periodontal Screening and assessment

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  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

More Related