Quartz 4

EXAM - Perio Diagnosing

2 min read

Periodontal = Gums Bleed when I brush Staging and Grading :

đź“Ź Periodontal Examination

  • BPE:

    • Upper: 3/2/3
    • Lower: 4/2/3

  • Specific PPD: 47ML - 6mm PPD

  • Plaque Score: 98%

  • BOP: 86%

[BPE ](“Basic Periodontal Examination (BPE)” (“Perio Staging and Grading”, p. 1))

  • Score of 3 = more in depth for that quadrant
  • Score of 4 = more in depth for the entire site!

“[2018 Classification of Periodontal and Peri-Implant Diseases and Conditions](“2018 Classification of Periodontal and Peri-Implant Diseases and Conditions” (“Perio Staging and Grading”, p. 1))”

  • Periodontitis ( A bit early to say this but obvious, can definitevly say after the EFP)

EFP Clinical Decision Tree

  • A BPE of 3 in multiple quadrants suggests generalized CAL > 1
    • We won’t really know until more in depth charting ! Which should be done before we even go down this tree
    • PPD of 4 mm or more is present (although localized)
      • this already makes it a periodontitis case
      • Also present of gingival inflammation makes it a “Gingival Inflammation in periodontitis patient”

Clincial Steps

  • OHI somewhere? todo
  • Full periodontal charting
    • which phase?
  • After Completing periodontal charting and radiographs
    • Periodontal and bone appraisal ⇒ Staging and Grading

Staging and Grading

Staging

  • Interdental CAL
    • won’t really know because theres recession AND pockets but lets assume its 1
  • RBL
    • Also won’t really know because we don’t have enough radiographs (less than coronal third from teeth we can see though )
  • Tooth loss due to perio
    • We need to figure out why the 14 got extracted!
  • Complexity
    • ==max probing depth = 6mm

Important

This is the determinant that tells us its probably stage III

  • Extent and Distribution
    • Localized
      • for this to be true needs to be <30% of teeth involved
      • BUT can also be generalized or molar incisor, we need to do the full perio chart

Grading

  • HbA1c >= 7% there for Grade C

Next steps

Now we have to move on to EXAM - Perio Treatment

Graph View

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