2 x Pocket Chart

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This double-sided chart folds flat for easy storage and has dry-erase cards so you can use it over and over again. However, this relates to AGPS, not to the issue in question, and reading in more detail and going to the Implementation points at the bottom of p13 you will find: Q: I am currently trying to get some firm guidance on the use of ETB intra-orally for OHI provided within our department. I am aware that the BSP guidance in the July 2020 classifies OHI given intra orally with Level 2 PPE is at moderate risk of aerosol. I assume this is with the use of high volume suction. Q: Now that we no longer have the diagnosis of Aggressive Periodontitis, when should we consider systemic antibiotics as an adjunct to our treatment?

A:As with all guidelines, they are just that, guidelines and you will always find certain situations where you will need to apply your clinical judgement. However, if your bitewings show bone loss and you are unable to see bone crests then it might be pragmatic to take PAs sooner, as you need to see where the bone levels and how long the roots are, and it’s likely that these areas may be less likely to respond well to OHE (although of course they are also more likely to be code 4 too). Clinicians need to gauge patient compliance for having treatment that is going to be successful in treating their condition. Patient’s need to take an initiative in maintaining their own oral hygiene and unless this happens, clinical interventions are likely to be unsuccessful. 1. True Attachment Loss Q: If one tooth has advanced bone loss and the rest of the mouth is affected to a lesser extent, doesn’t this new system skew how you feel about the case? Should we stage and grade the worst tooth and the less affected teeth separately?A:BPE guidelines state: “Radiographs should be available for all Code 3 and Code 4 sextants. The type of radiograph used is a matter of clinical judgement but crestal bone levels should be visible. Many clinicians would regard periapical views as essential for Code 4 sextants to allow assessment of bone loss as a percentage of root length and visualisation of the periapical tissues”.

On the NHS, this would usually mean a for a 6PPC and root planning for every Band 2 perio claim. Since 2016, the guidelines by BSP have been updated, especially in relation to code 3’s. They advise a 6 point periodontal charting of sextants scoring 3 only be done after initial therapy. 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'. The Perio Chart has comments fields for diagnosis and treatment plan: Configuring single screen perio Martinez-Herrera M, et al. (2017). Association between obesity and periodontal disease: A systematic review of epidemiological studies and controlled clinical trials.

Also, to make a diagnosis if the disease is stable, unstable or in remission, you need DPC - if you don't need to DPC in step 1 you can't make a a full diagnosis, do you just make a provisional diagnosis?