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? The singal screen perio chart can be customised per provider login, or providers can simply use the default settings.

Q:In the BSP document, "Phased Management of Periodontitis in NHS General DentalPractice – Full Care Pathway adapted to UDA Banding",it mentions dpc in step 2 and not in step 1, is this correct ? Martinez-Herrera M, et al. (2017). Association between obesity and periodontal disease: A systematic review of epidemiological studies and controlled clinical trials. The BSP accepts that it will take time for this to be adopted universally in the UK but practitioners should make the effort to familiarise themselves with the new system, attend courses to allow it to be explained further and practice using this over the coming years A: It Is splatter and hence is Level 2. Aerosols need a much higher rpm from the device in question. Therefore, you may need to consider use of high volume suction in this situation. At this second 3/12 appointment does the patient need to see the dentist again for an examination and opening of the 2nd band 2 course. or as a DHT am i able to see this patient due to a previous exam being completed and prescription in place, open the band 2 course and consider with b/s p/s and 6ppc if RSD should be carried out within this course.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.

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: Right arrow key or NMLK+6 moves the cursor to the next box without adding an entry in the current box. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.In Step 1, the flowchart indicates subgingival PMPR is undertaken. This created some confusion as when reading the papers, it was my understanding that the focus for Step 1 was Supragingival care and creating the correct conditions before going subgingivally?

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? 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. 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.

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Information on how to enable Single Screen Perio can be found here - Enable/Disable Single Screen Perio When I see a patient on the NHS, Ido an examination, BPEetc. If there is a BPEof 3, I don't do Dpc ( 6 point charting ) until intial therapy (pmpr) and OHIetc. Then I recall the patient for step 2 in 3 months . I then do a BPEand if still 3's do Dpc and subgingival pmpr. Is thiscorrect? Tooth mobility should be determined using two single-ended instruments and assessed according to the criteria. 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: A: Patients who have been identified as potential periodontal patients by their BPE scores, should have appropriate radiographs and special sets done to allow a diagnosis to be made prior to treatment. As the staging and grading requires knowledge of bone levels, it is not possible to produce an accurate diagnostic statement without radiographs and we should not treat patients without a formal diagnosis. In this situation, radiographs should be obtained.