The BPE Scoring Codes PDF

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Summary

BPE codes, patient examination - intra and extra oral....

Description

The BPE Scoring Codes BPE Code

What it means

0

   

No bleeding after probing No pocketing over 3.5mm No calculus/overhangs Black band completely visible



No need for periodontal treatment

1

   

Bleeding after probing No pocketing over 3.5mm No calculus/overhangs Black band completely visible



OHI

2

   

Bleeding after probing No pocketing over 3.5mm Supra- or subgingival calculus Black band completely visible

 



Pocketing between 3.5mm and 5.5mm Supra- or subgingival calculus Black band partially visible

 

OHI Removal of plaque retentive factors Including all supra- and subgingival calculus OHI Root Surface Debridement (RSD)

3

 



4

 

Pocketing over 5.5mm Black band entirely within the pocket

 

*

 

Furcation involvement Both the number and the * should be recorded if a furcation isdetected

 

RSD Assess the need for more complex treatment/referral to a specialist RSD Assess the need for more complex treatment/referral to a specialist

Patients Assessment Notice your patient • Age • Size • Nationality • Disability • Occupation • Clues to medical history • Anxiety • Trauma Introduce yourself Check you have the patient matching the notes. Name, DOB Check medica history Have referral ready and Tutor will tell you what to do. Gain concert and briefly explain what you will be doing. Writing up notes • DATE • DEPARTMENT, • STUDENTS NAME in capitals • WHO IS ASSISTING YOU? • VERBAL CONSENT GAINED • MEDICAL HISTORY (MH) – No more that 1year old • COMPLAINING OF (C/O) • CURRENT ORAL HYGIENE HABITS (OH) • DIET • PREVIOUS DENTAL HISTORY (DH) • ON EXAMINATION (O/E) • TREATMENT • TO COME AGAIN (TCA) • SIGNATURE • TUTOR TO CHECK AND SIGN

Intra and Extra Oral Examinations Tutorial Notice your patient on entering the clinic

• • • • • • • TMJ • • • • •

Head and Neck Things to consider: Signs of distress or anxiety Posture, motor activity, gait Dress, grooming, personal hygiene Skin colour and or any obvious lesions Facial expressions Body build Odours (bodily or breath) e.g. smoker, alchohol

Palpate both joints simultaneously Have the patient open and close and move laterally whilst feeling for clicking Locking Crepitus Palpate the muscles of mastication for spasm and tenderness.

Perioral & soft tissues – The Seven Steps 1. Lips 2.Labial mucosa and sulcus 3. Commisures, buccal mucosa and sulcus 4. Gingiva and alveolar ridge 5. Tongue 6. Floor of the mouth 7. Hard and soft palate

• • • • •

Some top tricksters include: Circumvalate papillae Foliate Papillae Lingual Varicosities Fissured tongues Ectopic sebaceous glands...