BPE

Question 1

is BPE a screening tool for perio?

Answer 1

yes

Question 2

does BPE provide diagnosis?

Answer 2

no

Question 3

Recording BPE: what are the 6 sextants that the dentition is divided into?

Answer 3

Question 4

Recording BPE: which teeth in each sextant are examined?

Answer 4

all teeth with the exception of 3rd molars

Question 5

Recording BPE: for a sextant to qualify for recording, how many teeth must it contain?

Answer 5

at least 2

Question 6

Recording BPE: If only 1 tooth is
present in a sextant, where will that score for that tooth be included in?

Answer 6

the score for that tooth is included in the recording for the adjoining
sextant

Question 7

what is the name of the probe used for BPE?

Answer 7

WHO BPE

Question 8

how many mm does the ball end of the WHO probe have?

Answer 8

0.5mm

Question 9

what are the mm of the black band of a WHO probe?

Answer 9

3.5 to 5.5 mm

Question 10

what is the probing force in grams that should be used when taking BPE with a WHO probe?

Answer 10

20-25

Question 11

how do we know what to record with the WHO probe when taking BPE?

Answer 11

The probe should be “walked around” the sulcus/pockets in each sextant, and the highest
score recorded. As soon as a code 4 is identified in a sextant, the clinician may then move directly on to the next sextant, though it is better to continue to examine all sites in the
sextant. This will help to gain a fuller understanding of the periodontal condition, and will make sure that furcation involvements are not missed. If a code 4 is not detected, then all sites should be examined to ensure that the highest score in the sextant is recorded before
moving on to the next sextant.

Question 12

BPE exam - what is a score 0?

Answer 12

No pockets >3.5 mm, no calculus/overhangs, no bleeding after probing (black band completely visible)

Question 13

BPE exam - what is a score 1?

Answer 13

No pockets >3.5 mm, no calculus/overhangs, but bleeding after probing (black band completely visible)

Question 14

BPE exam - what is a score 2?

Answer 14

No pockets >3.5 mm, but supra- or subgingival calculus/overhangs (black band completely visible)

Question 15

BPE exam - what is a score 3?

Answer 15

Probing depth 3.5-5.5 mm (black band partially visible, indicating pocket of 4-5 mm)

Question 16

BPE exam - what is a score 4?

Answer 16

Probing depth >5.5 mm (black band entirely within the pocket, indicating pocket of 6 mm or more)

Question 17

BPE exam - what is a score *?

Answer 17

Furcation involvement

Question 18

Question 19

if a pt has a score of 0, what is the indication?

Answer 19

No need for periodontal treatment

Question 20

if a pt has a score of 1, what is the indication?

Answer 20

Oral hygiene instruction (OHI)

Question 21

if a pt has a score of 2, what is the indication?

Answer 21

OHI, removal of plaque retentive factors, including all supra- and subgingival calculus

Question 22

if a pt has a score of 3, what is the indication?

Answer 22

OHI, root surface debridement (RSD)

Question 23

if a pt has a score of 4, what is the indication?

Answer 23

OHI, RSD. Assess the need for more complex treatment; referral to a specialist may be indicated.

Question 24

if a pt has a score of *, what is the indication?

Answer 24

OHI, RSD. Assess the need for more complex treatment; referral to a specialist may be indicated.

Question 25

For patients with BPE codes of 3 or 4, more detailed periodontal charting is required explain this charting

Answer 25

- Code 3: record full probing depths (6 sites per tooth) in the sextant(s) where the code 3 was recorded, in addition to recording the BPE in those sextants with scores 0, 1 or 2 - Code 4: if there is a code 4 in any sextant, then record full probing depths (6 sites per tooth) throughout the entire dentition