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Why is it that this part of step 2 would not be conducted in step one? Is that because you want to make sure the patient is engaged with good homecare/plaque control first, and if that is followed you should see a reduction in PPDs and BOP anyway without subgingival scaling? Ergo, perio prognosis following subgingival root surface debridement is going to be much improved? Q: Just after some advice, I’m trying to set up a protocol for implants but dentists would like proof about recalls for maintenance, what is the time frame is it 3/12 or dependant on individual patients?Many thanks.

Hasani-Sadrabadi MM, et al. (2019). Hierarchically patterned polydopamine-containing membranes for periodontal tissue engineering. This is a great activity to work through as a class to discuss needs vs wants. Needs should be things we cannot live without such as food, drink, and shelter. Wants would be ice cream, riding a bike, watching tv, etc. Students can sort these into the correct column.EXACT has 2 different Perio functionalities. Original Perio Charting and the advanced Single Screen Perio Charting that we will be looking at here. NOTE: On teeth where there are two furcation positions, if the cursor is in a 'middle' position, the key will cycle the leftmost field. This fun game of true or false works as a challenging math center for kids. Set out two columns, true and false. Underneath, mix up some simple math problems with answers. Students need to then work out whether to place the problem in the true or false column! 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: Firstly, separate the text cards from the image cards. Set your students up by saying something like, “We’re going to build sentences about the garden.” Each sentence will display something like this, “This potato is from my garden.” You can choose the vegetable for each sentence and encourage them to look for familiar sounds in the sentence such as “sh” and “th” to build sentences and help them read.

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. 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. 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? In some cases, the cemento-enamel junction may be located far below the gingival margin, however still immediately above the attachment level. This occurs in cases of gingival overgrowth or gingival hyperplasia.Q: Now that we no longer have the diagnosis of Aggressive Periodontitis, when should we consider systemic antibiotics as an adjunct to our treatment? This activity makes a perfect literacy center and teaches kids a variety of literacy skills. Learners will create fun Fall-themed sentences with the sentence strips and can discuss with their friends what Fall food they are enjoying. By adding sight words, you are teaching valuable academic skills. Periimplant recession is the condition seen when the mucosal margin is located apically to the margin of the suprastructure. The value noted as the mucosal margin 1 should be recorded as a negative value.

If the patient’s oral hygiene is poor, bearing the above discussion in mind and with consideration of the BSP guidelines, it is reasonable to claim a band 2 course of initial periodontal therapy without conducting a 6PPC. This non-surgical dental procedure is done with a laser or ultrasonic device. Hand instruments, like curettes and scalers, are also common. 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:

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Q: If one tooth has advanced disease and the rest of the mouth is not too bad, do we re-stage and grade the case if we extract the worst affected tooth or teeth? A: The diagnosis of Aggressive Periodontitis alone did not automatically necessitate the use of systemic antibiotics as an adjunct to treatment. The use or timing of systemic antibiotics in the management of Aggressive Periodontitis was always a clinical judgement call and nothing has changed due to the new classification system. Your dentist will recommend you brush and floss at least twice daily. You may also be given an antibacterial mouthwash. A game of tic-tac-toe on the wall you say? How is that possible? With our magnetic tic-tac-toe chart that you can hang anywhere in the classroom of course. And hand scaling can make splatter - therefore it is recommended, and this is in agreement with the BSP statement High_Volume_suction_statement_NDNWPD_2020_7_14.pdf (bsperio.org.uk):

Q: If the only bone loss is on the distal of lower second molars and we know there has previously been impacted third molars, do we need to stage and grade that patient? Perfect for letter recognition. Write your students’ names on colored strips. Have individual students come out and answer a simple phonics question such as ‘is the letter M in my name’ or is the sound ‘ay’ in my name? They can then place their name under ‘yes’ or ‘no’. 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 ? As you select a position for a quadrant, the quadrant that already has that position will swap over with the one you chose.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.