A: No, Staging and Grading is based on the worst affected tooth with periodontal disease. Whilst a diagnostic statement might give the feeling that a case is severe, but on examination it turns out to be based on one very badly affected tooth, as clinicians we interpret our clinical findings and treat accordingly. The new system, like the previous system, does not dictate treatment based on a specific diagnosis and it is for the clinician to decide on the most appropriate treatment for each case. 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. This full-size folder organizer keeps your color-coded folders, magazines, and other paper materials neatly organized at eye level. Q: Do I have to do the staging and grading every time I see the patient for a new examination i.e. every 6 months? 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

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. Right arrow key or NMLK+6 moves the cursor to the next box without adding an entry in the current box. 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: 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: You have effectively asked and answered the first question yourself. The main reason for not including sub gingival instrumentation or root surface management in step 1 is that we want the patient to take responsibility for their disease and its management. As you know, no amount of perio treatment will work in the absence of good home care and this approach ensures that we do not waste time and resources trying to treat this disease in a patient who is not engaged and where there will be little or no benefit. We have practiced like this for many years and the additional benefits that from thisapproach are:

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?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. The singal screen perio chart can be customised per provider login, or providers can simply use the default settings. A: Obviously, we are not able to give precise advice on a patient by patient basis and this would be driven by your judgement or that of the practitioner prescribing care. Frequency for supportive/maintenance therapy is determined based on an individualised risk assessment for the patient taking into account local as well as systemic factors and of course a history of previous periodontitis. The papers below would tend to reflect the current consensus view that this would ideally be between 3 and 5 or 6 months to maintain peri-implant health, most likely influenced by the factors mentioned above, as well as the potential impact of peri-implant disease on the surrounding tissue, need for and consequences of treatment and outlook for any prostheses. The above scenario is probably the most common in day to daypractice. There may be situations where a patient presented with historical disease that is reasonably well managed and you chose to do a DCP at that stage to make onward decisions about Step 1/2 or 4. That is where clinical judgement supersedes guidelines. Press a number key to enter a value (from 0-9) in the current box. This also moves the cursor onto the next box.