We have had a very positive response to the BSP implementation of the 2017 Classification and the flowchart to help practitioners has been an overwhelming success.

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?If you eat candy, drink soda, or any other sugary substances, always rinse with water immediately afterwards. Use of high volume suction might contribute to a reduction in fallow time following a Group A dental procedure”.

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. 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. Will guidance be published on when to take a DPC and how often to repeat them? This was a source of significant discussion. 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:

This non-surgical dental procedure is done with a laser or ultrasonic device. Hand instruments, like curettes and scalers, are also common. Cons: The style is not for everyone. In addition, some had trouble getting this product to lie flat and found that it had a permanent crease. These practices will help remove plaque and tartar from around teeth, reducing gum inflammation. Scaling and root planing

This game is great for learning number recognition! Read the rhyme to the children and hide a Winter object behind one square. Have each child identify a number and come up and look behind their number for the hidden object! During the meeting a few questions were raised, and I would be most grateful for clarification on the following:-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.

Your patients sees the impact their changes have on their inflammation, they cannot attribute it to you. Whenever possible, high volume suction should be used for dental procedures which will produce splatter, droplets or aerosol. 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? 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.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.