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 Working Group’s agreed position is that the use of high volume suction is recommended to reduce the potential risk of SARS-CoV-2 transmission associated with dental aerosol generating procedures. This agreed position is based on very low certainty, indirect evidence in favour of high volume suction, insignificant risk of harm, and as a standard current practice, high volume suction is known to be acceptable and feasible. “ What is subgingival scaling of the clinical crown? My understanding of the clinical crown is that is the portion of the tooth above the gingival margin - so how can this be subgingivally scaled? Implant Disease Risk Assessment IDRA–a tool for preventing peri-implant disease (Lisa J. A. Heitz-Mayfield | Fritz Heitz | Niklaus P. Lang) Q: Many thanks for making the recent webinars available on the UK's implementation of the new EFP S3 guidelines. A clinician's meeting was held at my place of work to update fellow colleagues and discuss how we need to make the relevant changes.

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? For this activity, children read the sight word in the snowball and build the word using the snowball letters. Encourage them to say each sound in the word as they build it too. The singal screen perio chart can be customised per provider login, or providers can simply use the default settings. Tooth mobility should be determined using two single-ended instruments and assessed according to the criteria.Also, to make a diagnosis if the disease is stable, unstable or in remission, you need DPC - if you don't need to DPC in step 1 you can't make a a full diagnosis, do you just make a provisional diagnosis? 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:

Martinez-Herrera M, et al. (2017). Association between obesity and periodontal disease: A systematic review of epidemiological studies and controlled clinical trials. The "Gingival Margin" as the first value is the distance from the clinical gingival margin to any given reference such as, in most cases, the cemento-enamel junction. Crown margins and the margins of restoration should be chosen as a reference provided they are at least 3mm apical to the cemento-enamel junction (CEJ), otherwise, a virtual reference line should be chosen at the location of the original cemento-enamel junction. 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.This double-sided chart folds flat for easy storage and has dry-erase cards so you can use it over and over again. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references. You can learn more about how we ensure our content is accurate and current by reading our editorial policy. This full-size folder organizer keeps your color-coded folders, magazines, and other paper materials neatly organized at eye level. Left arrow key or NMLK+4 moves the cursor to the previous box without adding an entry in the current box.

Q: I have had a read through the 'BSP UK CLINICAL PRACTICE GUIDELINES FOR THE TREATMENT OF PERIODONTAL DISEASES', and I am wanting to clarify one point which is a bit unclear to me. That is in step one, it states '+ /- Professional Mechanical Plaque Removal (PMPR) including supra and subgingival scaling of the clinical crown', and in step 2 which is conducted at a recall with an engaged patient 'Subgingival instrumentation, hand or powered (sonic / ultrasonic), either alone or in combination'.A: No, Staging and grading and your diagnostic statement is based on the radiographs that you take when you first meet a patient. At your review, following treatment, the only thing that can realistically change is the element of the diagnostic statement that relates to disease activity i.e. stable, in remission, unstable, as you will not be taking more radiographs at this stage. You should reflect on this in your notes when you reassess your patient and are deciding on the need for more treatment or progressing to supportive care. A: Whist the BSP have produced their implementation of the 2017 World Workshop, this is ultimately a global shift in the way we classify periodontal disease together with a change in the language we use when formulating a diagnostic statement. As such, using an out of date system and terminology is not appropriate once you understand the new system. Imagine if we still used the term pyorrhea!