Basic Periodontal Examination
0 = pockets <3.5mm and the first black band is completely visible. No bleeding after gentle probing , No calculus and no overhangs on restorations.
- Healthy periodontal tissues.
Rx: no need for periodontal Rx.
1 = pockets <3.5mm and the first black band is completely visible. Gingival bleeding after gentle probing.
No pockets >3mm, No calculus, No plaque retaining factors (e.g. overhanging restoration).
- Special investigations would not be needed; however, it is important to note that any recession would be unaccounted for.
Rx: OHIs.
2 = pockets <3.5mm. First black band is visible but plaque retention factors present (calculus/ overhang)
Rx: -Plaque and bleeding charts can be recorded as part of special investigations.
-OHIs + removal of plaque retentive factors including sub- and supragingival calculus.
-For scores 1 and 2, marginal bleeding and plaque scores are recorded-
3 = coloured area of probe remains partly visible in deepest pocket in sextant →deepest pocket 4 or 5mm
Rx: -More detailed periodontal charting required for that sextant.
-Plaque and bleeding charts
-Xrays to assess bone levels and to establish true attachment loss.
-initial therapy including self- care advice (OHIs and risk factor control)
– record 6- point perio pocket chart of involved sextants at a review 3 months post initial therapy.
-If pocket depths persist despite initial therapy and excellent OH, RSD needed
For scores of 3, initial therapy is conducted. Then probing depths and BOP are recorded if BPE doesnt change
4 = coloured area of probe disappears into pocket → one or more teeth in sextant has a pocket >6mm
Rx : – More detailed periodontal charting required for the entire dentition.
-Plaque and bleeding charts
-Xrays to assess bone levels and to establish true attachment loss.
-OHIs, root surface debridement, and referral to a specialist may be indicated.
* = furcation involvement
Rx : – More detailed periodontal charting required for the entire dentition.
– Plaque and bleeding charts
– Xrays
– Treat according to BPE code, More complex Rx and referral to a specialist may be necessary.
For code 4 or * → full probing depth chart, plus recordings of mobility, recession,CAL, BOP, suppuration, furcation and radiographs.
BPE probing is not appropriate for implants sites. The ST connection to implants is not the same as teeth, therefore peri- implant soft tissues are less resistant to probing. In addition, the position of the implant
in relation to the bone and soft tissues may present deeper probing depths.
Marginal bleeding index (MBI) Score 1 or 0 depending on whether gt bleeding after a probe is gently run around the gingival sulcus. A percentage score is obtained by dividing by the number of teeth and multiplying the result by 100.
Plaque index (PI) Based on presence or absence of plaque on the M,D, L,B surfaces revealed by disclosing.
Both the MBI and PI can be expressed as bleeding- free or plaque- free scores. In this way obtaining a high score is a good thing, which may be both easier for the patient to understand and a more positive motivational approach.