Dental Tribune United Kingdom Edition

September 10-16, 201214 Perio Tribune United Kingdom Edition page 15DTß Please note that the word- ing of these questions is to ensure they are easy to under- stand for the patient and easy to answer. The risk assess- ment questionnaire is useful in more than one way. It is extremely useful for gather- ing information to aid diag- nosis and categorisation of a patient. It is also a subtle tool for moving thepatient from pre-contemplation to contem- plation regarding their gum health. This, combined with a little open question session, can create a non-confronta- tional opeining to discussion and advice and education ses- sions. BPE guidelines and a guide to care – see www.bsperio.org. uk for full details Careful assessment of the periodontal tissues is an es- sential component of patient management. The BPE is a simple and rapid screening tool that is used to indicate the level of examination needed and to provide basic guidance on treatment need. Please note; the BPE does not provide a diagnosis. How to record the BPE 1 The dentition is divided into six sextants: upper right (17 to 14), upper anterior (13 to 23), upper left (24 to 27) lower right (47 to 44), lower anterior (43 to 33), lower left (34 to 37) 2 All teeth in each sextant are examined (with the excep- tion of 3rd molars). 3 For a sextant to qualify for recording, it must contain at least two teeth. (If only 1 tooth is present in a sextant, the score for that tooth is in- cluded in the recording for the adjoining sextant). 4A WHO BPE probe is used (World Health Organisation probe). This has a “ball end” 0.5 mm in diameter, and a black band from 3.5 to 5.5 mm. Light probing force should be used (20-25 grams). – you can calibrate your probing using an electric scale to measure 10 probe movements and take the mean number. You can also invest in a set of pressure sensitive probes if you want ot be gold standard. Probing The probe should be “walked around” the sulcus/pockets in each sextant, and the highest score recorded. As soon as a code 4 is identified in a sex- tant, the clinician may then move directly on to the next sextant, though it is better to continue to examine all sites in the sextant. This will help to gain a fuller understanding of the periodontal condition, and will make sure that fur- cation involvements are not missed. If a code 4 is not de- tected, then all sites should be examined to ensure that the highest score in the sextant is recorded before moving on to the next sextant. BPE Scores 0 No pockets >3.5 mm, no cal- culus/overhangs, no bleed- ing after probing (black band completely visible) 1 No pockets >3.5 mm, no cal- culus/overhangs, but bleed- ing after probing (black band completely visible) 2 No pockets >3.5 mm, but su- pra- or subgingival calculus/ overhangs (black band com- pletely visible) 3 Probing depth 3.5-5.5 mm (black band partially visible, indicating pocket of 4-5 mm) 4 Probing depth >5.5 mm (black band entirely within the pocket, indicating pocket of 6 mm or more) * Furcation involve- ment ‘It is also a subtle tool for moving thepatient from pre- contemplation to contemplation re- garding their gum health For more information, contact BioHorizons Customer Care: +44 (0)1344 752560 or visit us online at www.biohorizons.com Laser-Lok 3.0 is the first 3mm implant that incorporates Laser-Lok technology to create a biologic seal and maintain crestal bone on the implant collar1 . Designed specifically for limited spaces in the aesthetic zone, the Laser-Lok 3.0 comes with a broad array of prosthetic options making it the perfect choice for high profile cases. SPMP10109 REV D SEP 2010 1. Radiographic Analysis of Crestal Bone Levels on Laser-Lok Collar Dental Implants. CA Shapoff, B Lahey, PA Wasserlauf, DM Kim, IJPRD, Vol 30, No 2, 2010. 2. Implant strength & fatigue testing done in accordance with ISO standard 14801. 3. Initial clinical efficacy of 3-mm implants immediately placed into function in conditions of limited spacing. Reddy MS, O’Neal SJ, Haigh S, Aponte-Wesson R, Geurs NC. Int J Oral Maxillofac Implants. 2008 Mar-Apr;23(2):281-288. 4. Human Histologic Evidence of a Connective Tissue Attachment to a Dental Implant. M Nevins, ML Nevins, M Camelo, JL Boyesen, DM Kim. International Journal of Periodontics & Restorative Dentistry. Vol. 28, No. 2, 2008. • Two-piece 3mm design offers restorative flexibility in narrow spaces • Implant design is more than 20% stronger than competitor implant2 • 3mm threadform shown to be effective when immediately loaded3 • Laser-Lok microchannels create a physical connective tissue attachment (unlike Sharpey fibers) 4 Treat small spaces with confidence Introducing the Laser-Lok® 3.0 implant Human histology shows the apical extent of the junctional epithelium below which there is a supracrestal connective tissue attachment to the laser microchannel surface2 . Radiograph shows proper implant spacing in limited site. Laser-Lok 3.0 placed in aesthetic zone. Image courtesy of Michael Reddy, DDS Image courtesy of Cary Shapoff, DDS Treat small spaces with confidence spaces with confidence spaces with Introducing the Laser-LokIntroducing the Laser-Lok® 3.0 implant3.0 implant Bio Horizons_treat small.indd 1 01/03/2011 16:33