This is a great activity to work through as a class to discuss needs vs wants. Needs should be things we cannot live without such as food, drink, and shelter. Wants would be ice cream, riding a bike, watching tv, etc. Students can sort these into the correct column. 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? Each patient is seeing the dentist for an exam initially prior to being prescribed a hygienist prescription.An appointment is then being booked in with myself for the initial step 1 (following the pathway). After this appointment - taking p/s or b/s supra scaling and initial explanation and oh change we are then closing the course and reviewing the pt in 3/12. Obviously, all of this is in the absence of any restorative issues… if there are restorative aspects then that might drive you to PAs sooner, especially for treatment planning where there are other problems. Your patients sees the impact their changes have on their inflammation, they cannot attribute it to you.

Q: I was wondering if you could clarify whether High Volume Aspiration is still required when carrying out a hand scale? We have tried to search this information in Public Health Info as well as the updated NHS CDO but they have not specified.Should there be a need to re-X-ray a patient i.e. due to a relapse in the patients periodontal status, then you should produce a new diagnostic statement based on the new radiographs that you have taken. 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! 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.

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:BPE guidelines state: “Radiographs should be available for all Code 3 and Code 4 sextants. The type of radiograph used is a matter of clinical judgement but crestal bone levels should be visible. Many clinicians would regard periapical views as essential for Code 4 sextants to allow assessment of bone loss as a percentage of root length and visualisation of the periapical tissues”. British Society of Periodontology good practitioner’s guide 2016 https://www.bsperio.org.uk/publications/good_practitioners_guide_2016.pdf?v=3Q: 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. 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:

Left arrow key or NMLK+4 moves the cursor to the previous box without adding an entry in the current box. 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. “ Martinez-Herrera M, et al. (2017). Association between obesity and periodontal disease: A systematic review of epidemiological studies and controlled clinical trials.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: