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Whats your BPE?
I'd like to share a tale that might help save a lot of grief in the future. Its about periodontal (gum) disease. One of my personal nightmares (like the one about falling) is my teeth falling out - and I don't think I'm alone.
Dental Hygiene Discovery
A guy came to see me for the first time recently. When we sat down to talk he explained that his gums had been bleeding for years, he had a bad taste in his mouth and he wasn't so sure about his breath. He'd been going to his last dentist regularly every six months. At his recent last visit he was told everything was fine.Lets just stop there:
- Blood coming from anywhere in a body would worry most people
- Bad taste and dodgy breath - so that's acceptable?
So , we moved on to the examination, did all the usual stuff that dentists do, including the thing I want to highlight: the BPE.
h3The BPE Advantage
BPE stands for Basic Periodontal Examination. Its a quick screen, a sorting of the wheat from the chaff. The dentist takes a small measuring device, rather like a pointy stick with a ball on the end. By gently (honest) poking the gums we can very quickly see what state a clients gums are in and if gum disease is present. Its not new - its been around since I was at dental school in the 80's at least, and it should be carried out on every adult patient (with teeth!) at least once a year. To be safe I just do it every time. Scores go from zero (=perfect) up through 1,2,3,4, to "star" (=seriously bad news).
Needless to say, this guy had problems. He had a couple of areas where there were stars and the rest were threes. A scanning X ray quickly showed that more than 50% of the bone that once attached his teeth to his head had gone.
I had to tell him that he was likely to lose some of his teeth in the medium to long term, and we have started a program of gum care to try and rescue the rest. After my hygiene team have stabilised his disease they will be seeing him for checks and catch up treatment every three months, possibly for life.
So whats the moral in the tale?
- If the last dentist had performed BPE's he would have picked up the problem years ago.
- Its possible that there might have been a lot more bone still present if the disease had been picked up sooner.
- And the patient might have had a much better chance of keeping all of his teeth
My advice to you?
- Every dentist knows about the BPE and they know that they should use it.
- "But this is NHS" is not an excuse - NHS regulations state that the dentist should check the gums at every examination - and the best way of doing it is with the BPE.
- If the pointy stick isn't being used at your examinations - ask the dentist what your BPE is.
- Don't accept bleeding gums as normal - its a clear sign of disease.
- If you don't get a straight answer - get a second opinion.
The picture attached neatly sums it up - a great ad used a while ago by a mouthrinse manufacturer.
About the author
Comments 2
Guest - Alun
on Monday, 15 March 2010 00:33
You are absolutely right in your concern for the lack of diagnostics in dentistry, particularly of periodontal disease. It has been going on for quite a time. For too many years "perio" has been regarded as a "Mickey Mouse" area of Dentistry. There was a time when Dental Hygienists at a certain London Dental School (no hints but the name fits with the phrase '.. & Dolls') were taught totally differently from the dental students who were on the same clinic. As yer man Simpson would say: "Doh!" Where's the sense in that?
Guest - Crack Cumbria
on Tuesday, 20 September 2016 10:03
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