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Periodontal Disease: BSP Classification and S3 Treatment

1. Why BSP S3 replaced ‘a scale and a chat’

2. BPE — screen fast, then stop using it as the diagnosis

3. Naming the disease — stage, grade, extent, status

4. S3 Steps 1 and 2 — foundations then subgingival care

5. Steps 3 and 4 — residual pockets and care for life

6. Referral, medical risk, and what BSP published after Stage I–III

Periodontal Disease: BSP Classification and S3 Treatment – Assessment

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Periodontal Disease: BSP Classification and S3 Treatment – Assessment

Periodontal Disease: BSP Classification and S3 Treatment
Periodontal Disease: BSP Classification and S3 Treatment – Assessment

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Question 1 of 10

1. Question

The BPE is best described as:

A complete periodontal diagnosis
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A screening tool to decide what further examination is needed — not for staging or proving treatment success
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A replacement for radiographs
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Only for children
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Question 2 of 10

2. Question

Once a person has periodontitis, after successful treatment the stage:

Returns to Stage I automatically
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Does not reverse; you describe current status (health, inflammation or instability) on a reduced periodontium
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Is replaced by a BPE of 0
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Is deleted from the notes
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Question 3 of 10

3. Question

A patient with historic bone loss but no deep pockets today should be classified as:

Never had periodontitis
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A periodontitis patient whose current status may be health or gingival inflammation on a reduced periodontium — not ‘simple gingivitis’ on an intact periodontium
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Code 0 BPE only, forever
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An implant candidate only
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Question 4 of 10

4. Question

Grade in the 2017 system mainly reflects:

How nice the patient is
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Rate/susceptibility of breakdown (often bone loss in relation to age, plus modifiers such as smoking and diabetes)
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NHS band
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The number of fillings
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Question 5 of 10

5. Question

S3 Step 1 is mainly:

Immediate flap surgery
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Behaviour change, risk-factor control, oral hygiene, and supragingival professional plaque removal / retentive-factor removal
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A week of amoxicillin
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A panoramic radiograph instead of cleaning
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Question 6 of 10

6. Question

Systemic antibiotics as a routine part of Step 2 in general practice are:

Required by BSP for every code 3
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Not routine — reserved for specific, often specialist, situations in line with current S3 and stewardship
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A replacement for interdental brushes
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Mandatory before referral
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Question 7 of 10

7. Question

After Step 2, if treatment goals are met, the next S3 step is usually:

Step 3 surgery for every patient
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Step 4 supportive periodontal care
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Discharge with no recall
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Repeat BPE only
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Question 8 of 10

8. Question

Supportive periodontal care (Step 4) is:

Optional if they feel fine
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Lifelong, individually timed care with hygiene, risk-factor control and targeted professional plaque removal
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A single visit after surgery
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The same as a 20-minute NHS polish for everyone
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Question 9 of 10

9. Question

To monitor a diagnosed periodontitis patient you should primarily use:

BPE codes only
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Periodontal charting (and bleeding/plaque), not BPE as the outcome measure
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Colour of the gingiva on a phone photo only
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How many times they cancelled
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Question 10 of 10

10. Question

BSP work published after the Stage I–III S3 pack includes:

A ban on hygienists
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Separate UK S3-type guidance on Stage IV rehabilitation and on peri-implant diseases — use those when the case is implants or complex Stage IV
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Replacement of the 2017 classification with BPE only
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Mandatory antibiotics for Step 1
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