- If a code 4 is identified in a sextant, 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 furcation involvements are not missed.
- If a Code 3 is detected then perform initial therapy including self-care advice (OHI and risk factor control) first. Then post initial therapy, record a 6-point pocket chart in that sextant only.
- The BPE should not be used around implants (4 or 6-point pocket charting recommended).
- Radiographs should be taken for all Code 3 and Code 4 sextants. The type of radiograph used is a matter of clinical judgment but crestal bone levels should be visible. The periapical view is regarded as the gold standard
- When a 6-point pocket chart is indicated it is only necessary to record sites of 4mm and above (although 6 sites per tooth should be measured).
- Bleeding on probing should always be recorded in conjunction with a 6-point pocket chart.
Full guidance by BSP: http://www.bsperio.org.uk/publications/downloads/39_150345_bpe-2016-po-v5-final.pdf