Periodontal management
Please find learning content and resource links for Dental Core Trainees (DCT) to support the blended learning experience Periodontal management.
Welcome
Periodontal management
Welcome to this blended learning page designed around the topic of periodontal disease, intended to provide an exploration of strategies for disease and patient management.
Here you will find the learning outcomes as well as instructions and linked resources enabling you complete the recommended topic familiarisation prior to the live interactive session. This blended course will comprise; pre-reading resources, group work based tasks and a live interactive session. Please note the live session will include presentation by DCTs of each group's results from work completed in advance.
Certain links on this page are only open to those within the pre-defined DCT2 learning group for the relevant training cohort. Please contact the team email if you have any queries about this. dentalcoretraining@nes.scot.nhs.uk
Aims and learning outcomes
Aim
This course aims to develop the DCT's knowledge and skills in diagnosing and managing patients presenting with periodontal disease.
The course will provide essential information on the current Classification of Periodontal Disease to help to reach a diagnosis and treatment plan in clinical practice
The course will explore how appropriate treatment options can benefit the patient.
Learning outcomes
By the end of the blended learning course a participant should be able to :
- Discuss the process of diagnosing periodontal disease and why an early and through assessment can benefit the patient.
- Be able to apply the Classification of Periodontal Disease to individual patients and treatment plan them in an appropriate manner.
- Ensure that the patient has a role in disease control and how to motivate patients
- Identify sources of support and information to ensure you and the wider dental team keep your knowledge and skills around the classification of periodontal disease up to date.
Trainer introduction
Madeleine Murray BDS (Glasg 1984) Msc MPhil FDS (Rest.Dent) RCPS MRD RCS Eng
Dr Madeleine Murray is a specialist in Restorative Dentistry.
Dr Murray graduated from Glasgow University in 1984 and is a registered specialist in restorative dentistry whose practice is limited to periodontics. She is an examiner for the Dental Faculty at the Royal College of Surgeons of Edinburgh and Honorary Senior Clinical Lecturer in Restorative Dentistry at Glasgow University, based at Glasgow Dental Hospital and School.
With over 20 years experience, Dr Murray has worked primarily as a specialist accepting referrals in mixed specialist practice. She has extensive experience in clinical management of patients with complex restorative and periodontal needs, including those having dental implants. In addition, she currently teaches undergraduate students in Periodontics and regularly lectures to General Dental Practitioners and Dental Core Trainees on clinical aspects of periodontal management. She is an External examiner for the Masters in Dental Primary Care at Birmingham University.
Group work
Create a 5 minute (maximum) presentation to be delivered by a spokesperson for each group at the live session. Group presentations will be followed by a short discussion per case in the live event, where all can contribute.
- Find your group. Groups have been allocated by NES's Education Core Training Adviser.
- Meet in your small groups with zoom, teams, phone etc to produce a report answering the questions set in the relevant groupwork task.
- Use the main case resources held in the Teams channel Periodontal management and the resource reading for each task outlined with links below.
- As an individual, please read the material for all cases prior to our live session. It will greatly increase your participation in discussions on the day and aid your achievement of the learning outcomes.
Wider resources on periodontal disease are suggested at the end of this page to enhance your knowledge and understanding of Periodontal management.
Scenario 3
DCT group C and group F
Relevant Reading:
Caton, J, Armitage, G, Berglundh, T, et al. A new classification scheme for periodontal and peri‐implant diseases and conditions – Introduction and key changes from the 1999 classification. J Clin Periodontol. 2018; 45( Suppl 20): S1– S8.
https://doi.org/10.1111/jcpe.12935
Case 1
DCT group A and group D
Relevant reading:
Caton, J, Armitage, G, Berglundh, T, et al. A new classification scheme for periodontal and peri‐implant diseases and conditions – Introduction and key changes from the 1999 classification. J Clin Periodontol. 2018; 45( Suppl 20): S1– S8.
https://doi.org/10.1111/jcpe.12935
Treatment Planning in General Dental Practice: Case Presentation and Communicating with the Patient. Crawford A. Bain. Dental Update 2004 31:2, 72-82
Ahmad, I. Anterior dental aesthetics: Facial perspective. Br Dent J 199, 15–21 (2005). https://doi.org/10.1038/sj.bdj.4812534
Frese, C, Leciejewski, F, Specht, R, et al. The dental esthetic screening index: A new tool for assessment of dento‐facial esthetics in restorative dentistry. J Esthet Restor Dent. 2019; 31: 572– 582.
https://doi.org/10.1111/jerd.12522
Kwok V, Caton JG. Commentary: prognosis revisited: a system for assigning periodontal prognosis. J Periodontol. 2007 Nov;78(11):2063-71.
https://doi.org/10.1902/jop.2007.070210 PMID: 17970671
Patel RM. Dental Implants for Patients with Periodontitis. Primary Dental Journal. 2019;8(4):54-61. https://doi.org/10.1308/205016820828463898
Case 2
DCT group B and group E
Relevant Reading:
Caton, J, Armitage, G, Berglundh, T, et al. A new classification scheme for periodontal and peri‐implant diseases and conditions – Introduction and key changes from the 1999 classification. J Clin Periodontol. 2018; 45( Suppl 20): S1– S8.
https://doi.org/10.1111/jcpe.12935
https://www.bsperio.org.uk/periodontal-diseases/periodontitis-and-general-health
Winning, L., Linden, G. Periodontitis and systemic disease. BDJ Team 2, 15163 (2015). https://doi.org/10.1038/bdjteam.2015.163
Periodontology 2000, Volume 83, Issue 1 Pages: 1-294 June 2020 (relevant sections)
Kwok V, Caton JG. Commentary: prognosis revisited: a system for assigning periodontal prognosis. J Periodontol. 2007 Nov;78(11):2063-71. https://doi.org/10.1902/jop.2007.070210 PMID: 1797067.
McGuire MK, Nunn ME. Prognosis versus actual outcome. II. The effectiveness of clinical parameters in developing an accurate prognosis. J Periodontol. 1996 Jul;67(7):658-65. https://doi.org/10.1902/jop.1996.67.7.658 PMID: 8832476.
Wider resources
Healthy Gums Do Matter toolkit available at: https://www.bsperio.org.uk/professionals/healthy-gums-do-matter-toolkit
The Good Practitioners Guide available at: https://www.bsperio.org.uk/assets/downloads/good_practitioners_guide_2016.pdf
Guidelines for referral to specialist Perio services available at: https://www.bsperio.org.uk/assets/downloads/BSP_Guidelines_for_Patient_Referral_2020.pdf
Parameters of care in Periodontics available at: https://www.bsperio.org.uk/assets/downloads/Parameters_of_Care_%28BSP%29_2020.pdf
Quick reference guide to implementing the 2017 classification of periodontal diseases available at: https://www.bsperio.org.uk/assets/downloads/111_153050_bsp-flowchart-implementing-the-2017-classification.pdf
Tips for how to start a conversation about periodontitis available at: https://www.bsperio.org.uk/assets/downloads/10_Oral_Health_Statements_to_help_you_engage_with_and_motivate_your_patients.pdf
Links to and information about the UK version of the S3 Treatment Guidelines for Periodontitis available at: https://www.bsperio.org.uk/professionals/bsp-uk-clinical-practice-guidelines-for-the-treatment-of-periodontitis
Periodontics and General Health; a series of video presentations about interactions between periodontal diseases and systemic health. Available at: https://www.bsperio.org.uk/periodontal-diseases/periodontitis-and-general-health
The patient’s view of what its like to have periodontal disease, an interesting watch. Available at: https://www.bsperio.org.uk/periodontal-diseases/the-sound-of-periodontitis
SDCEP guidance on the management of periodontitis in primary care, now adopted by NICE. Under review but latest versions are available at: https://www.sdcep.org.uk/published-guidance/periodontal-management/