BPE’s3.1The topic to be audited including the Aims and Objectives:
An audit to study if treatment offered to dentate patients 14 years and over, matches BPE scores, as recommended by the British Society of Periodontology policy statement March 2001.
Aims and Objectives: to ensure that BPE scores are recorded for all dentate patients 14 years and over. To improve patient care.
3.2The source material / references will you be using:
The British Society of Periodontology guidelines
Code / Diagnosis / Treatment
Code 0 / Healthy gingival tissues with no bleeding after gentle probing / No treatment required
Code1 / Coloured area of probe remains completely visible in the sextant's deepest pocket. No calculus or defective margins. Bleeding after gentle probing. / OHI + Prophylaxis
Code 2 / Coloured area of probe remains completely visible in the sextant's deepest pocket. Supra or sub-gingival calculus, or other plaque retention factors, are detected. / OHI + removal of calculus and correction of plaque retentive margins on restorations.
Code 3 / Coloured area of probe remains partly visible in the sextant's deepest pocket. / As code 2, but a longer time will be required for treatment. Plaque and bleeding scores are collected at start and end of treatment.
Code 4 / Coloured area of probe disappears into the pocket, indicating probing depth of at least 6mm. / A detailed pocket chart, bleeding chart, and appropriate (normally periapical) radigraphs are taken for the sextant. Record gingival recession, furcation involvement, and any other clinical details.
Treatment includes OHI, removal of calculus and overhangs, and root planing.
Code * / Furcation involvement
and / or
Recession plus probing depth >= 7mm
3.3The proposed standard:
95% of dentate patients, 14 years and over should be offered treatment as recommended by the above guidelines.
Criteria To Record:
- BPE recorded
- If contra-indicated, reason recorded
- Appropriate treatment* offered or not offered / recorded
- If treatment refused by patient, recorded
Quite large samples over the period of the project are needed to ensure a representative sample of the high-scoring (3,4,*) minority are included.
Staff meeting to explain project
Sample of 5 record cards per day, chosen randomly for a week. To check if methodology and standard appropriate. Findings recorded on data collection sheet, data analysed, standard/criteria to be adjusted as needed.
1st Audit cycle Sample 5 cards per day, for a month. Findings recorded on data collection sheet, data analysed. Staff meeting, to discuss action plans. Standard/criteria to be adjusted as needed. Changes implemented according to action plans.
2nd Audit cycle Sample 5 cards per day, for a month.Findings recorded on data collection sheet, data analysed. Staff meeting, to discuss results. If standard has been exceeded, consider either –
Re-auditing in a year’s time to ensure that the standard is still being met.
Raising the standard, instituting further changes, and completing a third cycle
3.5Proposed timetable of activity:
2 Staff meeting to explain project
3 Pilot study
4 1st Audit cycle, analysis, and staff meeting
5 Institute Changes
6 2nd Audit cycle analysis, and staff meeting
7 Write report
3.8Total number of hours for the whole project :
Date / Dentist / Patient ID / Criteria met
Y/N / If not, why? / Possible
solution / Comments