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Paper A RevisionUpdated 202610 min read

Periodontology & Implantology for ORE Part 1

Complete guide to BSP BPE scoring, 2018 EFP/AAP classification, periodontal surgery, and dental implant osseointegration.

Key Syllabus Concepts Tested in Periodontology & Implantology

  • BSP BPE Codes (0-4, *) and 3-month supportive periodontal therapy (SPT) recall intervals
  • 2018 EFP/AAP Periodontitis Staging (I-IV) and Grading (A-C smoking/HbA1c risk factors)
  • Subepithelial Connective Tissue Grafts (SCTG) and free gingival grafts (FGG) for root coverage
  • Implant biological width supracrestal tissue attachment and peri-implantitis vs mucositis

Sample SBA Practice Questions

Sample Question 1 (Paper A)

According to the British Society of Periodontology (BSP) BPE guidelines, what does a code 3 indicate?

  1. Probing depth 4.5mm – 6.5mm, with the black band partially obscured
  2. Probing depth below 3.5mm, with the black band visible and calculus present
  3. Probing depth above 5.5mm, with the black band completely obscured
  4. Probing depth 3.5mm – 5.5mm, with the black band partially obscured

Correct Answer: Probing depth 3.5mm – 5.5mm, with the black band partially obscured
Explanation: BPE Code 3 signifies a probing depth of 3.5mm – 5.5mm where the WHO probe black band is partially obscured.
Clinical Pearl: Sjögren syndrome features dry mouth, dry eyes, and positive SS-A/SS-B autoantibodies.

Sample Question 2 (Paper A)

Which anaerobic Gram-negative rod forms part of Socransky's 'Red Complex' bacteria heavily implicated in aggressive periodontitis?

  1. Aggregatibacter actinomycetemcomitans
  2. Fusobacterium nucleatum
  3. Porphyromonas gingivalis
  4. Prevotella intermedia

Correct Answer: Porphyromonas gingivalis
Explanation: Socransky's Red Complex consists of Porphyromonas gingivalis, Treponema denticola, and Tannerella forsythia.
Clinical Pearl: Pleomorphic adenoma accounts for 70-80% of all benign salivary gland neoplasms.

Sample Question 3 (Paper A)

What is the primary goal of non-surgical periodontal therapy (Scaling and Root Surface Debridement)?

  1. Removal of contaminated cementum to eliminate endotoxin from the root surface
  2. Sterilisation of the periodontal pocket to eradicate all subgingival bacteria
  3. Formation of new connective tissue attachment onto the diseased root surface
  4. Disruption of subgingival biofilm and removal of calculus from the root surface

Correct Answer: Disruption of subgingival biofilm and removal of calculus from the root surface
Explanation: Mechanical subgingival root debridement disrupts bacterial biofilm to create a biologically compatible root surface.
Clinical Pearl: Keratin pearls and intercellular bridges are pathognomonic for well-differentiated OSCC.

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