Updated periodontal guidelines for under 18s

01 October 2021
1 min read

The importance of periodontal screening of young people is being reinforced jointly by the British Society of Paediatric Dentistry (BSPD) and the British Society of Periodontology and Implant Dentistry (BSP) as updated national guidelines for the management of patients aged under 18 in the primary care setting are launched.

The updated guidelines, recently published on the websites of both BSPD and BSP, incorporate the new classification system devised at the 2017 World Workshop (1). The 2021 guidelines also reflect the new method of staging and grading periodontitis arising from the same landmark meeting, which influences the management of all patients.

At the heart of any screening is the BPE (basic periodontal examination) first developed in 1986. It wasn’t until 2012, however, that BPE screening was produced for the management of young people from the age of seven. A simplified version, the sBPE, examines only six teeth:  the permanent molars and one incisor in the upper arch and one incisor in the lower arch; these reflect teeth susceptible to periodontal disease in this age group.

The two clinicians who developed both the 2012 guidelines and the updated version in 2021 on behalf of BSP and BSPD respectively are Valerie Clerehugh and Susan Kindelan.

Valerie and Susan agree, “Gingival diseases are prevalent in young people, and reversible gingival inflammation can progress to the initial stages of irreversible periodontal destruction in adolescents. Whilst severe forms of periodontal diseases are uncommon in the younger age groups, identification of those affected by gingival and periodontal problems is important and dental practitioners have an important role to play in their early recognition and diagnosis.

“Practitioners should be aware that smoking in children and young people, including the use of e-cigarettes, and higher levels of obesity, are factors which might have an impact on the prevalence of gingivitis and periodontitis.”

Susan commented, “Prevention of periodontal diseases is hugely important. Patients treated by BSPD members are more likely to have co-morbidities or complex syndromes which impact on gum conditions. For this cohort of patients, early diagnosis and referral is recommended.”

BSPD spokesperson Claire Stevens said, “So much has changed in the field of periodontology over recent years, this update is timely. We very much hope to build awareness of the important of the sBPE so that it is integral to all appointments with young people aged seven and over.”

(1) https://www.perio.org/2017wwdc