BPE and periodontal assessment note template
Record the BPE you actually scored, then the diagnosis and the discussion. Do not fill a sextant you did not probe.
Template
BPE Sextant scores: Bleeding on probing: Plaque: Mobility: Recession / attachment: Diagnosis Stage: Grade: Stability: Risk factors: Discussion What was explained: Options: Patient decision: Treatment today Next visit
A filled-in example
BPE
Sextant scores: 3 2 1 / 3 4 2
Bleeding on probing: Generalised, immediate
Plaque: Lower anterior, heavy calculus
Mobility: LR5 grade 2
Diagnosis
Stage: III
Grade: B
Stability: Currently unstable
Risk factors: Smoking, 10 cigarettes a day
Discussion
What was explained: Calculus is holding some teeth. Mobility may change after cleaning. Home cleaning and professional cleaning both matter.
Options: 1. Leave and monitor. 2. PMPR with the hygienist and oral hygiene instruction.
Patient decision: Wants to book the hygienist.
Treatment today
Oral hygiene instruction. Supragingival calculus not removed today.
Next visit
Hygienist, 3 months. Reassess LR5 after cleaning.
Let Dentascribe fill this in from your appointment audio.
