Hi I’m Kiri Anderson, earlier this year I completed my foundation year with the West Midlands Russell’s Hall scheme, working at Catshill Dental Practice in Bromsgrove with my trainer Dr Roger Hawken. This was a fantastic year and I was proud to gain the John Gilmore Prize for Excellence in Dentistry for my scheme, as well as first prize in my scheme and overall third place winner in the West Midlands schemes for my audit - “An Audit to Assess the Percentage of Children and Adolescents at Catshill Dental Practice Receiving Periodontal Screening which is Recorded in their Clinical Notes”. Dr Sukhvinder Atthi has kindly asked me to say a few words about myself and my audit.
Since foundation training I have gone on to working in general practice in County Durham where I am enjoying developing my dental skills in both a private and NHS setting. I have also completed the Young Dentist Academy course, which is a brilliant introduction to furthering ones’ skills, and plan to take further advanced courses to improve my aesthetic dentistry and complex case restorative skills. I have an interest in forensic odontology which I am keen to explore further, but outside of dentistry I love to digitally paint in Photoshop, and trying new daring activities (recently a zip wire, this week pilates – not so daring!)
My audit involved recording basic periodontal examinations in children and adolescents. This is recommended by the British Society of Periodontology and British Society of Paediatric Dentistry as published in their guidelines in 2012. Briefly, the guidelines suggest that in patients aged 7-11, BPE codes 0-2 are used, and the full set of codes on patients aged 12-17. The only teeth to be assessed, however, are all four first permanent molars, and the upper right and lower left central incisors. You can find the summary guidelines here: http://www.bsperio.org.uk/publications/downloads/53_085556_executive-summary-bsp_bspd-perio-guidelines-for-the-under-18s.pdf
I chose this subject because, despite the guidelines, children’s BPEs is something that was never practiced routinely during university and foundation training, and so I was interested to learn more. It is also a topical issue because of the rise in litigation relating to undiagnosed periodontal disease.
By the end of the audit my dental colleagues were routinely performing BPEs on children and adolescents in the majority of cases. This hugely benefitted the practice because it meant that gold standards were being applied to effectively diagnose early gingival conditions, and as well as this it also ensured that each dentist would be able to detect the much rarer aggressive forms of gingival disease. This in turn helps to ensure the correct care pathways are followed for each patient, and protects the practitioner from failing to diagnose in the first instance, thus avoiding medico-legal issues.
The children’s BPE is a simple exercise that every practitioner should be used to doing, and takes seconds to perform. Personally I feel that the benefits certainly outweigh any minor drawbacks (compliance issues) and I strongly encourage you to make this small change in your practice which could make a big difference to certain patients.
Russell’s Hall Scheme Audit Winner 2014
West Midlands 3rd Place Audit Winner 2015
Russell’s Hall Scheme John Gilmore Prize Winner 2015