Periodontitis — ORE Part 1 MCQ

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EasyPeriodontologyPeriodontitisORE Part 1

According to the BSP-S3 stepwise approach used in UK practice, which management measure forms the foundation of Step 1 for a patient with Stage I–III periodontitis?

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Correct answer: E — Improve self-care and control modifiable risk factors

The correct answer is E. Step 1 of the UK BSP-S3/SDCEP approach establishes the foundations for successful periodontal treatment: patient behaviour change, effective self-performed oral hygiene and control of modifiable risk factors, such as smoking and poorly controlled diabetes. It also commonly includes supragingival plaque/calculus removal and correction of plaque-retentive factors. Targeted subgingival instrumentation is principally Step 2 after assessment of the Step 1 response. Surgical management is reserved for selected non-responding sites after earlier steps (Step 3). Systemic antibiotics are not routine initial therapy for uncomplicated Stage I–III periodontitis. Supportive periodontal care is Step 4, following active treatment and stabilisation.

Reference: Scottish Dental Clinical Effectiveness Programme. Prevention and Treatment of Periodontal Diseases in Primary Care: Stepwise approach, current online guidance, accessed July 24, 2026. https://www.periodontalcare.sdcep.org.uk/guidance/planning-treatment/stepwise-approach/