Refer to Section 8 of the full guidance
In some cases it may be appropriate to refer the patient to a specialist practitioner or to secondary care for further periodontal care. These cases include patients with severe disease or where the treatment required is complex or complicated by other factors.
In general, patients with a BPE score of 1-3 in any sextant should be treated in general dental practice.
Patients with a BPE score of 4 in any sextant may receive initial non-surgical treatment in general dental practice. Those unresponsive to inital treatment, or those patients requiring surgery involving the periodontal tissues, may be accepted for referral.
Patients with a BPE score of 4 in any sextant plus a modifying factor, such as a medical condition which affects the periodontal tissues or a diagnosis of aggressive periodontitis, should be referred.