6PPC Dental Chart: Complete Six-Point Pocket Charting Guide

Six-point pocket charting (6PPC) is the gold standard for periodontal assessment—but it's also one of the most time-consuming tasks in clinical dentistry. This comprehensive guide covers everything you need to know about 6PPC dental charting, from the basics to revolutionary AI tools that can fill your chart just by speaking.

What is 6PPC Dental Charting?

6PPC stands for Six-Point Pocket Chart. It's a detailed periodontal assessment where you record pocket depths at six sites around each tooth:

• Mesiobuccal (MB)
• Buccal (B)
• Distobuccal (DB)
• Mesiolingual/Mesiopalatal (ML/MP)
• Lingual/Palatal (L/P)
• Distolingual/Distopalatal (DL/DP)

This gives a complete picture of periodontal health, unlike the BPE screening which only records the worst score per sextant.

When is 6PPC Required?

According to BSP guidelines, a full 6PPC is indicated when:

• BPE score of 3 in any sextant (for that sextant)
• BPE score of 4 in any sextant (full mouth charting)
• Monitoring periodontal treatment outcomes
• Baseline assessment for new periodontal patients
• Annual review of periodontal patients

What to Record in a 6PPC

A comprehensive 6PPC includes:

1. Pocket Depths (POC)

Measured in millimetres from the gingival margin to the base of the pocket. Three measurements per surface (buccal and palatal/lingual).

2. Recession (REC)

Distance from the CEJ to the gingival margin. Recorded as positive values.

3. Clinical Attachment Level (CAL)

Calculated as: Pocket Depth + Recession

4. Bleeding on Probing (BOP)

Recorded as present or absent at each site. Critical indicator of active inflammation.

5. Suppuration

Presence of pus indicates active infection.

6. Furcation Involvement

Graded 0-3 for multi-rooted teeth:

• Grade I: Horizontal loss <1/3 tooth width
• Grade II: Horizontal loss >1/3 but not through-and-through
• Grade III: Through-and-through involvement

7. Mobility

Graded 0-3:

• Grade 0: No mobility
• Grade I: <1mm horizontal
• Grade II: >1mm horizontal
• Grade III: Vertical mobility

The Problem: 6PPC Takes Forever

Let's be honest: full-mouth 6PPC charting is tedious.

You're juggling:

• A periodontal probe
• A nurse calling out numbers
• A keyboard or paper chart
• A patient who can't close their mouth

A thorough 6PPC can take 15-20 minutes just for data entry. Multiply that by several perio patients per day, and you've lost hours to charting.

The Solution: AI Voice-Activated 6PPC Charting

What if you could speak your measurements and have them automatically populate the chart?

Dentistry Dashboard has developed exactly this: AI-powered voice charting for periodontal assessments.

How It Works

1. Start Recording – Click the microphone button for each arch section
2. Speak Naturally – Call out measurements as you probe: "UR8: 3, 2, 3. UR7: 4, 3, 4, bleeding mesial..."
3. AI Processes – Our Gemini-powered AI extracts structured data
4. Chart Populates – Measurements appear instantly in the digital chart
5. Review & Save – Check the values and save to patient record

Features Include

• ✅ Pocket depths (3 measurements per surface)
• ✅ Recession measurements
• ✅ Bleeding on probing markers
• ✅ Suppuration indicators
• ✅ Furcation grading
• ✅ Mobility scores
• ✅ Configurable measurement order (D-C-M or M-C-D)
• ✅ Start tooth selection (begin wherever you like)

The Result

What used to take 15-20 minutes now takes under 5 minutes. Your hands stay on the probe, your eyes stay on the patient, and the chart fills itself.

"Voice charting has transformed our perio appointments. I can focus entirely on the clinical assessment while the software handles the documentation."

Best Practices for 6PPC Recording

1. Standardise Your Technique

• Always probe in the same order
• Use consistent pressure (20-25g)
• Call measurements clearly

2. Use a Systematic Approach

We recommend:

• Start upper right, move to upper left
• Then lower left to lower right
• Buccal surfaces first, then palatal/lingual

3. Call Out Abnormalities

When using voice charting, be explicit:

• "Bleeding on mesial"
• "Grade 2 furcation"
• "Mobility 1"

4. Verify Before Saving

Always review the populated chart before saving to the patient record.

6PPC vs BPE: When to Use Each

| Feature | BPE | 6PPC | |---------|-----|------| | Purpose | Screening | Detailed assessment | | Time | 2-3 minutes | 15-20 minutes (manual) | | Sites | 6 sextants | All teeth, 6 sites each | | When | All patients | BPE 3/4, perio patients |

Compliance and Documentation

The BSP and GDC require adequate periodontal assessment documentation. A properly recorded 6PPC demonstrates:

• Thorough clinical examination
• Baseline for treatment planning
• Evidence for insurance/NHS claims
• Medico-legal protection

Digital charting with timestamps provides robust evidence of contemporaneous recording.

Getting Started with AI 6PPC Charting

Ready to transform your periodontal charting workflow?

Dentistry Dashboard's AI Perio Chart is available now as part of our practice management suite.

What You Get

• 🎤 Voice-activated data entry
• 📊 Interactive digital chart
• 🔄 Integrates with clinical notes
• 💾 Saves to patient record
• 📱 Works on any device

Try AI Perio Charting Free →

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FAQs

Q: Does voice charting work with background noise? A: Yes, our AI uses noise suppression and is trained on clinical audio. Best results with a lapel mic.

Q: Can I edit values after voice entry? A: Absolutely. All values are editable before saving.

Q: Is it GDPR compliant? A: Yes. Audio is processed and discarded—only the extracted measurements are stored.

Q: What if the AI mishears a number? A: The chart is fully editable. Review before saving, and correct any errors.

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Stop Wasting Time on Manual Charting

Every minute spent typing numbers is a minute not spent with your patient. AI voice charting gives you that time back.

Start Your Free Trial →

Experience hands-free 6PPC charting today.