Download UNIVERSITY OF LOUISIANA AT MONROE Course: DHYG 4014

UNIVERSITY OF LOUISIANA AT MONROE
Course: DHYG 4014
Clock Hours: 3
Time: T, Th 8:30-9:50a.m.
Program: Dental Hygiene
Title: Periodontology
Credit Hours: 3
Level/Sem/Yr: Sr./Fall/2016
Office Hours: M,W,F 9-11:00 & by
appointment
I.
INSTRUCTOR
Sharon C. Chaney, R.D.H., M.P.S.
Contact Information: 318-342-1619; [email protected]; Caldwell 204; preferred mode of
communication: e-mail/Moodle forum. Course contract must be read and signed before
classes begin. Communication etiquette protocols are noted on the course Moodle site.
II.
COURSE DESCRIPTION
The study of normal and abnormal periodontium, the etiology of periodontal disease
including systemic factors, immune response, and pathogenesis of plaque related factors.
Diagnosis, prognosis and treatment planning are applied to the various classifications of
periodontal diseases.
III.
COURSE PREREQUISITES/COREQUISITES
Prerequisites: DHYG: 4015, 4016, 4017
Corequisites: Registration in DHYG: 4021, 4022
IV.
COURSE OBJECTIVES AND COMPETENCIES
Competencies
Course Objectives
Upon successful completion of the course, the student will be able to:
*, 6.2, 6.6, 6.7, 6.8
1.
*
2.
*, 6.4, 7.1, 7.2
3.
*, 6.4, 7.1, 7.2
4.
*, 6.4, 7.1, 7.2
5.
*, 6.4, 7.1, 7.2, 8.1
6.
*, 6.4, 6.6, 6.7, 7.1,
7.2
*, 6.3, 6.4, 6.7, 7.1,
7.
8.
Name, describe, and locate each component of the
periodontium, anatomically and histologically and give
their function(s).
Identify the evolution of the junctional epithelium from the
stage of tooth formation to the stage of tooth eruption.
Describe and compare the composition and development of
supra- and sub- plaque.
Describe and distinguish between the three primary
etiological theories of periodontal disease and their
implication on plaque control and periodontal therapy.
Describe the microbiology of periodontal disease and the
structure and role of dental biofilm in that process.
Describe the role of host immune response in periodontal
disease.
List and describe the role of local contributing factors in
periodontal disease.
List and describe the role of systemic contributing factors
7.2, 8.1
*, 6.6, 6.7, 7.1
9.
*, 6.6, 6.7, 7.1, 7.2
10.
*
11.
6.1, 6.2, 6.3, 6.4,
6.6, 6.7, 6.8, 7.1,
7.2, 8.1, 8.2
*, 6.2, 6.7
12.
*, 6.2, 6.4, 6.7
15.
8.1, 8.2
16.
14.
*, 3.2, 8.1, 8.2, 10.1, 17.
10.2,10.3
*, 3.2, 6.2, 6.3, 7.1 18.
7.2
*, 3.2, 6.2, 8.1, 8.2, 19.
10.1, 10.2, 10.3
*, 8.1, 8.2, 8.3,
20.
9.1, 10.1, 10.2, 10.3
*, 6.2.1,
21.
*,6.2.1, 9.1.1, 9.1.2, 22.
*, 6.6, 6.7
23.
*, 8.4
24.
*, 8.4
25.
*, 8.4
26.
*, 6.2.1, 6.3, 6.6,
27.
8.1,8.4, 9.1.1, 9.1.2,
10.1, 10.2
in periodontal disease.
Relate the events in the pathogenesis of gingivitis and
periodontitis to the clinical signs and symptoms, describing
the histological changes occurring in the attachment
apparatus.
Contrast and compare the clinical characteristics,
microflora, and immune response in the various forms of
periodontitis.
Describe the specific mechanisms of the inflammatory and
the immune response that cause loss of the attachment
apparatus.
Define and describe the aspects of patient assessment in the
dental hygiene process of case evaluation and patient care.
Identify the normal anatomy and changes seen in
periodontal diseases radiographically.
State the relationship between systemic and periodontal
Disease
Describe the care modifications needed for specific
systemic conditions
Define evidence-based periodontal care and describe the
process of evidence-based decision making
List the criteria used in assigning a periodontal diagnosis
List and describe the phases of periodontal treatment and 8.3,
how decisions are made in determining treatment sequencing
Discuss the concept of nonsurgical periodontal therapy
and state the goals of the dental hygienist as a co-therapist
in periodontal treatment and management
Define and differentiate between the paradigms and terms
used to describe periodontal treatment
List, state the indications for and describe the treatment
elements of nonsurgical periodontal therapy
Explain the healing process occurring after various types of
periodontal surgery.
State the goals, indications and contraindications of
periodontal surgery and osseous surgical techniques used
in the treatment of periodontal disease and related
dental hygiene procedures
State indications for and describe soft tissue periodontal
surgical procedures: gingivoplasty, gingivectomy and gingival flap
State indications for and describe osseous periodontal
surgical procedures
Discuss the use of dental implants and special
considerations for maintenance by the dental hygienist
*, 6.2, 6.3, 7.1,
7.2, 8.4
*, 6.3, 6.4, 6.7, 7.1,
7.2
3.1, 3.2
6.2, 6.3, 6.4, 6.6,
6.7, 7.1, 7.2, 8.1,
8.2, 8.4
28.
29.
30.
31.
Identify and describe common periodontal emergencies and
their management
Identify and describe mucotaneous diseases of the
periodontium and their management
Describe the use of print and internet periodontal resources
Apply information in the text to analyze radiographic
images of periodontal cases and to assess and plan for other
provided cases
V.
COURSE TOPICS
See attached Session Topic Schedule
VI.
INSTRUCTIONAL METHODS AND ACTIVITIES
Reading Assignments
Lecture
Discussion in large and small groups
Group activities
Aids: Videos, Power point presentations, handouts, online resources/research
VII
EVALUATION AND GRADE ASSIGNMENT
Exams 3 major examinations and 1 final examination are scheduled.
Examinations are pencil and paper using scantrons. Questions are a variety of
multiple choice types similar to those used on the national board examination.
Participation is expected during class sessions and will be evaluated by the
instructor and members of the peer groups. Evaluation will be based on
observation, and peer evaluation according to the criteria listed on the form
posted on Moodle.
Class assignments/activities (both individual and group) will be utilized regularly.
Activities will be utilized to help the student organize, process, and integrate the
material. This will assist the student in transferring the information to the clinical
setting and utilizing it in patient treatment.
Quizzes are typically given at the beginning of each session. They will evaluate
understanding of previously assigned readings and/or application to patient
situations.
Mid-Term Grades will be posted on-line for students to view via Banner. Mid-term
grades indicate a student's status at mid-semester only and do not indicate the
final performance outcome of a student.
Criteria for the final grade
Quizzes
Examinations (4)
Final Exam
Attendance/Participation/Peer Evaluation
25%
40%
30%
5%
100%
Grading Scale
The grading scale for the Dental Hygiene Program is as follows:
A
93-100
B
85-92
C
77-84
D
70-76
F
Below 70
VIII.
CLASS POLICIES AND PROCEDURES
Required Texts:
Nield-Gehrig & Willmann Foundations of Periodontics for the Dental Hygienist,
4th. ed.
Vernino, et. al. The Periodontic Syllabus , 5th ed.
References:
Perry & Beemsterboer Periodontology for the Dental Hygienist, 4th ed.
Weinberg et al. Comprehensive Periodontics for the Dental Hygienist, 3rd ed.
Attendance:
Recognizing that a dental hygiene student will soon be obligated to meet the needs and
demands of the profession of dental hygiene, there are stricter attendance requirements
than those imposed by other academic curricula.
Attendance is required at all clinical courses, laboratories, clinics, and external rotations
as scheduled.
Penalties for tardies and absences are as follows:
1. First tardy – no penalty, If a quiz is in progress, you must stay in the back of the
room until the quiz is over. You will not be allowed to make up the quiz and a
zero will be recorded.
2. Second tardy – 1 point deducted from the final course grade. Policy regarding
quizzes is the same as mentioned above.
3. Subsequent tardies – two points deducted from the final course grade for each
tardy. Policy regarding quizzes is the same as mentioned above.
4. First absence – no penalty if time and/or missed work in all subject areas missed
is made up. The student must contact the course director the day the student
returns to school to make arrangements for the missed work, assignments. If
arrangements are not made, you will not be allowed to make up the work,
assignment; and a zero will be recorded. In addition, 2 points will be deducted
from your final course grade. See course evaluation section for make-up
examination policy.
5. Second absence – 2 points will be deducted from the final course grade. Policy
regarding missed work is the same as mentioned in #4.
6. Subsequent absences – for each day of absence, five points will be deducted from
the final course grade in all subject areas missed. Policy regarding missed work is
the same as mentioned in #4.
7. If you are ill, notify
A. your patients
B. dental hygiene receptionist/secretary &/or Clinic Lecture Instructor
C. clinical coordinator
A student may appeal the grade penalty to the Dental Hygiene Admissions and Academic
Standards Committee by personal appearance or written application if the following two
conditions exist and can be demonstrated:
1. there is sufficient documented evidence to support a genuine need for the absence
2. that missed course work, laboratory work or clinical work can be overcome
The committee will determine the merit of the appeal and decide what action will be
taken.
For VA rotation – Absences resulting from VA rotation will not be counted against the
student. The student is responsible for all course work missed. If a test and or quiz is
missed, it must be taken the Friday at 8:00 a.m. that the student returns to school, unless
prior arrangements have been made with the course director. Notes and work missed will
be in the VA box in Caldwell 210. It is the student’s responsibility to pick up this
information.
For satellite clinic rotations: students assigned to outside satellite clinics on class days
will be allowed to leave class at 11:00a.m. in order to prepare for and begin treatment at
clinic site on time.
Make-up exams will not be given unless it was an official university excused absence and
the instructor has been notified in advance. It is the student’s responsibility to contact the
instructor within 24 hours of the absence to schedule a make-up exam. Missed exams will
be recorded as a zero when computing the final grade.
Academic Integrity
Students and faculty must adhere to the ULM published policies on academic cheating,
plagiarism and other forms of academic dishonesty. Infractions of any of these policies
will result in being called before the Dental Hygiene Admissions and Academic
Standards Committee. The committee will determine the seriousness of the infraction
and will determine the penalty or remediation. Students may appeal any decision of this
committee as allowed in the ULM Student Policy Manual.
Social Media Use Policy
Students who want to communicate about patients via social media must use only ULM
email; wherein, specific patients may be referred to only by initials, not by either first or
last name. No communication about patients, parents, clinic, or the department is
allowed in any other communications via social media (except ULM warhawks email).
These include Facebook, blogs, text-messaging, personal mail, etc. Official Facebook
postings about departmental activities can only be made by students with approval of the
Department Head or Clinical Coordinator. While faculty cannot stop students from doing
so, it is not in the students’ best interest to speak negatively about him/herself, faculty,
the program, college or university on Facebook or elsewhere. If a student’s public
communication is interpreted in a slanderous and/or non-beneficent manner, then the
student can and will be held ethically and/or legally responsible. Furthermore, students
should be aware that Facebook is viewable and viewed by faculty, patients, parents of
patients, students at other universities, potential students, and future employers. Before a
Facebook post is made, students should ask themselves, “What will a future employer
(patient, patient’s parent, etc.) think when he/she sees this post? Faculty (including offcampus supervisors) are not allowed to befriend on Facebook any current student of the
program, patient or parent of a patient. Social relationships with faculty are inappropriate.
IX.
Student Services: The University of Louisiana at Monroe strives to serve students with
special needs through compliance with Sections 504 of the Rehabilitation Act of 1973
and the Americans with Disabilities Act. These laws mandate that postsecondary
institutions provide equal access to programs and services for students with disabilities
without creating changes to the essential elements of the curriculum. While students with
special needs are expected to meet our institution's academic standards, they are given the
opportunity to fulfill learner outcomes in alternative ways. Examples of accommodations
may include, but are not limited to, testing accommodations (oral testing, extended time
for exams), interpreters, relocation of inaccessible classrooms, permission to audiotape
lectures, note-taking assistance, and course substitutions.
Information about ULM student services can be found via these links:
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Student Success Center: http://www.ulm.edu/studentsuccess/
Counseling Center http://www.ulm.edu/counselingcenter/
Special Needs at http://www.ulm.edu/studentaffairs/
Library http://www.ulm.edu/library/reference.html
Computing Center Help Desk http://www.ulm.edu/computingcenter/helpdesk
Students with disabilities Current college’s policies on serving students with
disabilities can be obtained on the ULM website: http://ulm.edu/counselingcenter/
If you need accommodation because of a known or suspected disability, you
should contact the Director for Disabled Student Services at:
Voice phone: 318-342-5220
Fax: 318-342-5228
Walk-In: ULM Counseling Center, 1140 University Avenue (this building and
room are handicapped accessible).
Mental Wellness on the ULM Campus:
If you are having any emotional, behavioral, or social problems and would like to talk
with a caring, concerned professional, please call one of the following numbers:
The ULM Counseling Center: 318-342-5220
The Marriage and Family Therapy Clinic: 318- 342-9797
 The Community Counseling Center: 318-342-1263
Remember that all services are offered free to students, and all are strictly confidential.
If you have special needs that I need to be made aware of, you should contact me within the
first two days of class.
Sexual Harassment or Gender-Based Discrimination:
Title IX of the Education Amendments of 1972 prohibits sex discrimination against any
participant in an educational program or activity that receives federal funds, including federal
loans and grants. Furthermore, Title IX prohibits sex discrimination to include sexual
misconduct, sexual violence, sexual harassment and retaliation. If you encounter sexual
harassment or gender-based discrimination, please contact the Title IX Coordinator at
318-342-1004; you may also file a complaint online, 24 hours a day, at: www.ulm.edu/titleix.
Session Objectives
By the end of each session, the student will be able to:
Periodontium: The Tooth-Supporting Structures
45 min.
Define, describe and identify the components and their functions of the healthy
periodontium
Describe blood and nerve supply to the components of the periodontium
Describe the functions of the periodontal ligament and the cementum
Microscopic Anatomy of the Periodontium
40 min.
Define and describe the microscopic anatomy of oral epithelial and connective
tissues and describe their functions
Compare and contrast the epithelium-connective tissue interface found in most
tissues of the body with that found in oral mucosa
Define, describe and discuss the significance of “biologic width”
The Progression of Periodontal Disease
40 min.
Describe, compare and contrast the three basic states of the periodontium: health,
gingivitis and periodontitis
Describe the pathogenesis of bone destruction in terms of alveolar bone height,
patterns of bone loss and pathways of inflammation into the bone
Define and describe the characteristics of periodontal pockets
Classification of Periodontal Diseases and Conditions
40 min.
List the major diagnostic categories of periodontal diseases and state the purpose
of classification systems
List and describe the two main categories of gingival diseases and conditions
List , briefly describe the eight main categories of periodontitis
Search for the Causes of Periodontal Disease
40 min.
Describe what is meant by epidemiology of periodontal disease
Compare and contrast the prevalence and incidence of periodontal disease
Compare the historical and current perspectives on disease risk factors
Summarize the historical perspectives on disease progression
Summarize the current theory of periodontal pathology
Biofilms and Periodontal Infections
40 min.
List and describe the characteristics and residence of bacteria
Define biofilm and describe the formation process, the role of bacteria in them
and removal of biofilms
Describe dental plaque biofilm: formation, control and removal
Differentiate between bacteria associated with health and disease and identify
specific periodontal pathogens
Discuss the unique qualities of subgingival biofilm in terms of form and virulence
Local Contributing Factors
40 min.
List and describe how local factors increase biofilm retention
Explain how biofilm growth increases in pathogenicity
List local factors that cause direct damage and describe the processes
Basic Concepts of Immunity and Inflammation
40 min.
List and describe the function of the elements of the immune system
Summarize the body’s inflammatory process and describe the two stages of
inflammation
Describe how the cellular components and complement system function
as parts of the immune system
Host Immune Response to Periodontal Pathogens
40 min.
Define and describe the function of biochemical meditors
Describe the different methods of tissue destruction in periodontal disease
List and describe the different phases of periodontal disease and explain the host
response in each
Systemic Factors Associated with Periodontal Disease
40 min.
Describe how the following systemic conditions can contribute to periodontal
disease: tobacco use, diabetes mellitus, osteoporosis, hormone alteration,
psychosocial stress, genetic influences, acquired immunodeficiency
syndrome(AIDS), systemic medications
Explain what is meant by biologic equilibrium and how to restore balance
List the items that should be included in a risk assessment questionnaire
Smoking and Periodontal Disease
40 min.
Discuss the implications of smoking on periodontal health, immune response and
periodontal treatment outcomes
Discuss current theories of why smokers have more periodontal disease
Etiologic Factors: Risk for Periodontitis
40 min.
Define biologic equilibrium and explain how factors can disrupt the balance
between health and disease in the periodontium
Define and give examples of contributing risk factors
Identify risk factors in patient case scenarios
Clinical Features of the Gingiva
Describe the characteristics of healthy gingiva
List clinical signs of gingival inflammation
Differentiate between acute and chronic inflammation
Differentiate between bulbous, blunted and cratered papilla
40 min.
Diseases of the Gingiva
40 min.
Compare and contrast the characteristics of gingiva in health and disease
Describe gingival inflammation
Describe characteristics common to all gingival diseases
List and identify the characteristics of each sub category of plaque/biofilm
Induced gingivitis
List and identify the characteristics of non-plaque/biofilm induced gingival
Diseases
Chronic Periodontitis
40 min.
List and describe the three major categories of periodontitis
List and describe the characteristics and etiology of chronic periodontitis
Describe what is meant by the terms: severity,
extent, and progression of periodontal disease
State the treatment considerations for initial therapy of chronic periodontitis
Describe recurrent and refractory forms of chronic periodontitis
Aggressive Periodontitis
40 min.
List and describe the characteristics and etiology of aggressive periodontitis as
compared to chronic periodontitis
Describe the treatment considerations for aggressive periodontitits
Differentiate between localized and generalized aggressive periodontitis
Other Periodontal Conditions
Discuss periodontitis as a manifestation of systemic disease
Describe and discuss necrotizing periodontal diseases
Describe developmental or acquired deformities and conditions
40 min.
Periodontitis as a Risk Factor for Systemic Disease
40 min.
Discuss and provide several examples of how systemic conditions can increase an
individual’s susceptibility to periodontal disease
Give several examples of medications that can produce changes in the
Periodontium
Discuss and provide several examples of how periodontal pathogens can have an
adverse effect on an individual’s systemic health
Describe appropriate care modifications for specific systemic conditions
Clinical Periodontal Assessment
40 min.
List what is included in the periodontal assessment process
Discuss responsibilities, legal considerations and documentation
List and describe the elements of the Periodontal screening and recording system
List and describe the elements of a comprehensive periodontal assessment
Describe how to calculate the width of the attached gingiva and attachment level
for a variety of periodontal conditions
Radiographic Analysis of the Periodontium
40 min.
Identify the radiographic characteristics of normal and abnormal alveolar bone
Recognize and describe early radiographic evidence of periodontal disease
Distinguish between vertical and horizontal bone loss
Identify radiographically potential etiologic agents
Discuss the possibilities and limitations of radiographs in the evaluation of
periodontal disease
Decision Making During Treatment Planning for Patients with Periodontal Disease
40 min.
List and describe how to utilize and answer the three fundamental diagnostic
questions used in assigning a periodontal diagnosis
List and describe the phases of treatment
Define the tern periodontal disease site
Define the term informed consent and state how it is used in the context of
periodontal treatment
Describe the scope of information that should be provided to the periodontally
involved patient
Nonsurgical Periodontal Therapy
40 min.
Define the term nonsurgical periodontal therapy
State the philosophy and goals of NSPT
List indications for NSPT
Describe typical treatment plans and modalities for patients with
gingivitis, slight and moderate chronic periodontitis
Differentiate between the terms, scaling, root planning,
periodontal debridement and deplaquing
List typical risk factors that may occur in patients needing NSPT and
how they would be addressed
Explain how dental hypersensitivity can result from periodontal therapy and
strategies for managing it
State the rationale for, steps in and decisions made during the re-evaluation
Appointment
Recognize indications for patient referral to a periodontist
Periodontal Surgical Concepts for the Dental Hygienist
40 min.
State the rationale for performing periodontal surgery
Discuss the methods and medicaments used to control post operative bleeding
List the objectives, indications, contraindications (relative)
for periodontal surgery
Define the terms: repair, reattachment, new attachment and regeneration
List and explain presurgical considerations
Define terms related to periodontal surgery
List and describe the steps of wound healing.
Contrast would healing occurring after a gingivectomy with that after a simple
incision.
Define terminology used to describe healing following periodontal surgery
Define and illustrate full thickness flap and partial thickness flap.
Discuss the principles of successful autogenous gingival grafts.
Discuss the factors that influence the outcome of healing involving alveolar bone.
Periodontal Surgical Concepts: Gingival Flap Surgery
40 min.
Define gingival flap and give the indications and contraindications and a brief
description of the ENAP technique.
Differentiate between periodontal flap for access and debridement procedures
Describe the procedure for flap surgery
Explain the healing process related to flap surgery
Define terms related to flap surgery
State the requirements for a successful reattachment procedure.
State the four general approaches to eliminate periodontal pockets.
State the objectives of periodontal flaps and give the two classifications
Compare the technique and results of full thickness and partial thickness flaps.
Discuss and give examples of various flaps bases on repositioning of the flap in
relation to the tooth.
Illustrate on a diagram of the arch where a vertical incision for a flap
procedure is made in relation to the tooth and surrounding gingiva
Management of Osseous Defects - Osseous Resective Surgery.
40 min.
Illustrate the classes of infrabony pockets.
State the objectives of osseous resection and give the various choices for
resolving osseous defects
Define and discuss the principles of “biologic width” and “gingival
scalloping”
State the indications for and contraindications of osseous resection.
Briefly describe the technique used to perform osseous surgery.
Describe and give examples of osteoplasty and ostectomy.
Give the advantages and disadvantages of osseous surgery.
Describe the use of apically positioned flap w/ osseous resective surgery
Give three conditions common to most chronic infrabony defects
Management of Osseous Defects -- Bone Replacement Grafts.
30 min.
Describe the most ideal and least ideal indications for bone grafting to restore
periodontium.
Define osseous autograft, allografts and alloplastic grafts. Give the source of each.
Briefly describe the technique used in placing an osseous graft to restore the
periodontium.
Describe the three possible biologic functions that any osseous graft material may
perform in order to produce some type of calcified replacement.
List five possible results that calcified autogenous or alloplastic implants may
experience when place in an infrabony defect.
Management of Osseous Defects --Furcation Involvement.
20 min.
State the factors to be considered in the treatment of furcations.
State the classification of furcation involvement.
Discuss the factors that are considered in determining the prognosis of a tooth
with a furcation involvement. State which tooth in the mouth has the most
favorable prognosis.
Discuss the prognosis and choice of treatment for Grade I, Grade II, Grade III
furcation involvement
Define furcation plasty and state where it is indicated.
Define root resection and state where it in indicated.
Discuss guided tissue regeneration and the use of membrane barrier and state
where it is indicated.
Management of Osseous Defects -Additional Techniques and Summary 20 min.
Relate the following procedures in the treatment of various osseous defects.
a. Selective extractions
b. Root submergence
c. Minor tooth movement
Discuss the factors that influence the success of treatment of osseous defects.
Discuss the technique, advantages and disadvantages of guided tissue
regeneration
State the guidelines for treating various categories (by number of walls) of
osseous defects.
Discuss biological enhancements of surgical outcomes
Management of Soft Tissue and Mucogingival Procedures
40 min
Define gingivoplasty and state the indications for and technique of the procedure.
Define gingivectomy and give the indications and contraindications and technique
of the procedure.
Define gingival flap and state the indications, contraindications, objectives and
surgical procedure
State the indications and objectives for corrective mucogingival surgery.
Describe the following procedures and state the indication as well as a brief
summary of the technique used:
Laterally positioned flap
Double-papillae flap
Free gingival graft
Coronally positioned flap
Frenectomiy
Distal wedge procedure
Subperiosteal connective tissue graft
Crown lengthening
Patient Management Following Periodontal Surgery
40 min.
List three general guidelines for suture removal
List four general guidelines for periodontal dressing management
List and describe the steps in a postsurgical visit
Discuss the reasons and principles of suturing methods used in various types of
wound closure.
Discuss the advantages and types of periodontal dressings as well as how they are
placed.
Describe the elements of post-surgical instructions and post-op visit
Discuss the various types of desensitizing dentifrices and state their action.
Define iontophoresis.
Dental Implants
40 min.
Define dental implant and describe the components of a typical dental implant
Define peri-implant tissues
Compare and contrast the periodontium of a natural tooth with the peri-implant
tissues that surround a dental implant
State the indications for implants and criteria and process of selecting appropriate
patient candidates for implants
Define osseointegration and biomechanical forces as they apply to dental implants
Compare and contrast the terms peri-implant gingivitis and peri-implantitis
Classify implants
Describe the characteristics of ideal implant material
Discuss the role of the prosthesis to the implant
Describe implant site preparation and advantages of bone grafting for that site
Describe pre-surgical, surgical and post-surgical procedures for implants
List the members of a dental implant team and describe the role each plays
Maintenance of the Periodontal Patient
40 min.
Define periodontal maintenance
Explain what is included in the periodontal maintenance phase of
treatment and how it relates to other phases of periodontal treatment
Discuss recurrence and patient compliance
Explain how to determine a proper maintenance interval
Discuss root caries, its relation to post periodontal surgical patients, and how to
manage/prevent the disease
Discuss appropriate auxiliary aids for the periodontal patient
Maintenance of the Dental Implant Patient
40 min.
State and explain the problems that may occur in implants after placement
Describe the clinical and home care measures that are used to examine, monitor
the status of, and provide maintenance therapy for the implant patient
Discuss the special considerations for periodontal instrumentation of a dental
implant
Describe an appropriate maintenance interval for an implant patient
Describe appropriate self-care aids for the implant patient
Periodontal Emergencies.
20 min.
Name and describe the three types of abscesses of the periodontium
Define the terms acute and circumscribed
Lit the possible causes of abscesses of the periodontium
Compare and contrast periodontal and endodontic abscesses
Describe the treatment for gingival and periodontal abscesses
Define, describe and state the treatment of the following:
Pericoronitis
abscess formation
chemical and physical injuries
necrotizing ulcerative gingivitis
hypersensitivity
primary herpatic gingivostomatitis
primary periodontal traumatism
temporomandibular joint pain dysfunction syndrome
Mucotaneous Diseases of the Periodontium
Describe characteristics, state etiology and treatement for
The following conditions
Lichen Planus
Chronic Ulcerative Stomatitis
Mucous Membrane Pemphigoid
Pemphigus Vulgaris
Lupus Erythematosus
Graft vs. Host Disease
Erythema Multliforme
20 min.
Best Practices for Periodontal Care
40 min.
Define and describe the rationale for evidence-based decision making
List and describe the three elements of EB decision making
List and describe the elements of the five steps of EB decision making
Complete a search for information regarding a new periodontal product or
technique
Future Directions for Management of Periodontal Patients
40 min.
Discuss ways in which management of periodontal patients
may evolve in the future in terms of :
diagnostic technology, the periodontal/systemic disease
connection, protocols for maintaining dental implants,
use of lasers in periodontal care, use of genetic technology
in periodontal care, local delivery mechanisms
Comprehensive Patient Cases
Apply concepts of the text to three cases provided and answer
questions related to those cases
60 min.
DHYG 4014 PERIODONTOLOGY SCHEDULE
Instructor: Sharon C. Chaney, R.D.H., M.P.S.
[email protected]
Office: 204 Caldwell Hall
Office Phone: 342-1619
Office Hours: M,W, F: 8-9, 11-12 and by appointment
Date
August 23
August 30
Sept. 6
Sept. 13
Sept. 20
Sept. 27
Oct. 4
Oct. 11
Oct. 18
Assignment
Topic
Orientation
N: Ch. 1, p1-20
Periodontium: The Tooth-Supporting Structures
N: Ch. 2, p.21-44
Microscopic Anatomy of the Periodontium
N: Ch. 3, p 45-72
Overview of Diseases of the Periodontium
N: Ch. 4, p.73-82
Classification of Periodontal Diseases and Conditions
N: Ch. 5 p.83-94
Clinical Features of the Gingiva
N: Ch. 6 p.95-120
Diseases of the Gingiva
N: Ch.7 p113-126
Chronic Periodontitis
N: Ch.8 p.128-136
Aggressive Periodontitis
N: Ch. 9 p. 137-155
Other Periodontal Conditions
N: Ch.10 p.156-173
Guidelines for Periodontal Decision Making
N: Ch.11 p174-188
Etiologic Factors: Risk for Periodontitis
N: Ch 12 p189-209
Oral Biofilms and Periodontal Infections
Exam I
N: Ch.13 p 210-228
Basic Concepts of Immunity and Inflammation
N: Ch 14 p229-245
Host Immune Response to Plaque Biofilm
N: Ch.15 p.246-271
Systemic Conditions that Amplify Susceptibility to
Periodontal Disease
N: Ch.16 p 274-289
Local Factors Contributing to Periodontal Disease
N: Ch. 17 p. 290-303 Nutrition, Inflammation, and Periodontal Disease
N: Ch. 18 p. 298-320 Periodontitis as a Risk Factor for Systemic Disease
N: Ch 19 p321-340
Clinical Periodontal Assessment
N: Ch 20 p 339-351
Radiographic Analysis of the Periodontium
N: Ch. 21 p. 352-367 Best Practices in Periodontal Care
N: Ch. 22 p369-391
Nonsurgical Periodontal Therapy
V: Ch. 11 p. 119-123 The Role of the Dental Hygienist in Nonsurgical
Periodontal Therapy
N: Ch. 27 p.451-461
Periodontal Surgical Concepts for the Dental Hygienist:
V: p. 135-138
Rationale and Presurgical Considerations
p. 125-134
Wound Healing
Exam II
N: Ch. 30 p. 461-468; Periodontal Surgical Concepts: Gingival Flap Surgery
p.525-526
Types of flap procedures
Management of Soft Tissue: Gingival Flap
V: Ch. 13 p. 138-140 Management of Soft Tissue
Ch. 14 p.160-164
Management of Soft Tissue: Flaps for Pocket
Ch. 15 p.169-175
Management
Date
Oct. 25
Assignment
N: Ch. 30 p 469-473
V: Ch. 17 p. 187-193
N: Ch. 30 p. 474-478
V: Ch. 18 p. 195-200
V: Ch.19 p.201-207
N: Ch. 30 p. 478-482
V: p.216- 217;
131-132
V: Ch. 20 p. 209-212
N: Ch. 30 p.495-496
Nov. 1
V: Ch. 14 p. 155-163
N: Ch 30 p. 482-493
V: Ch. 16 p.177-185
Nov. 8
Nov. 15
Nov. 22
Nov. 29
N: Ch. 30 p. 537-549
V: Ch 13 p. 141-153
N: Ch. 30 p. 533-534
V: Ch. 21 p. 213-226
N: Ch. 31 p. 576-586
N: Ch. 31 p. 587-595
V: Ch. 22 p.227-231
N: Ch. 30 p551-572
N: Ch. 35 p.650-657
N: Ch. 33 p. 597-613
V: Ch. 24 p.241-251
V: Ch. 25 p. 253-265
N: Ch. 36 p.659-690
Topic
Management of Osseous Defects: Osseous Resective
Surgery
Perio. Surg. Concepts: Apically Positioned Flap
w/Osseous Resective Surgery
Management of Osseous Defects: Bone Replacement
Grafts
Management of Osseous Defects: Furcation Involvement
Treatment Considerations
Guided Tissue Regeneration
Management of Osseous Defects: Additional Techniques
and Summary
Biological Enhancements of Surgical Outcomes
Management of Soft Tissue and Mucogingival Procedure
Gingivoplasty, Gingivectomy and Gingival Curettage
Mucogingival Procedures
Plastic Surgery
Grafts
Flaps
Frenectomy
Crown Lengthening Surgery
Exam III
Patient Management following Periodontal Surgery
Dental Implants
Placement
Monitoring and Maintenance
Maintenance Therapy of the Dental Implant Patient
Implant Maintenance
Maintenance for the Periodontal Patient
Future Directions for Management of Periodontal
Patients
Periodontal Emergencies
Periodontal Emergencies
Mucotaneous Diseases of the Periodontium
Comprehensive Patient Cases
Exam IV
Review for Final Exam
Final Exam
Tues.
10:00a.m.-11:50a.m.
Dec. 6
The class schedule may be changed during the semester due to unexpected situations.
Students will be notified as soon as possible of any changes.