Periodontology Syllabus for 2011-2012
Return to Syllabus List

Instructor Information

Course Information

Recording Policy

Disability Statement

Any student who, because of a disabling condition, may require some special arrangements in order to meet course requirements should contact disAbility Services (Student Service Center room 119, phone 371-5436) as soon as possible.

Statement for Mental Health and Advocacy & Resource Center:

As a student you may experience a range of issues that can cause barriers to learning, such as strained relationships, increased anxiety, alcohol/drug problems, feeling down, difficulty concentrating and/or lack of motivation. These mental health concerns or stressful events may lead to diminished academic performance or reduce a student's ability to participate in daily activities. Amarillo College offers services to assist you with addressing these and other concerns you may be experiencing. If you or someone you know are suffering from any of the aforementioned conditions, you can learn more about the broad range of confidential mental health services available on campus by calling the AC Counseling Center at 806-371-5900. The AC Counseling Center website is https://www.actx.edu/counseling/ . Also, if you are in need of social services (affordable housing, utilities, transportation, food, clothing, childcare, medical/dental/vision, legal), please call the AC Advocacy & Resource Center at 806-371-5439. The AC Advocacy & Resource Center website is https://www.actx.edu/arc

Amarillo College Tutoring for Success Policy:

Administrative Drop Policy

N/A

Student Withdrawal Procedures

N/A

Privacy Statement

The Amarillo College Privacy Policy is found at https://www.actx.edu/-amarillo-college-privacy-notice , and applies to all Amarillo College students.  If you have questions about this privacy statement or you believe that your personal information has been released without your consent, send email to humanresources@actx.edu .

Course

DHYG-1311-001 Periodontology

Prerequisites

Course Description

Normal and diseased periodontium including the structural, functional and environmental factors. Emphasis on etiology, pathology, treatment modalities and therapeutic and preventive periodontics.

Student Resources Student Resources Website

Department Expectations

\N

Occupational License Disclaimer

Hours

(3 sem hrs; 3 lec)

Class Type

On Campus Course

Syllabus Information

Textbooks

Required Course Textbooks

1.  Periodontology for the Dental Hygienist, Dorothy A. Perry, Phyllis L. Beemsterboer, 3rd edition,  Saunders, 2007.

 

Supplies

\ Course Supply List
\
\ 1.  Library Card for AC and/or city library
\ 2.  Computer and Internet Access, printer, print cartridges
\ 3.  Index cards, Scantrons, paper, pens, markers<

Student Performance

End-of-Course Outcomes
Contrast normal and abnormal periodontium; analyze the etiology and pathology of periodontal diseases; differentiate treatment modalities used for therapy and prevention; and interpret periodontal assessment data to develop a dental hygiene treatment plan.

Course Meeting Days and Times

Lecture:  Tuesday 2:00 - 5:00

WCJH 111

Course Instructor

Name:  Donna Cleere, RDH, M.Ed.

Professor/Program Director

Office Location:  WCJH Room 123

Office Phone:  806-354-6064

Campus E-Mail Address:  dkcleere@actx.edu

Office Hours:  As Posted on Office Door

Instructor Objectives for the Course

Chapter objectives will coordinate with the materials presented in lecture, handouts, reading assignments, and exams.  The student will know that these objectives have been successfully completed if he or she earns a final course grade of "C" or higher as evaluated by the instructor.

The standard for the objectives may be one or any combination of the following:

• as given in lecture
• as demonstrated, discussed in the clinic/lab  experience
• as given in handouts
• as stated in course texts

1.  Name the tissues of the periodontium.
2.   Name and describe the anatomy and clinical characteristics of the tissues of the periodontium.
3.   Differentiate among the three types of oral epithelium surfaces: keratinized, parakeratinized, and nonkeratinized.
4.   Name the principal fiber bundles of the gingiva.
5.   List the functions of the periodontal ligament.
6.  Describe clinically normal gingiva in terms of color, size, contour, texture, and consistency.
7.  Describe the interactions of the major elements in the host response.
8.  Define the protective roles of gingival fluid and saliva.
9.  Define epidemiology.
10. Explain the relationship of this discipline of study of the identification and treatment of gingival and periodontal  diseases.
11. Compare and contrast the plaque, calculus, bleeding, and periodontal indices that are used to quantify conditions in the oral cavity.
12. Explain how population scoring systems are applied to diagnosis and treatment of disease.
13. Describe the national prevalence data relating to tooth loss and gingival and periodontal diseases.
14. Explain how national prevalence data are used to understand the status of periodontal health in the United States.
15. List the major risk factors and determinants that are related to periodontal diseases.
16. Describe the disease prevalence trends revealed for gingival and periodontal diseases.
17. State the prevalence of aggressive periodontitis.                                                                                                                    

18. Describe the disease prevalence trends revealed for gingival and periodontal disease.
19. Describe the development of supragingival and subgingival plaque biofilms.
20. Compare the composition of supragingival and subgingival plaque biofilms.
21. Describe the role of salivary factors in pellicle formation.
22. Define the mechanism for bacterial plaque biofilm adherence to tooth surfaces.
23. Describe the influence of bacterial surface components (eg, capsules, appendages) on bacterial colonization and coaggregation.
24. Discuss microbial succession in terms of oxygen and nutrient requirements and bacterial adherence.
25. Compare the nonspecific and specific plaque hypotheses.
26. Describe and classify the specific bacteria associated with the major periodontal infections: gingivitis, chronic periodontitis, localized    aggressive periodontitis, generalized aggressive periodontitis, and necrotizing ulcerative gingivitis and periodontitis.
27. Define the bacterial characteristics that contribute to their virulence.
28. Describe the significance of dental plaque biofilm to dental hygiene practice.
29. Describe the role of dental calculus and other disease-associated factors in the initiation and perpetuation of gingival and periodontal diseases.
30. Describe the formation and attachment of supragingival and subgingival calculus in the oral environment.
31. Describe the distribution of calculus deposits.
32. Compare the composition, distribution, and attachment of supragingival and subgingival calculus.
33. Explain how anticalculus agents work in reducing calculus formation in humans.
34. List the variety of factors that are linked to periodontal disease.
35. Describe hygienic restorations.
36. Explain the role of the dental hygienist in recognition and provision of care for patients with disease-associated factors.
37. Define the types of gingivitis.
38. Relate the clinical signs and symptoms of gingivitis to the pathogens of each stage of the disease.
39. List the similarities and differences in the clinical presentation, treatment, and healing of dental plaque biofilm-induced gingivitis and other gingival conditions.
40. Identify the medications that can cause gingival hyperplasia in patients.
41. Describe examples of bacterial, viral, and fungal infections that affect the gingiva.
42. Define necrotizing ulcerative gingivitis.
43. List the relatively common systemic conditions that have gingival manifestations.
44. Describe the role of the dental hygienist in the treatment of gingivitis.
45. Describe the pathogenesis of periodontitis.
46. Define periodontal disease activity.
47. LIst and describe the American Academy of Periodontology categories of periodontal diagnosis.
48. Identify the five case types of periodontal disease.
49. Define clinical attachment loss and its relationship to periodontitis.
50. Compare and contrast the following forms of periodontitis as to demographics and clinical and microbiological characteristics:
a. chronic periodontitis
b. aggressive periodontitis
c. prepubertal periodontitis
d. early-onset periodontitis
e. juvenile periodontitis
f. refractory periodontitis
g. necrotizing ulcerative periodontitis
h. periodontitis as a manifestation of systemic disease
51. Identify the systemic diseases and genetic factors associated with periodontal disease.
52. State the role of systemic antibiotic treatment, locally delivered controlled-release antibiotic treatment, and enzyme suprression treatment in periodontitis.
53. Describe the role of the dental hygienist in treating periodontal diseases.
54. Describe the connection between patients' overall health and their dental and periodontal health.
55. Define the aspects of clinical assessment in the dental hygiene process of patient care.
56. Describe the components of each assessment in the dental hygiene process of patient care.

57. Describe the components of each assessment in the clinical examination.
58. List and describe the indices used to report plaque biofilm accumulation, periodontal status, furcation involvement, tooth mobility, dental caries, and tooth wear.
59. Describe the types of intrinsic and extrinsic dental stains and their associated causes.
60. Describe the normal and abnormal clinical presentation of the periodontium and dentition.
61. Identify the radiographic changes seen in periodontal diseases.
62. Describe the normal and abnormal clinical and radiographic presentation of the periodontal structures surrounding dental implants.
63. Describe the goals and rationale for periodontal treatment planning.
64. Define the role of the dental hygienist in determining the dental hygiene care plan.
65. Define the phases of dental treatment included in the comprehensive care plan.
66. Describe the major classifications of periodontal disease.
67. Identify the considerations for sequencing dental hygiene treatment with periodontal diseases.
68. Identify the patient factors to be considered when establishing the treatment plan sequence.
69. Define informed consent and its importance to patient care.
70. Define the role of the dental hygienist in the detection of occlusal abnormalities and jaw dysfunction.
71. Describe the biologic basis of occlusal function and the adaptive capability of the oral system.
72. Compare and contrast the classification of primary and secondary traumatic occlusion in periodontal diagnosis and treatment.
73. Describe the causes and list the common signs and symptoms of temporomandibular disorders.
74. Describe the procedures for clinically assessing jaw function and occlusion in a screening examination.
75. Identify the various modalities used to treat tempormandibular disorders.
76. List the goals for plaque biofilm control for the periodontal patient.
77. Describe the role of plaque biofilm removal as an essential element in dental hygiene treatment for patients with periodontal disease.
78. Describe why plaque biofilm control is more complex for periodontal patients than for those with no clinical attachment loss.
79. Describe interproximal plaque biofilm removal techniques that permit access to root surface concavities and furcations.
80. Define effective methods for tooth brushing and interproximal plaque biofilm removal for patients with periodontal disease.
81. Compare the effectiveness and uses for supragingival and subgingival irrigation.
82. List effective chemical plaque biofilm control agents and their indications for use.
83. Describe the role of motivation in gaining compliance of patients for plaque biofilm control programs.
84. Define nonsurgical periodontal therapy.
85. List the elements of nonsurgical periodontal therapy.
86. Describe the short-and long-term goals of nonsurgical periodontal therapy.
87. Identify the techniques and applications for nonsurgical periodontal therapy procedures.
88. Describe the process of healing after periodontal debridement procedures, scaling, and root planing.
89. Explain the limitations of calculus removal and the expectations for clinician proficiency.
90. Define the role of laser use in nonsurgical therapy.
91. Describe the contributions of magnification with use of loupes, endoscopy, and microscopes to nonsurgical therapy.
92. Explain the benefits and indications of antimicrobial adjuncts to nonsurgical therapy.
93. Describe the rationale for periodontal surgical treatment.
94. Recognize the clinical conditions that are most likely to benefit from periodontal surgery.
95. Define the types of periodontal surgery:
a. Excisional periodontal surgery
b. Incisional periodontal surgery
c. Access flap procedures
d. Osseous surgery
e. Mucogingival surgery
f. Regeneration surgery
96. Describe healing of tissues after periodontal surgery.
97. Define postoperative procedures.
98. Describe postoperative instuctions for patients receiving periodontal surgery.
99. Define the changes and modifications in plaque biofilm control required for patients after periodontal surgery.
100. Identify the role of the dental hygienist in the surgical treatment of periodontal diseases.
101. Describe the common types of dental implants.
102. Discuss the indications and contraindications for dental implant therapy.
103. Explain why titanium is the best biomaterial available for use in dental implants.
104. Define the concept of osseointegration.
105. Compare and contrast the bone and soft tissue interfaces of implants and natural dentition.
106. List the criteria for success used in implant therapy.
107. Describe the maintenance protocol for implant patients.
108. Define the elements of appropriate home care regimens for patients with implants.
109. Define the role of the dental hygienist in the recognition and treatment of periodontal emergencies.
110. Describe the etiology of periodontal abscesses.
111. Compare and contrast the signs, symptoms, and treatment considerations in patients with gingival, periodontal, and periapical abscesses.
112. Describe the distinguishing features of necrotizing ulcerative gingivitis.
113. List the identifying features of pericoronitis.
114. Outline the treatment for necrotizing ulcerative gingivitis.
115. Describe the symptoms and oral lesions of acute herpetic gingivostomatitis.
116. Outline the supportive treatment for oral herpetic lesions.
117. Understand systemic factors that influence dental hygiene care.
118. Describe conditions that require consultation with a patient's physician.
119. Describe changes in oral tissues observed with systemic diseases and conditions.
120. List modifications needed to best treat patients with systemic conditions.
121. Explain the effectiveness of periodontal maintenance therapy in the prevention of disease, disease progression, and tooth loss.
122. Describe the elements of a successful maintenance program.
123. State five major objectives of periodontal maintenance.
124. Define the importance of patient compliance.
125. Describe strategies to improve compliance with recommended maintenance intervals and oral hygiene regimens.
126. List the principle aims and components of the maintenance appointment.
127. Describe the causes of root surface caries and therapeutic approaches to prevent development of this common problem.
128. Explain the theory, causes, and management of dentin sensitivity.
129. Describe the role of the dental hygienist in providing periodontal treatment.

130.  Define prognosis.

131.  Describe the difference between overall prognosis and tooth prognosis.

132.  Compare the elements of overall prognosis with the elements of tooth prognosis.

133. List and describe the factors associated with overall prognosis.

134.  List and describe the factors associated with individual tooth prognosis.

Objectives from the assignments on the www.dentalcare.com resource center:

135. Discuss the manifestations and epidemiology of diabetes mellitus.                                                                               

136.  Summarize the diabetic control and its measures.                                                                                                            

137.  Identify periodontal risk factors and indicators.                                                                                                                        

138. LIst the goals of periodontal therapy.                                                                                                                                      

139. Explain the potential consequences of uncontrolled diabetes on periodontal disease.                                             

140.  Discuss the effects of diabetes to the response to periodontal therapies.                                                                    

141. Define three characteristics of the acquired immune system.                                                                                       

142. Compare and contrast the five classes of immunoglobulins.                                                                                           

143. LIst the three basic components of blood.                                                                                                                          

144. Name the major types of leukocytes.                                                                                                                                       

145. Compare and contrast the origin, maturation, and function of T-cells and B-cells.                                                

146. Summarize the four types of hypersensitiivity reactions to foreign substances.                                                               

147. Discuss the process of gingival inflammation and the role the inflammatory system plays in host defenses as well as host tissue destruction.                                                                                                                                                                

148. Compare and contrast the role of endotoxins and exotoxins in periodontal disease.                                                  

149. Recognize at least three data items that must be included in the initial data gathering appointment.                       

150. Demonstrate the abiity to record in-depth information on the patient record.                                                                

151. List at least eight types of clinical evidence to be observed on the patient's clinical radiographs.                               

152. Discuss at least two "pitfalls" that might cause limitations on accurate readings when probing the sulcus.         

153. Explain the four classes of mobility.                                                                                                                                         

154. Define the four classes of furcation.

155.  Understand the components of the healthy periodontium.

156.  Define periodontal health goals.

157.  Understand an overview of periodontal physiology and bone remodeling.

158.  Identify manifestations of diseased periodontium.

159.  Describe patterns of attachment loss and their prognostic and treatment implications.

160.  Evaluate choices of treatment strategies and how they meet periodontal health goals.

161.  Discuss factors affecting environmental morphology.

162.  Understand surgical and soft-tissue healing protocol.

163.  Discuss the importance of proper implant positioning.

164.  Understand the use of different types of abutments.

165.  Understand factors affecting crown form.

166.  Explain the relationship between implants and facial esthetics.

167.  Outline the steps to avoid prosthesis discoloration.

168.  Understand the importance of oral hygiene maintenance as it applies to the success rate for implants.

169.  Describe different uses of auxiliary aids and antimicrobial rinses.

170.  Explain the correct usage of an oral irrigator around implants.

171.  List the components of a clinical assessment during recall visits.

172.  Discuss the usage of metal instruments on the implant surfaces.

173.  Understand the benefits of the PSR system.

174.  Identify who should be screened for periodontal problems.

175.  Discuss the PSR system scoring and understand how it works.

176.  Recommend treatment based upon the code interpretations.

177.  Name and describe the gingiva and supporting structures comprising the periodontium.

178.  Describe and identify basic gingival anatomy and histology.

179.  Identify characteristics of gingival health (gingival color, size, contour, texture, consistency and sulcus depth).

180.  Describe the characteristics of unhealthy gingiva.

181.  Understand the role of local irritants in the gingival disease process.

182.  Explain the recommendations for toothbrushing and flossing.

183.  State a definition of biofilm.

184.  Discuss the positive and negative aspects of biofilm formation in nature.  Include examples of how biofilm provide benefits and harms.

185.  Compare and contrast the differing views of bacterial plaque at three points in time:  1880-1930, 1930-1960; and 1960 to current times.

186.  Compare and contrast the behavior of bacteria as grown on culture plates with their behavior in biofilms.

187.  Describe strategies used currently for control of oral biofilm.

188.  List the strategies that are under consideration for control of oral biofilms.

Students Rights and Responsibilities

Student Rights and Responsibilities

Log in using the AC Connect Portal

In order to receive your AC Connect Email, you must log in through AC Connect at https://acconnect.actx.edu .

If you are an active staff or faculty member according to Human Resources, use "Exchange". All other students, use "AC Connect (Google) Email".

Expected Student Behavior

Student Conduct and Responsibilities

A high standard of conduct is expected of all Amarillo College students.  The Student Code of Conduct is defined in the Amarillo College Students Rights and Responsibilities Bulletin.  This bulletin may be located online at www.actx.edu. under the student tab.

"Amarillo College expects a high standard of conduct from its students.  Students are expected to comply with the law, respect proper constitutional authority, and obey College policies, rules and regulations.  Unacceptable conduct is defined as an action or behavior that is contrary to the best interest of a fellow student or students, the faculty or staff, the College, or the teaching/learning process.  Students failing to perform according to established standards may be subject to disciplinary action.  Policies, standards, rules and regulations apply to students attending College activities whether the activity takes place on or off campus.

Each student shall be responsible for becoming knowledgeable of the contents and provisions of College policies, rules, and regulations concerning student conduct.  In some cases, individual programs may have approved policies for student conduct which also apply to student conduct in those programs.  Integrity and common sense will guide the actions of each member of the college community both in and out of the classroom.  Any student who fails to perform according to expected standards may be disciplined."

The Amarillo College Dental Hygiene Program has specific policies which apply to student conduct within the program.  These policies have been implied or written.  The course syllabus and the program manual are sources for student conduct policies for dental hygiene students at Amarillo College.

 Professional Standards

1.  Student is prompt for class.

2.  Student is prepared for class sessions.

3.  Student assumes responsibility for his/her own learning.

4.  Student is concerned with excellence in learning rather than just meeting minimal criteria.

5.  Student applies lecture material in the clinical setting.

6.  Student will seek faculty assistance if needed, and will monitor their own progress in meeting course requirements.

7.  Student maintains his/her composure, dealing with conflict in a constructive way.

8.  Student exhibits an attitude of respect for classmates, faculty, and staff.

9.  Students will exhibit professionalism by not being disruptive or talking to each other during lecture, power point  presentations, guest lectures, etc.  Should this occur, the student will be asked to leave the classroom.

Electronic and Recording Devices

In order to maximize learning, all electronic recording devices and cell phones are prohibited in this course. If a student is caught texting, talking, or surfing the internet during a lecture or lab, the student will immediately be dismissed and will receive an absence for the day. Students may check cell phones at designated breaks given by the instructor. Those students who have children or who anticipate an emergency situation should give caretakers and family members the Office Supervisor’s phone number (806-354-6050) and have calls directed to her first. She will then act accordingly to inform the student.

Academic Grievances

A student, who has a grievance concerning a course in which he or she is enrolled should make an appeal in the following order to the:  1) Instructor, 2) Department Chair/Program Director, 3) Dean of Health Sciences, 4) Vice President of Academic Affairs and 5) College President.

 

 

Grading Criteria

Required Examinations and Projects

The course will consist of  examinations, outside assignments on the www.dentalcare.com  resource center,  and a comprehensive final.  Please  refer to the course calendar for the schedule of materials to be covered in each class and the tentative examination dates. Also, please note the provisions of the Make-up Policy in this syllabus for missed examinations. Major examinations and the comprehensive final will be objective and subjective in nature.

Grading Criteria

The final course grade will be computed as follows:

A.  Examinations - Each will be valued at 100 points.                                                                                             40%

B.   Completion of the following assignments on the www.dentalcare.com  resource center:                       30%

You will need to register as a student on the dentalcare.com website to have access to these assignments.  Once you have completed the continuing education course assignment, you will need to print out the certificate as proof of completion and turn it in on the due date.

     1.  Anatomy and Histology of the Gingiva and Basic Oral Hygiene

      2.  Biofilm:  A New View of Plaque

      3.  Gingival Health - Periodontal Assessment

      4.  Periodontics:  Oral Health and Wellness.  Understanding Periodontal Health, Recognizing Disease States and Choices in

            Treatment Strategies

      5.  Immunological and Inflammatory Aspects of Periodontal Disease

      6.  Dental Implants and Esthetics

      7.  Oral Health Maintenance of Dental Implants

      8.  Periodontal Screening and Recording:  Early Detection of Periodontal Diseases

      9.  Periodontal Management of the Diabetic Patient

    10.  Proctor and Gamble Case Studies

 

C.  Final Examination                                                                                                                                                      30%

The final examination will be comprehensive in nature over all of the material covered during the semester.

The following grade scale applies throughout this course:

A    93-100%

B   83-92%

C  75-82%

F = Below 75%

Note:  A grade of "D" is not possible in this course.

Make-up Policy for Missed Work

If a student is absent on the day when a scored activity is given, the student may make-up the missed work as follows:

1.  It is the responsibility of the student to make arrangements with the instructor within 24 hours of returning from the absence to reschedule the examination.

2. The missed work must be made up within TWO Amarillo College school days where each day ends at 4:00 p.m.

3.   The make-up work may earn a maximum of 80% of the original point value.

 

Attendance

\ Attendance Policy

\

\ "Regular attendance is necessary for satisfactory achievement. Therefore, it is the responsibility of the student to attend class." ( Amarillo College Student's Rights and Responsibilites Publication)

\

\ Regular attendance is necessary for satisfactory achievement.  Therefore it is the responsibility of the student to attend class.  Due to the tremendous amount of information contained in this course, the student who plans to succeed should also plan to attend all course sessions regularly and promptly. Without question, the instructor expects each student to be present at each session. Unfortunately, no one has ever developed a short cut, which will replace hours of actual experience needed to master a new skill; therefore, each student must be present to acquire the specific knowledge in this subject. 

\

\ Absences will be monitored and evaluated to determine the student's final course grade. The  student may have no more than 1 absence in this course without affecting the final grade. Beginning with the 2nd absence, 2 points will be deducted from the final grade;  on the 3rd absence, 3 points will be deducted; on the 4th absence, 4 points will be deducted. On the occurrence of the 5th absence, the student will fail the course and be required to repeat the course.  Attendance will be taken at the beginning of each lecture/lab session.  Students not present when attendance is taken will be counted as absent.  The student is expected to be present in class at the time class/lab is scheduled to begin.  STUDENTS WHO ARE LATE TO CLASS OR LAB OR WHO LEAVE CLASS OR LAB EARLY, WILL BE COUNTED AS ABSENT.  The student will receive 2 bonus points to the final grade for  this course if the student has perfect attendance for the semester.
\  

Calendar

Additional Information

\N