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DHYG-1211-001 Periodontology
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
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(2 sem hrs; 1 lec, 3 lab)
On Campus Course
Required Course Textbook
1. Periodontology for the Dental Hygienist, Perry, Beemsterboer, and Essex, Elsevier, 4th edition, 2014.
Supplemental Course Textbook
1. Foundations of Periodontics for the Dental Hygienist , Jill S. Nield-Gehrig and Donald E. Willmann. Wolters Kluwer Health/Lippincott Williams & Wilkins, 3rd edition, 2011.
2.Any dental hygiene national board review book or card set. Examples are Mosby’s or Saunders comprehensive review books and dental hygiene review card decks.
Teaching Methods
A variety of teaching methods will be used to facilitate the goals and objectives of this course. Students may purchase e-books. We will be utilizing blackboard “Content” for our lecture/lab sessions. Collaborative learning is based on four principles where the learner or student is the primary focus of instruction, interaction and “doing” are of primary importance, working in groups is an important mode of learning, and structured approaches to developing solutions to real-world problems should be incorporated into learning. The lecture component of this course will be taught in a collaborative way to incorporate different learning styles. We will work in groups and with partners often with some traditional lecture format. Material will be posted on blackboard to support classroom and laboratory activities such as: Power Points, Videos, Practice Questions , Additional Notes and Readings. Research shows that educational experiences that are active, social, contextual, engaging, and student-owned lead to deeper learning. The benefits of collaborative learning include:
Course Supply List
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 care plan.
Course Meeting Days and Times
Lecture and Lab Tuesday 2:00 - 6.00
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
Course Objectives
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:
Chapter 2: Periodontium: Anatomic Characteristics and Host Response
1. Identify the tissues of the periodontium.
2. Describe the anatomy and clinical characteristics of the tissues of the periodontium.
3. Differentiate among the three types of oral epithelial surfaces: keratinized, parakeratinized, and nonkeratinized.
4. List the functions of the periodontal ligament.
5. Describe clinically normal gingiva in terms of color, size, contour, texture, and consistency.
6. Describe the interactions of the major elements in the host response.
​7. Define the protective roles of gingival fluid and saliva.
8. Define the key terms in this chapter.
Chapter 3: Epidemiology of Periodontal Diseases
1. Define epidemiology.
2. Explain the relationship of this discipline to the identification and treatment of gingival and periodontal disease.
3. Compare and contrast the plaque, calculus, bleeding, and periodontal indices that are used to quantify conditions in the oral cavity.
4. Explain how population scoring systems are applied to the diagnosis and treatment of disease.
5. Describe the national prevalence data relating to tooth loss and gingival and periodontal disease.
6. Explain how national prevalence data are used to understand the status of periodontal health in the United States.
​7. List the major risk factors and determinants that are related to periodontal disease.
​8. Describe the disease prevalence trends revealed for gingival and periodontal disease.
9.State the prevalence of aggressive periododntitis.
Chapter 4: Microbiology of Periodontal Diseases
1. Describe the development of supragingival and subgingival plaque biofilms.
2. Compare the composition of supragingival and subgingival plaque biofilms.
3. Describe the role of saliva in pellicle formation.
4. Define the mechanisms for bacterial plaque biofilm adherence to tooth surfaces.
5. Describe the influence of bacterial surface components (e.g.,capsules, appendages) on bacterial colonization and coaggregation.
6. Discuss plaque biofilm microbial succession in terms of oxygen and nutrient requirements and bacterial adherance.
7. Compare the nonspecific and specific plaque hypotheses.
8. 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.
9. Define the bacterial characteristics that contribute to their virulence.
10. Describe the significance of dental plaque biofilm to dental hygiene practice.
Chapter 5: Calculus and Other Disease-Associated Factors
1. Describe the role of dental calculus and other disease-associated factors in the initiation and perpetuation of gingival and periodontal disease.
2. Describe the formation and attachment of supragingival and subgingival calculus in the oral environment.
3. Describe the distribution of calculus deposits.
4. Compare the composition, distribution and attachment of supragingival and subgingival calculus.
5. Explain how anticalculus agents work in reducing calculus formations in humans.
​6. List the variety of factors that are linked to periodontal disease.
​7. Describe hygienic restorations.
8.Explain the role of the dental hygienist in the recognition and provision of care for patients with disease- associated factors.
Chapter 6: Gingival Diseases
1. Define the types of gingivitis.
2. Relate the clinical signs and symptoms of gingivitis to the pathogenesis of each stage of the disease.
3. List the similarities and differences in the clinical presentation, treatment, and healing of dental plaque biofilm-induced gingivitis and other gingival conditions.
4. Identify the medications that can cause gingival hyperplasia in patients.
5. Describe examples of bacterial, viral, and fungal infections that affect the gingiva.
6.Define necrotizing ulcerative gingivitis.
7.List the relatively common systemic conditions that have gingival manifestations.
8.Describe the role of the dental hygienist in the treatment of gingivitis.
Chapter 7: Periodontal Diseases
1. Describe the pathogenesis of periodontitis.
2. Define periodontal disease activity.
3. List and describe the American Academy of Periodontology categories of periodontal diagnoses.
4. Define clinical attachment loss and its relationship to periodontitis.
5. Compare and contrast the following forms of periodontitis as to demographics and clinical and microbiolgic characteristics:
6. Identify systemic diseases and genetic factors associated with periodontal disease.
7.State the role of systemic antibiotic treatment, locally delivered controlled -release antibiotic treatment, and enzyme suppression treatment in periodontitis.
8. Describe the role of the dental hygienist in treating periodontal disease.
Chapter 8: Clinical Assessment
1. Describe the connection between the patient’s overall health and their oral health.
2. Define the aspects of clinical assessment in the dental hygiene process of patient care.
3. List and describe the indices that measure:
4.Describe the intrinsic and extrinsic dental stains and their associated causes.
5.Compare and contrast normal and abnormal clinical presentation of the periodontium and dentition.
6.Identify the radiographic changes seen in periodontal diseases.
7.Compare and contrast normal and abnormal clinical and radiographic presentation of the periodontal structures surrounding dental implants.
Chapter 9: Systemic Factors Influencing Periodontal Diseases
1. Understand systemic factors that influence dental hygiene care.
2. Describe conditions that require consultation with a patient’s physician.
3. Describe changes in oral tissues observed with systemic diseases and conditions.
4. List modifications needed for optimal treatment of patients with systemic conditions.
Chapter 10: Treatment Planning for the Periodontal Patient
1. Describe the goals and rationale for periodontal treatment planning.
2. Define the role of of the dental hygienist in determining the dental hygiene care plan.
3. Classify the phases of dental treatment included in the comprehensive care plan.
4. List the major classifications of periodontal disease.
5. Identify the considerations for sequencing dental hygiene treatment with periodontal diseases.
6. Identify the patient factors to be considered when establishing the treatment plan sequence.
7. Discuss informed consent and its importance to the process of patient care.
Chapter 11: Occlusion and Temporomandibular Disorders
1.Define the role of the dental hygienist in the detection of occlusal abnormalities and jaw dysfunction.
2. Describe the biologic basis of occlusal function and the adaptive capability of the oral system.
3. Compare and contrast the classification of primary and secondary traumatic occlusion in periodontal diagnosis and treatment.
4. List the common signs and symptoms of temporomandibular disorders.
5. Describe the procedures for clinically assessing jaw function and occlusion in a screening examination.
6. Identify the various modalities used to treat temporomandibular disorders.
Chapter 12: Plaque Biofilm and Disease Control for the Periodontal Patient
1. List the goals for plaque biofilm control for the periodontal patient.
2. Recognize the role of plaque biofilm removal as an essential element in dental hygiene treatment for patients with periodontal disease.
3. Describe why plaque biofilm control is more complex for periodontal patients than for those without clinical attachment loss.
4.Evaluate interproximal plaque biofilm removal techniques that permit access to root surface concavities and furcations.
5.Differentiate the methods for toothbrushing and interproximal plaque biofilm removal for patients with periodontal disease.
6.Compare the effectiveness and uses of supragingival and subgingival irrigation.
7.Identify effective chemical plaque biofilm control agents and their indications for use.
8.Describe the role of motivation in gaining compliance of patients for plaque biofilm control programs.
Chapter 13: Nonsurgical Periodontal Therapy
1. Define nonsurgical periodontal therapy.
2. Describe the short and long-term goals of nonsurgical periodontal therapy.
3. Identify the techniques and applications for nonsurgical periodontal therapy procedures.
4. Describe the process of healing after periodontal debridement procedures, scaling, and root planing.
5. Explain the limitations of calculus removal and the expectations for clinician proficiency.
6. Discuss the use of lasers in nonsurgical therapy.
7.Describe the contributions of magnification with use of loupes, endoscopy, and microscopes to nonsurgical therapy.
8.Explain the benefits and indications of antimicrobial adjuncts to nonsurgical therapy.
Chapter 14: Periodontal Surgery
1. Describe the rationale for periodontal surgical treatment.
2. Recognize the clinical conditions that are most likely to benefit from periodontal surgery.
3. Define the types of periodontal surgery:
4. Describe the healing of tissues after periodontal surgery.
5. Define postoperative procedures.
6. Describe postoperative instructions for patients receiving periodontal surgery.
7.Define the changes and modifications in plaque biofilm control required for patients after periodontal surgery.
8.Identify the role of the dental hygienist in the surgical treatment of periodontal diseases.
Chapter 15: Dental Implants
1. Describe the common types of dental implants.
​2.Discuss the indications and contraindications for dental implant therapy.
3.Explain why titanium is the best biomaterial available for use in dental implants.
4.Define the concept of osseointegration.
5.Compare and contrast the bone and soft tissue interfaces of implants and the natural dentition.
6.List the criteria for success used in implant therapy.
7.Describe the maintenance protocol for implant patients.
8.Evaluate the elements of appropriate home care regimens for patients with implants.
Chapter 16: Periodontal Emergencies
1. Define the role of the dental hygienist in the recognition and treatment of periodontal emergencies.
2. Describe the etiology of periodontal abscesses.
3.Compare and contrast the signs, symptoms, and treatment considerations in patients with gingival, periodontal, and periapical abscesses.
4.Describe the distinguishing features of necrotizing ulcerative gingivitis.
5.List the identifying features of pericoronitis.
6.Outline the treatment for necrotizing ulcerative gingivitis and oral herpetic lesions.
7.Describe the symptoms and oral lesions of acute herpetic gingivostomatitis.
Chapter 17: Periodontal Maintenance and Prevention
​1.Explain the effectiveness of periodontal maintenance therapy in the prevention of disease, disease progression, and tooth loss.
2.Describe the elements of a successful maintenance program.
3.State five major objectives of periodontal maintenance.
4.Define the importance of patient compliance.
5.Describe strategies to improve compliance with recommended maintenance intervals and oral hygiene regimens.
6.List the principal aims and components of the maintenance appointment.
7.Recognize the signs of recurrent periodontitis and assess the factors that contribute to its development.
8.Describe the causes of root surface caries and therapeutic approaches to prevent development of this common problem.
9.Explain the theory, causes, and management of dentin sensitivity.
Chapter 18: Prognosis and Results After Periodontal Therapy
1. Define prognosis.
​2.Describe the difference between overall prognosis and tooth prognosis.
3.Compare the elements of overall prognosis with the elements of tooth prognosis.
4.List and describe the factors associated with overall prognosis.
5.List and describe the factors associated with individual tooth prognosis.
6.Describe the expected outcomes of periodontal therapy.
Lab Component of the Course
Crest-Oral B-dentalcare.com Assignments and Case Studies:
Below is a list of the DentalCare.com Continuing Education and Case Studies Assignment for this course. This information will be covered/discussed in the lab component of this course. Readings, group work, group exercises, discussion boards and forums may be assigned.
Anatomy and Histology of the Gingiva and Basic Oral Hygiene – Number 103
Immunologic and Inflammatory Aspects of Periodontal Disease – Number 1
Periodontal Screening and Recording: Early Detection of Periodontal Diseases – Number 53
Bioflim: A New View of Plaque – Number 42
Periodontal Management of the Diabetic Patient – Number 331
Gingival Health-Periodontal Assessment – Number 327
Periodontics: Oral Health and Wellness. Understanding Periodontal Health, Recognizing Disease States and Choices in Treatment Strategies – Number 50
Oral Health Maintenance of Dental Implants – Number 339
Dental Implants: A Comprehensive Review – Number 420
Case Studies: 1-16.
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If you are an active staff or faculty member according to Human Resources, use "Exchange". All other students, use "AC Connect (Google) Email".
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 conduct policies for dental hygiene students at Amarillo College.
Professional Standards
In order for maximum learning to occur, please note the following professional standards expected of every student:
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 his/her 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. Student will exhibit professionalism by not being disruptive in the classroom. Please refer to the Amarillo College Student Rights and Responsibilities bulletin.
10. Student will abide by the cell phone usage policy. Please, no exceptions.
Electronic and Recording Devices
In order to maximize learning, personal use of cell phones are prohibited in this course. 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 baby sitters 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 in that order.
Required Examinations and Projects
The course will consist of weekly quizzes, readings and discussions in lab from Crest Oral B dental care.com assignments and case studies, major examinations 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.
Grading Criteria
The final course grade will be computed as follows:
A. Weekly Quizzes – Each will be valued at 100% and will constitute 25% of your final grade.
B . Major Examinations - Each will be valued at 100 points and will constitute 50% of your final grade.
C. Comprehensive Final Examination – Will constitute 25% of your final grade.
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.
Mandatory Skills Building/Tutoring
In an effort to increase student success in DHYG courses, and to assist students having difficulty understanding complex subject areas, any student who scores below a 75% on any exam (excluding the Final Exam) must complete a mandatory skills building assignment before taking the next exam. Before receiving a skills assignment, students must first schedule a time with the instructor. The assignment will be given at that time.
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.
4. Note: Weekly quizzes may not be made up in the event of an absence and a grade of "0" will be entered into the gradebook.
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 who are 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.
Fall Semester 2015
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Date |
Textbook/Materials Lecture Assignments and Exam Schedule |
Lab Assignments |
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August 25 |
REVIEW COURSE SYLLABUS Begin Chapter 2 – Periodontium: Anatomic Characteristics and Host Response
|
Explain use of Case Studies and CE Assignments for this course. |
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September 1 |
Complete Chapter 2 – Periodontium: Anatomic Characteristics and Host Response
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CE Assignment Number 103 – Anatomy and Histology of the Gingiva and Basic Oral Hygiene CE Assignment Number 1 – Immunologic and Inflammatory Aspects of Periodontal Disease |
|
September 8 |
Chapter 3 – Epidemiology of Periodontal Diseases Chapter 4 – Microbiology of Periodontal Diseases |
CE Assignment Number 53 – Periodontal Screening and Recording: Early Detection of Periodontal Diseases |
|
September 15 |
Chapter 5 – Calculus and Other Disease Associated Factors Chapter 6 – Gingival Diseases |
CE Assignment Number 42 – Biofilm: A New View of Plaque |
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September 22 |
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Exam on Chapters 2, 3, 4, 5, 6 and lab assignments to date. |
|
September 29 |
Chapter 7 – Periodontal Diseases
|
CE Assignment Number 331 – Periodontal Management of the Diabetic Patient |
|
October 6 |
Chapter 8 – Clinical Assessment Chapter 9 – Systemic Factors Influencing Periodontal Diseases |
CE Assignment Number 327 – Gingival Health – Periodontal Assessment |
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October 13 |
Chapter 10 – Treatment Planning for the Periodontal Patient Chapter 11 – Occlusion and TMJ disorders
|
CE Assignment Number #50 – Periodontics: Oral Health and Wellness. Understanding Periodontal Health, Recognizing Disease States and Choices in Treatment Strategies |
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October 20 |
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Exam for Chapters 7, 8, 9, 10, 11 and lab assignments not previously tested over. |
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October 27 |
Chapter 12 – Plaque Biofilm and Disease Control for the Periodontal Patient Chapter 13 – Nonsurgical Periodontal Therapy |
Work on Case Studies 1-4. |
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November 3 |
Chapter 14 – Periodontal Surgery |
Work on Case Studies 5-8. |
|
November 10 |
Chapter 15 – Dental Implants
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CE Assignment Number 339 – Oral Health Maintenance of Dental Implants CE Assignmennt Number 420 – Dental Implants: A Comprehensive Review |
|
November 17 |
Chapter 16 – Periodontal Emergencies |
Work on Case Studies- 9-12 |
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November 24 |
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Exam: Chapters 12, 13, 14, 15, 16 and lab assignments not previously tested over. |
|
December 1 |
Chapter 17 – Periodontal Maintenance and Prevention Chapter 18 – Prognosis and Results After Periodontal Therapy |
Work on Case Studies- 13-16 |
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December 7 |
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Comprehensive Final 9:30 - 12:00 Noon Jones Hall – Room 111 |
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