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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 ResourcesStudent Resources Website
Notice to Students enrolled in an educational program for preparation of issuance of certain occupational licenses:
Students enrolled in an educational program in preparation for obtaining certain occupational licenses are potentially ineligible for such license if the student has been convicted of an offense. For further information, please contact:
Melodie Graves
Justice Involved Advocate
Student Service Center 117
mgraves24@actx.edu
806-371-5995
Make appointment at https://melodiegraves.youcanbook.me
You can also contact the Legal Clinic, or the faculty member in charge of the educational program that you seek to enroll in. The further information you will receive will include notification to you of your right to request a criminal history evaluation letter from the licensing authority in order to clarify your particular situation.
(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.
Recommended Course Textbook
1. Glickman Carranza's Clinical Periodontology, Newman Takei, Klokkevold Carranza, 12th edition, 2015
Teaching Methods
A variety of teaching methods will be used to facilitate the goals and objectives of this course. 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 are 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. Adaptive quizzing will be utilized in this course. Material will be posted in Blackboard to support classroom and laboratory activities. Examples include but are not limited to: Power Points, Videos, Practice Questions, Additional Notes, Case Studies, Homework Assignments 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/Lab
Tuesday/1:00 -5:00 pm
West Campus/Jones Hall/Room 111
Course Instructor
Name: Donna Cleere, RDH, M.Ed.
Professor/Program Director
Office Location: West Campus Jones Hall 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 periodontitis.
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 adherence.
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 microbiologic 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
Additional readings, group exercises, case studies, adaptive quizzing, discussion boards and forums may be assigned. Students will work together in assigned teams each week during lab activities. The lab activities will support the lecture for each week.
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".
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 to review 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 by completing reading and homework assignments prior to coming to class.
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 seeks faculty assistance when needed, and will monitor his/her own progress in meeting course requirements. Students are required to follow the Amarillo College Tutoring for Success Policy.
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 exhibits professionalism in the classroom. Please refer to the Amarillo College Student Rights and Responsibilities bulletin.
10. Student abides 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 homework assignments due at the beginning of each class period (please note that late homework will not be accepted), weekly tests, major examinations, lab assignments which may include adddditional readings, discussions, adaptive quiz assignments, completion and discussion of case studies, and a comprehensive final examination. Please Note: For testing purposes in the classroom, IPADS will no longer be acceptable. You may use them for clinic evaluations and in class for note-taking but they will not be permitted for tests. 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 Chapter Tests – Each will be valued at 100% and will constitute 30% of your final grade.
B . Major Examinations - Each will be valued at 100 points and will constitute 35% of your final grade.
C. Homework Assignments - (Homework is a requirement of this course. Students will start out with a total of 100 points for homework assignments. The homework will be graded either as a Pass or Fail. A pass equals all of the homework assignment is completed and turned in on time. A fail equals partial completion of the assignment or not turning in the assignment on time. Each failure will count as a minus 10 points. Please note: Homework assignments must be completed in your own handwriting and turned in at the beginning of the class. Homeork will constitute 5% of your final grade.
D. Comprehensive Final Examination - Will constitute 30% 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.
Amarillo College Tutoring for Success Policy
The Tutoring for Success policy applies to any student whose grade or performance falls below a minimum of 75% on any assigned assessment. The student will be required to complete mandatory remediation assigned by the course instructor. In DHYG 1211 students will be required to complete an assignment given by the instructor in addition to completing a hand-written adaptive quiz assignment. Students must turn in remediation assignments the following week. Remediation will not change the student’s grade. The initial grade will stand.
Make-up Policy for Missed Work
If a student is absent on the day when a major exam 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 chapter tests and weekly homework assignments may not be made up in the event of an absence and a grade of "0" will be entered into the grade book. Late homework assignments will not be accepted.
Attendance
“Regular attendance is necessary for satisfactory achievement. Therefore, it is the responsibility of the student to attend class in accordance with the requirements of the course as established by the instructor” (Amarillo College Student’s Rights and Responsibilities Publication, http://catalog.actx.edu/content.php?catoid=18&navoid=813#Academic_Information). 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 to replace hours of actual experience needed to master a new skill. Therefore, the 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 and 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 the class or 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. (“Late” is defined as the student not being in his/her seat and ready for the class to start at the scheduled class time.)
The student will receive 2 bonus points to the final grade of this course if the student has perfect attendance for the semester.
Calendar
Fall Semester
|
Date |
Theory |
Lab |
|
August 27 |
Review Course Syllabus Begin Chapter 2- Periodontium: Anatomic Characteristics and Host Response. |
Review Team Assignments
|
|
September 3 |
Complete Chapter 2 – Periodontium: Anatomic Characteristics and Host Response. |
Case Studies 1, 2, 3 and 4 will be presented to the class by Team 1. |
|
September 10 |
Chapter 2 Test Chapter 3 – Epidemiology of Periodontal Diseases Chapter 4 – Microbiology of Periodontal Diseases |
Case Studies 5, 6, 7 and 8 will be presented to the class by Team 2.
|
|
September 17 |
Chapter 3 and 4 Test Chapter 5 – Calculus and Other Disease Associated Factors Chapter 6 – Gingival Disease |
Case Studies 9, 10, 11 and 12 will be presented to the class by Team 3. |
|
September 24 |
Major Exam 1 Chapters 2-6 Case Studies 1-12 |
|
|
October 1 |
Chapter 7 – Periodontal Diseases
|
Case Studies 13, 14, 15 and 16 will be presented to the class by Team 4. |
|
October 8 |
Chapter 7 Test Chapter 8 – Clinical Assessment Chapter 9 – Systemic Factors Influencing Periodontal Disease |
Case Studies 17, 18, 19 and 20 will be presented to the class by Team 5. |
|
October 15 |
Chapter 8 and 9 Test Chapter 10 – Treatment Planning for the Periodontal Patient Chapter 11 – Occlusion and TMJ Disorders |
Case Studies 21, 22, 23 and 24 will be presented to the class by Team 6. |
|
October 22 |
Fall Break |
Fall Break |
|
October 29 |
Major Exam 2 – Chapters 7-11 Case Studies 13-24 |
|
|
November 5 |
Chapter 12 – Plaque Biofilm and Disease Control for the Periodontal Patient Chapter 13 – Nonsurgical Periodontal Therapy Homework Assignment due on Thursday of the same week. |
Case Studies 25, 26, 27 and 28 will be presented to the class by Team 7. |
|
November 12 |
Chapter 12 and 13 Test Chapter 14 – Periodontal Surgery
|
Case Studies 29, 30, 31 and 32 will be presented to the class by Team 8. |
|
November 19 |
Chapter 14 Test Chapter 15 – Dental Implants Chapter 16 – Periodontal Emergencies |
Case Studies 33, 34, 35 and 36 will be presented to the class by Team 9. |
|
November 26 |
Major Exam 3 Chapters 12-16 Case Studies 25-36 |
|
|
December 3 |
Chapter 17 – Periodontal Maintenance and Prevention Chapter 18 - Prognosis and Results After Periodontal Therapy. |
Case Studies 37, 38, 39 and 40 will be presented to the class by Team 10. |
|
December 10 |
Case Challenges presented by Team 11 Case Challenges presented by Team 12 |
Case Challenges presented by Team 11 Case Challenges presented by Team 12 |
|
December 16
|
Comprehensive Final Exam Jones Hall Room 111 9:30 - 12:00 pm |
Comprehensive Final Exam |
05/14/19 9:45 PM
08/26/19 8:58 PM