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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.
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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
(2 sem hrs 1 lec 3 lab)
On Campus Course
Students are required to have the most current edition of textbooks and workbooks.
This course is taught in a lecture/lab format and uses a variety of instructional methods to support student learning and achievement of the course goals and objectives. Instructional methods may include lectures, class discussions, collaborative learning activities, demonstrations, and case studies.
Course materials, announcements, assignments, and other instructional resources will be provided through Blackboard Ultra. Students are expected to regularly access Blackboard Ultra and complete assigned activities by the designated deadlines.
Laboratory assignments and learning activities reinforce course concepts and give students opportunities to apply their knowledge and skills. These activities may include continuing education courses, homework assignments, student presentations, laboratory projects, and other instructor-assigned learning activities. Students are expected to come prepared for each class and actively participate in both lecture and laboratory activities.
Computer use is integral to this course. Students must bring a tablet or laptop to every class session. Please ensure your device is fully charged and ready to use before class.
Students must have the Respondus LockDown Browser installed and functioning on their computer by the first day of class. Students are responsible for ensuring that their device meets the necessary technical requirements and is ready for use during class activities and examinations.
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CTL Student Help Center
Phone: 806-371-5992
Email: ctlstudenthelp@actx.edu
Please address any technical issues as soon as possible to avoid disruptions to your coursework.
The best way to contact me is through your student email in Blackboard. I will check my email Monday through Friday first thing in the morning and throughout the day as time allows.
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Students are responsible for obtaining and maintaining access to the following supplies and resources as needed for the course:
Tuesday 12:00 - 4:00 pm in Jones Hall Room 111
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Students are encouraged to utilize the departmental tutor as an additional resource for academic support and reinforcement of course concepts. The instructor may require a student to participate in tutoring when additional academic support is needed, including when a student is struggling with course content, assignments, examinations, or overall course performance. When tutoring is assigned, attendance and participation are mandatory and count as part of the student's academic responsibilities. Students are expected to come prepared for tutoring sessions and actively participate in the recommended activities. The departmental tutor is available to help students strengthen their understanding of course material; however, tutoring does not replace attending class, preparing for class, completing assignments, or seeking assistance from the instructor.
After completing the course, the student can contrast normal and abnormal periodontium, analyze the etiology and pathology of periodontal diseases, differentiate treatment modalities for therapy and prevention; and interpret periodontal assessment data to develop a dental hygiene care plan.
In alignment with the standards of the Commission on Dental Accreditation, upon successful completion of this course, the student will demonstrate competency in the course periodontology for the dental hygienist through the following measurable outcomes:
1. Periodontal Structure & Health
Measurable Criteria:
2. Etiology, Pathogenesis & Risk Assessment
Measurable Criteria:
3. Disease Classification & Diagnosis
Measurable Criteria:
4. Periodontal Assessment Skills
Measurable Criteria:
5. Radiographic Interpretation
Measurable Criteria:
6. Treatment Planning & Clinical Decision-Making
2. Justify treatment decisions (including referrals and nonsurgical therapy) using current evidence in written formats
Measurable Criteria:
7. Therapeutic & Preventive Care
Measurable Criteria:
8. Patient Communication & Education
Measurable Criteria:
9. Professionalism, Ethics & Evidence-Based Care
Measurable Criteria:
10. Maintenance & Long-Term Care
Measurable Criteria:
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Chapter 1, Periodontium: The Tooth-Supporting Structures
Goals of the Lesson:
Cognitive: Students will be able to identify the tissues of the periodontium and describe their functions.
Motor: Students will practice stippling detection using compressed air and practice using a periodontal probe to identify the free gingiva.
Affective: Students will recognize the importance of healthy periodontium tissue to the overall health of the teeth and jaw bone.
Learning Objectives
1-1 Identify the tissues of the periodontium on an unlabeled drawing depicting the periodontium in cross-section.
1-2 Describe each tissue's function in the periodontium, including the gingiva, periodontal ligament, cementum, and alveolar bone.
1-3 In a clinical setting or on a color photograph, identify the following anatomical areas of the gingiva in the oral cavity: free gingiva, gingival sulcus, interdental gingiva, and attached gingiva.
1-4 In a clinical setting or on a color photograph, identify the following boundaries of the gingiva: gingival margin, free gingival groove, and mucogingival junction.
1-5 In a clinical setting, identify the free gingiva on an anterior tooth by inserting a periodontal probe into the base of the sulcus.
1-6 In a clinical setting, compare and contrast the coral pink tissue of the attached gingiva with the darker, shiny tissue of the alveolar mucosa.
1-7 In the clinical setting, use compressed air to detect the presence or absence of stippling of the attached gingiva.
1-8 Identify the alveolar process (alveolar bone) on a human skull.
1-9 Describe the shape and contour of the alveolar crest of the bone in health.
1-10 Describe the nerve and blood supply to the periodontium.
1-11 Explain the role of the lymphatic system in the health of the periodontium.
Chapter 2, Microscopic Anatomy of the Periodontium
Goals of the Lesson
Cognitive: Students will be able to describe the major components that make up the microscopic anatomy of the periodontium.
Motor: Students will practice identifying the major components that make up the microscopic anatomy of the periodontium.
Affective: Students will develop an awareness of how knowledge of the major areas of the periodontium is essential to understanding the periodontium in health and disease.
Learning Objectives
2-1 Describe the histology of the tissues and the function that each serves in the human body.
2-2 List and define the layers that comprise the stratified squamous epithelium of the skin.
2-3 Define keratin and describe its function in the epithelium.
2-4 Describe the composition and function of the connective tissue.
2-5 Describe the epithelium–connective tissue interface found in most tissues of the body, such as the interface between the epithelium and connective tissues of the skin.
2-6 Define the term cell junction and describe its function in the epithelial tissues.
2-7 Compare and contrast the terms desmosome and hemidesmosome.
2-8 Identify the three anatomical areas of the gingival epithelium on an unlabeled drawing depicting the microscopic anatomy of the gingival epithelium.
2-9 Describe the location and function of the following regions of the gingival epithelium: oral epithelium, sulcular epithelium, and junctional epithelium.
2-10 State the level of keratinization present in each of the three anatomical areas of the gingival epithelium (keratinized, nonkeratinized, or para-keratinized).
2-11 State which of the anatomical areas of the gingival epithelium have an uneven, wavy epithelium–connective tissue interface in health and which have a smooth junction in health.
2-12 Identify the enamel, gingival connective tissue, junctional epithelium, internal basal lamina, external basal lamina, epithelial cells, desmosomes, and hemidesmosomes on an unlabeled drawing depicting the microscopic anatomy of the junctional epithelium and surrounding tissues.
2-13 Compare and contrast the function of the supragingival fiber bundles and the periodontal ligament in the periodontium.
2-14 Identify the fiber groups of the periodontal ligament on an unlabeled drawing.
2-15 Define the terms cementum and Sharpey’s fibers and describe their function in the periodontium.
2-16 State the three relationships that the cementum may have in relation to the enamel at the cementoenamel junction.
2-17 Define the term alveolar bone and describe its function in the periodontium.
Chapter 3, Overview of Diseases of the Periodontium
Goals of the Lesson
Cognitive: Students will learn how to distinguish among the various stages of periodontal disease.
Motor: Students will demonstrate how to use a periodontal probe to distinguish between gingivitis and periodontitis.
Affective: Students will understand the importance of distinguishing among the various stages of periodontal disease.
Learning Objectives
3-1 Define the term disease progression.
3-2 Define the term periodontal disease and contrast it with the term periodontitis.
3-3 Compare and contrast the (1) position of the junctional epithelium; (2) characteristics of the epithelial–connective tissue junction; and (3) position of the crest of the alveolar bone in health, gingivitis, and periodontitis.
3-4 Explain why there is a band of intact transseptal fibers even in the presence of severe bone loss.
3-5 Describe the progressive destruction of alveolar bone loss that occurs in periodontitis.
3-6 Describe the pathway of inflammation that occurs in horizontal bone loss and contrast it with the pathway of inflammation that occurs in vertical bone loss.
3-7 Compare and contrast the characteristics of gingival and periodontal pockets.
3-8 For patients in the clinical setting, identify visible clinical signs of health and periodontal disease for your clinic instructor.
3-9 For a patient with periodontal disease, measure the probing depth of the sulci or pockets on the facial aspect of one sextant of the mouth. Using the information gathered visually and with the periodontal probe, explain whether this patient’s disease is gingivitis or periodontitis.
3-10 Given a drawing of a periodontal pocket, determine whether the pocket illustrated is a suprabony or infrabony pocket.
3-11 Describe variables associated with periodontal disease that an epidemiologist might include in a research study.
3-12 Define prevalence and incidence as measurements of disease within a population.
3-13 Describe how clinical dental hygiene practice can be affected by epidemiologic research.
Chapter 4, Classification of Periodontal and Peri-Implant Diseases and Conditions
Goals of the Lesson
Cognitive: Students will be able to identify various classifications of periodontal disease.
Motor: Students will practice recognizing gingivitis versus periodontitis.
Affective: Students will recognize the value of the AAP/EFP Classification of Periodontal and Peri-Implant Diseases and Conditions.
Learning Objectives
4-1 Explain the rationale for a classification system for periodontal disease.
4-2 List the three major categories of periodontal diseases and conditions.
4-3 Explain why clinicians need to be familiar with terminology from the 1999 disease classification, such as chronic periodontitis and aggressive periodontitis.
4-4 Compare and contrast the 2017 and the 1999 Classification Systems.
4-5 List the four subcategories which fall under the Peri-Implant Diseases and Conditions category.
Chapter 5, Periodontal Health, Gingival Diseases and Conditions
Goals of the Lesson
Cognitive: Students will learn the characteristics of plaque-induced and non–plaque-induced gingival lesions.
Motor: Students will practice describing the qualities of gingival inflammation in patients.
Affective: Students will understand how systemic factors modify gingival diseases.
Learning Objectives
5-1 Define periodontal health and be able to describe the clinical features that are consistent with signs of periodontal health.
5-2 List the two major subdivisions of gingival disease as established by the American Academy of Periodontology and the European Federation of Periodontology.
5-3 Compare and contrast the etiologic factors associated with dental biofilm-induced gingivitis and non–biofilm-induced gingival diseases.
5-4 List the conditions that are classified under the non–plaque-induced gingival diseases category.
5-5 Describe the differences between an intact periodontium and a reduced periodontium.
5-6 Differentiate papillary gingivitis, marginal gingivitis, and diffuse gingivitis.
5-7 Describe the clinical signs that are characteristic of dental biofilm-induced gingivitis.
5-8 Describe how systemic factors can modify the host response to plaque biofilm and lead to gingival inflammation.
Chapter 6, Periodontitis
Goals of the Lesson
Cognitive: Students will learn the characteristics of the various types of periodontitis.
Motor: Students will practice identifying periodontal disease in a clinical setting.
Affective: Students will understand how to create an initial treatment plan for a patient with chronic periodontitis and how to set reasonable treatment goals.
Learning Objectives
6-1 Describe the clinical signs and symptoms that are pathognomonic (def: specifically characteristic or indicative of a disease) of periodontitis.
6-2 Define the term clinical attachment loss and explain its significance in staging and grading periodontitis.
6-3 In the clinical setting, be able to explain to your patient the warning signs of periodontal disease and why these signs should not be ignored.
6-4 Describe the radiographic hallmarks of periodontitis.
6-5 Explain how disease severity and complexity of management play a role in determining the staging of periodontitis.
6-6 Explain the differences in criteria of direct evidence of disease progression versus indirect evidence of disease progression and be able to describe the roles each plays in periodontitis grading.
6-7 Define the meaning of the descriptors recurrent and refractory as they pertain to periodontitis.
Chapter 7, Mucogingival Deformities and Conditions Around Teeth
Goals of the Lesson
Cognitive: Students will learn the characteristics of the various types of periodontitis.
Motor: Students will practice identifying periodontal disease in a clinical setting.
Affective: Students will understand how to create an initial treatment plan for a patient with necrotizing periodontal disease and how to set reasonable treatment goals.
Learning Objectives
7-1 Define the terms mucogingival, normal mucogingival condition, and mucogingival deformity and condition.
7-2 Explain the significance of periodontal biotype and be able to describe the distinguishing features of thin-scalloped biotype, thick-scalloped biotype, and thick-flat biotype.
7-3 Define the term gingival recession and explain what factors you need to take into consideration to determine if treatment is indicated.
7-4 Explain the Miller and Cairo classification systems used to classify gingival recession.
Chapter 9, Acute Periodontal Diseases
Goals of the Lesson
Cognitive: Students will learn the various periodontal diseases that can require emergency treatment.
Motor: Students will learn to recognize and treat patients with periodontal diseases that require emergency treatment.
Affective: Students will understand the steps needed to address various periodontal emergencies.
Learning Objectives
9-1 Define the term acute periodontal disease and list the conditions that fall under this category.
9-2 Describe the general characteristics of each of the acute periodontal diseases discussed in this chapter.
9-3 Name and describe the three types of abscesses of the periodontium.
9-4 List the possible causes of abscesses of the periodontium.
9-5 Compare and contrast the periodontal and pulpal abscesses.
9-6 Outline the typical treatment steps for a gingival abscess, periodontal abscess, and pericoronal abscess.
9-7 Describe the possible outcomes of an untreated pericoronal abscess.
9-8 Describe the pathogenesis of an endodontic-periodontal lesion.
9-9 List the different categories of endodontic-periodontal lesions based on the signs and symptoms.
9-10 Describe the characteristics of necrotizing gingivitis, necrotizing periodontitis, and necrotizing stomatitis.
9-11 Outline the typical treatment steps for necrotizing gingivitis.
9-12 Compare and contrast the tissue destruction that occurs in necrotizing gingivitis and necrotizing periodontitis.
9-13 Describe the symptoms of primary herpetic gingivostomatitis.
9-14 List a step-by-step treatment plan to address a patient suffering from herpetic gingivostomatitis.
Chapter 10, Risk Factors for Periodontal Disease
Goals of the Lesson
Cognitive: Students will learn the contributing risk factors for periodontitis.
Motor: Students will practice describing the factors that may have contributed to your patient’s disease.
Affective: Students will understand how etiologic factors contribute to periodontitis.
Learning Objectives
10-1 Define risk factors and provide various examples of risk factors.
10-2 Define etiologic factors and distinguish etiologic factors from risk factors.
10-3 Define the term biological equilibrium and explain how certain factors can disrupt the balance between health and disease.
10-4 Explain the differences between modifiable and nonmodifiable risk factors.
10-5 Describe the significance of performing a thorough periodontal risk assessment for each patient in a clinical setting.
10-6 In a clinical setting—for a patient in your care with periodontitis—explain to your clinical instructor the factors that may have contributed to your patient’s disease.
Chapter 12, Basic Concepts of Immunity and Inflammation
Goals of the Lesson
Cognitive: Students will learn how to identify periodontal inflammation.
Motor: Students will demonstrate how to identify periodontal inflammation.
Affective: Students will understand the importance of identifying periodontal inflammation.
Learning Objectives
12-1 Describe the function of the immune system.
12-2 Compare and contrast innate immunity and adaptive immunity.
12-3 Describe the role of polymorphonuclear leukocytes, macrophages, B-lymphocytes, plasma cells, T-lymphocytes, and NK (natural killer)-lymphocytes in the immune system.
12-4 Compare and contrast a macrophage and a monocyte.
12-5 List the five classes of antibodies (immunoglobulins) and describe the functions of each antibody class.
12-6 Describe the three ways that antibodies participate in the host defense.
12-7 Describe the complement system and explain the role it plays in the immune response.
12-8 Describe the steps in the process of phagocytosis.
12-9 Give an example of a type of injury or infection that would result in inflammation in an individual’s arm. Describe and contrast the symptoms of inflammation that the individual would experience due to acute inflammation versus chronic inflammation.
12-10 Define inflammatory mediators and provide several examples of inflammatory mediators of importance in periodontitis.
Chapter 13, Host Immunoinflammatory Response to Dental Biofilm
Goals of the Lesson
Cognitive: Students will learn how to identify periodontal inflammation.
Motor: Students will demonstrate how to identify periodontal inflammation.
Affective: Students will understand the importance of identifying periodontal inflammation.
Learning Objectives
13-1 Define the term host response and describe its primary function.
13-2 Describe the role the host immunoinflammatory response plays in the pathogenesis of periodontal disease.
13-3 Define the term biochemical mediator and list three of these mediators.
13-4 Describe the role of cytokines in the pathogenesis of periodontitis.
13-5 Describe the role of prostaglandins in the pathogenesis of periodontitis.
13-6 Describe the effect of matrix metalloproteinases (MMPs) on periodontal tissues.
13-7 Explain the phases of the bone remodeling cycle.
13-8 Explain the significance of a balanced OPG-to-RANKL ratio.
13-9 Describe the link between periodontitis and RANKL-mediated bone resorption.
13-10 For each of the histologic stages of gingivitis and periodontitis listed below name one change in the host immune response likely to be encountered:
Chapter 16, Local Factors Contributing to Periodontal Disease
Goals of the Lesson
Cognitive: Students will learn local factors that can increase plaque retention, pathogenicity, and direct damage.
Motor: Students will practice identifying local contributing factors in a patient’s oral cavity.
Affective: Students will understand the importance of identifying and addressing local contributing factors in maintaining long-term periodontal health.
Learning Objectives
16-1 Describe local factors that contribute to the retention and accumulation of plaque biofilm.
16-2 Explain how a local contributing factor differs from a systemic contributing factor.
16-3 Identify and describe the location, composition, modes of attachment, mechanisms of mineralization, and pathologic potential of supra- and subgingival calculus deposits.
16-4 Discuss how local contributing factors can lead to direct damage to the periodontium.
16-5 Explain the role of trauma from occlusion as a possible contributing factor in periodontal disease.
Chapter 19, Clinical Periodontal Assessment
Goals of the Lesson
Cognitive: Students will learn the components and responsibilities associated with various types of periodontal examinations.
Motor: Students will practice calculating and documenting attachment levels in a clinical setting.
Affective: Students will appreciate the importance of various professional roles within a clinical assessment and understand the value of the mechanical and procedural components of a clinical examination.
Learning Objectives
19-1 List the components of a comprehensive periodontal assessment.
19-2 Describe how to evaluate each component of a comprehensive periodontal assessment.
19-3 Be able to calculate the width of the attached gingiva.
19-4 Be able to calculate clinical attachment level given several different clinical scenarios.
19-5 Compare and contrast a periodontal screening examination and a comprehensive periodontal assessment.
19-6 Given a clinical scenario, calculate and document the clinical attachment levels for a patient with periodontitis.
Chapter 20, Radiographic Analysis of the Periodontium
Goals of the Lesson
Cognitive: Students will learn to draw accurate and useful diagnostic conclusions through radiographic analysis.
Motor: Students will apply knowledge about radiographs to practical diagnostic use in a clinical setting.
Affective: Students will appreciate the value of radiographic assessment while also understanding its limitations.
Learning Objectives
20-1 Describe dental radiographic characteristics of the healthy periodontium.
20-2 Describe early dental radiographic evidence of periodontal disease.
20-3 Name some techniques that can be employed with periodontal patients to obtain high-quality dental radiographs.
20-4 Explain the basic principles of the vertical bitewing technique.
20-5 Describe the limitations of dental radiographs that all clinicians should keep in mind when viewing radiographs.
20-6 Explain the difference between vertical and horizontal alveolar bone loss as seen in dental radiographs.
20-7 Given a selection sample of dental radiographs, apply the information from this chapter when analyzing those radiographs.
Chapter 21, Clinical Decision-Making for Periodontal Care
Goals of the Lesson
Cognitive: Students will learn the fundamental diagnostic questions used in arriving at a periodontal diagnosis.
Motor: Students will practice the process of informing the patient and receiving informed consent for the treatment of periodontal disease.
Affective: Students will understand the legal importance of receiving informed consent from the patient before treatment.
Learning Objectives
21-1 List the three fundamental diagnostic questions used when assigning a periodontal diagnosis.
21-2 List the two fundamental diagnostic questions used when assigning a peri-implant diagnosis.
21-3 Explain how to arrive at appropriate answers to each of the fundamental diagnostic questions.
21-4 Explain the difference between the terms signs of a disease versus the symptoms of a disease.
21-5 List several overt and hidden signs of periodontal inflammation.
21-6 Define the term silent disease.
21-7 Describe what is meant by the term clinical attachment loss.
21-8 Describe the elements of a well-written diagnosis for periodontitis.
21-9 List the phases of treatment.
21-10 Explain why a patient’s diagnosis and treatment plan may require modifications at a later point in time.
Chapter 22, Shared Decision-Making for Periodontal Care
Goals of the Lesson
Cognitive: Students will learn the fundamental design of gaining informed consent for treatment.
Motor: Students will practice the process of informing the patient and receiving informed consent for the treatment of periodontal disease.
Affective: Students will understand the legal importance of receiving informed consent from the patient before treatment.
Learning Objectives
22-1 Define shared-decision making.
22-2 Explain key steps for engaging in shared decision-making.
22-3 Describe how patient decision aids facilitate shared decision-making.
22-4 Describe the importance of informed consent to successful periodontal care.
22-5 List guidelines for obtaining informed consent.
22-6 Describe two formats for documenting informed consent.
Chapter 24, Best Practices for Periodontal Care
Goals of the Lesson
Cognitive: Students will understand the elements and strategies of evidence-based decision-making.
Motor: Students will gain practice in evaluating clinical evidence.
Affective: Students will appreciate the importance of the ethical application of evidence-based dental care.
Learning Objectives
24-1 Summarize how the explosion of knowledge is impacting practitioners and patients.
24-2 Identify the three components of evidence-based decision-making.
24-3 Discuss the benefits and limitations of experience.
24-4 Describe the role of the patient in the evidence-based model.
24-5 List locations for accessing systematic reviews.
24-6 Explain the difference between a peer-reviewed journal and a trade magazine.
24-7 State three desired outcomes from attending continuing education courses.
24-8 Formulate a question using the PICO process.
Chapter 25, Nonsurgical Periodontal Therapy
Goals of the Lesson
Cognitive: Students will learn the indications and procedures for nonsurgical periodontal therapy.
Motor: Students will be introduced to periodontal instrumentation techniques.
Affective: Students will understand the importance of patient communication in planning nonsurgical periodontal therapy.
Learning Objectives
25-1 Define the term and list four goals of nonsurgical periodontal therapy.
25-2 Explain the role of interdisciplinary collaborative care in nonsurgical periodontal therapy.
25-3 Write a typical treatment plan for nonsurgical therapy for (1) a patient with dental biofilm-induced gingivitis and (2) a patient with generalized stage I, grade A periodontitis.
25-4 Describe the type of healing to be expected following instrumentation of root surfaces.
25-5 Explain strategies for managing dentinal hypersensitivity.
25-6 Explain why reevaluation is an important step during nonsurgical therapy.
25-7 List steps a clinician should perform at the periodontal reevaluation appointment.
25-8 Discuss the rationale and indications for referring a patient to a periodontist.
Chapter 30, Periodontal Surgical Concepts for the Dental Hygienist
Goals of the Lesson
Cognitive: Students will learn the goals, terminology, and treatment considerations relevant to periodontal surgery.
Motor: Students will practice giving postsurgical instructions to a patient.
Affective: Students will be sensitive to patient needs and concerns following periodontal surgery and effectively communicate necessary information for self-care.
Learning Objectives
30-1 List objectives for periodontal surgery.
30-2 Be able to distinguish the terms relative contraindications and absolute contraindications for periodontal surgery.
30-3 Define the terms repair, reattachment, new attachment, and regeneration.
30-4 Explain the difference between healing by primary intention and healing by secondary intention.
30-5 Explain the rationale, indications, and advantages of elevating a periodontal flap.
30-6 Explain two methods for classifying periodontal flaps.
30-7 Describe two types of incisions used during periodontal flaps.
30-8 Describe healing following flap for access and open flap debridement.
30-9 Describe the typical outcomes for apically positioned flaps with osseous surgery.
30-10 Define the terms ostectomy and osteoplasty.
30-11 Define the terms osteogenesis, osteoinductive, and osteoconductive.
30-12 Explain the terms autograft, allograft, xenograft, and alloplast.
30-13 Name two types of materials available for bone replacement grafts.
30-14 Explain why a barrier material is used during guided tissue regeneration.
30-15 Explain the term periodontal plastic surgery.
30-16 List two types of crown lengthening surgeries.
30-17 List some disadvantages of gingivectomy.
30-18 Explain what is meant by biological enhancement of periodontal surgical outcomes.
30-19 Name two broad categories of materials used for suturing periodontal wounds.
30-20 Describe what an interrupted interdental suture is.
30-21 List general guidelines for suture removal.
30-22 Describe the technique for periodontal dressing placement.
30-23 List general guidelines for periodontal dressing management.
30-24 Explain the important topics that should be covered in postsurgical instructions.
30-25 List steps in a typical postsurgical visit.
Chapter 31, Maintenance for the Periodontal Patient
Goals of the Lesson
Cognitive: Students will learn the components and methods relevant to periodontal maintenance.
Motor: Students will apply the knowledge acquired in this module to the development of periodontal maintenance strategies in a clinical setting.
Affective: Students will understand the importance of patient compliance and learn strategies to promote its improvement.
Learning Objectives
31-1 List three objectives of periodontal maintenance.
31-2 Describe how periodontal maintenance relates to other phases of periodontal treatment.
31-3 List the typical steps performed during an appointment for periodontal maintenance.
31-4 Explain the term baseline data.
31-5 Describe guidelines for determining whether the general practice office or the periodontal office should provide periodontal maintenance.
31-6 Describe how to establish an appropriate interval between maintenance appointments.
31-7 Define the term periodontal disease recurrence.
31-8 List clinical signs of periodontal disease recurrence.
31-9 List reasons for periodontal disease recurrence.
31-10 Define the term compliance.
31-11 Explain the role compliance plays in maintaining periodontal health and stability.
31-12 List reasons for noncompliance with periodontal maintenance recommendations.
31-13 Explain some strategies that can be used to improve patient compliance.
31-14 Define the term root caries and list recommendations for the use of fluorides in the prevention of root caries.
31-15 Describe the various types of assessment tools an oral health care practitioner can use to evaluate a patient’s risk of developing caries.
Chapter 34, Comprehensive Patient Cases
Goals of the Lesson
Cognitive: Students will apply the content from the chapters in this book to answer decision-making questions for hypothetical case scenarios.
Motor: Students will demonstrate how to use good communication skills and behavioral strategies when treating patients.
Affective: Students will understand the importance of decision-making questions for patient management.
Learning Objectives
34-1 Apply the content from the chapters in this book to answer the decision-making questions for the hypothetical case scenarios presented in this chapter.
Chapter 38. Patient Cases: Radiographic Analysis
Goals of the Lesson
Cognitive: Students will apply the concepts they have learned to complete a radiographic analysis.
Motor: Students will demonstrate how to complete a radiographic analysis.
Affective: Students will understand the importance of completing a radiographic analysis.
Learning Objective
38-1 Apply concepts from the chapters in this book to complete a radiographic analysis for hypothetical case scenarios.
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Program Handbook and Student Responsibilities
The Amarillo College Dental Hygiene Program Handbook contains the complete policies, procedures, standards, and expectations for students enrolled in the Dental Hygiene Program. The handbook provides detailed information regarding professional conduct, appearance, attendance, academic and clinical expectations, communication, ethical responsibilities, disciplinary procedures, grievance procedures, and other program requirements.
Because the Amarillo College Dental Hygiene Program Handbook explains these policies in detail, each course syllabus does not repeat them in full. Students are responsible for reading, understanding, and following all policies and procedures outlined in the current Program Handbook, as well as the policies specific to this course.
The policies and expectations outlined in the Program Handbook are part of this course's requirements, even when they are not specifically repeated in the syllabus. Students are expected to consult the Program Handbook whenever they have questions regarding program policies, procedures, or professional expectations.
Students should refer to the current Amarillo College Dental Hygiene Program Handbook for complete information regarding program policies and expectations. If a question or concern arises regarding a program policy, students should consult the handbook and seek clarification from the appropriate faculty member or program administrator.
Failure to read or review the Program Handbook does not relieve a student of the responsibility to know and follow the policies contained within it.
Your professionalism will be observed, assessed, and evaluated continuously throughout the program.
The Amarillo College Dental Hygiene Program requires students to demonstrate professionalism consistently in all aspects of their education. Professional behavior is expected in the classroom, laboratory, clinic, and in all interactions with faculty, staff, classmates, patients, and other members of the college community.
These expectations prepare students for the responsibilities, standards, and professional behaviors expected of a dental hygienist.
As a representative of the Amarillo College Dental Hygiene Program, your appearance must reflect professionalism, cleanliness, and readiness for the educational and clinical environment.
Students are expected to:
Examples of inappropriate or prohibited attire and accessories include, but are not limited to:
Your appearance should promote confidence, safety, respect, and professionalism. Failure to meet appearance standards may result in removal from class, laboratory, or clinic until the concern is corrected and may result in additional consequences as outlined in the Program Handbook.
Professional communication is expected in all interactions with classmates, faculty, staff, patients, and other members of the college community.
Students are expected to:
Students are expected to take responsibility for their actions, decisions, and performance throughout the program. This includes:
Students are expected to contribute to a positive, respectful, and professional learning environment. Students should:
Students who disagree with a grade, evaluation, or other academic decision are expected to follow the official grievance or appeal process outlined in the course syllabus and the Amarillo College Dental Hygiene Program Handbook.
Students must maintain professionalism throughout the process. This includes communicating respectfully, following established procedures, and addressing concerns through the appropriate channels.
Professionalism extends beyond clinical performance and patient interactions. You demonstrate it through your daily actions, communication, appearance, attitude, accountability, and interactions with others throughout your education.
Confidentiality is an essential ethical and professional responsibility of every dental hygienist and dental hygiene student. Students are entrusted with sensitive patient information, including medical history, dental history, personal information, treatment records, photographs, radiographs, and other information obtained during the delivery of patient care. This information must be protected and handled in accordance with applicable laws, institutional policies, program policies, and professional ethical standards.
Dental hygiene students are expected to maintain the confidentiality and privacy of all patient information at all times. Patient information may only be accessed, discussed, documented, or disclosed for legitimate educational, clinical, treatment, or legal purposes and only with individuals who are authorized to receive that information. Patient information must never be shared in a manner that could identify a patient or compromise the patient's privacy.
The American Dental Hygienists' Association (ADHA) Code of Ethics for Dental Hygienists identifies confidentiality as one of the profession's core values. The ADHA states that dental hygienists respect the confidentiality of client information and relationships as a demonstration of the value placed on individual autonomy and acknowledge an obligation to justify any violation of confidence.
Therefore, dental hygiene students are expected to:
A breach of patient confidentiality is a serious violation of professional and program expectations and may result in disciplinary action in accordance with applicable college and Dental Hygiene Program policies. Students are responsible for understanding and consistently demonstrating the ethical and professional behaviors expected of members of the dental hygiene profession.
Professional Ethics Reference:
American Dental Hygienists' Association. Code of Ethics for Dental Hygienists. The ADHA Code of Ethics identifies confidentiality as a core value and emphasizes the dental hygienist's responsibility to respect the confidentiality of client information and relationships.
To promote a focused, professional, and distraction-free learning environment, cell phones, smart watches, and other personal electronic communication devices are not permitted in the classroom or laboratory.
Students are expected to turn off these devices and store them out of sight before entering the classroom or laboratory. Students may not use, access, or keep cell phones and smart watches on their person during class or laboratory activities unless the instructor specifically authorizes it.
If a student is found with or using a cell phone or smart watch during class or laboratory, the student will be immediately dismissed from the class or laboratory session and marked absent for that session. Students are responsible for understanding that leaving class or lab for violating this policy does not excuse missed instruction, assignments, or laboratory activities.
Class will begin promptly at 12:00 noon and will end at 4:00 p.m. Students are expected to be present, prepared, and ready to participate at the beginning of class. Arriving late or leaving early may result in missed instruction, is considered unprofessional behavior, and will result in an absence.
To minimize interruptions and maintain an effective learning environment, the instructor will designate scheduled class breaks, and the entire class will take the break at the same time. Students should use these designated breaks to attend to personal needs, check messages, use the restroom, or address other necessary matters.
Students should not routinely leave and re-enter the classroom or laboratory during instruction unless there is an emergency or the student has received permission from the instructor. Frequent coming and going disrupts the instructor and other students and can result in missed instruction and important course information. Students are expected to plan accordingly and return promptly when the designated break has ended.
Students with children, or who may need to be reached for an urgent family situation, should provide caregivers with the Office Supervisor's telephone number: 806-354-6050. Emergency or urgent calls can then be directed to the appropriate office personnel.
If a student has a personal or extenuating circumstance that requires access to a cell phone during class or laboratory, the student must speak with the instructor before the class or laboratory session begins and receive permission. The instructor will determine approval on a case-by-case basis.
Students are expected to demonstrate professional behavior by following this policy consistently and respecting their classmates' learning environment.
Each student is assigned a mailbox located inside the student locker room. Students are responsible for checking their mailbox daily for communications, announcements, and other information from faculty.
First and second-year dental hygiene students have designated areas on a shared bulletin board located inside the student locker room. Faculty may use the bulletin board to post announcements, reminders, schedules, and other important program information. Students are responsible for reviewing their designated area regularly.
If you have a concern or grievance related to an academic course in which you are enrolled, you should first attempt to resolve the concern at the lowest appropriate level.
Students must follow the chain of appeal in the order listed below:
Important: Students must follow the appeal process in this order. A student should not skip a level in the grievance process.
Students are encouraged to address academic concerns promptly and professionally and to provide appropriate documentation when submitting an appeal.
Your final course grade will be calculated using the following grading weights:
| Assessment | Percentage of Final Grade |
|---|---|
| Chapter Tests | 25% |
| Midterm Exam | 25% |
| Homework Assignments | 10% |
| Take-Home Quizzes | 15% |
| Comprehensive Final Exam | 25% |
| Total | 100% |
Your final course grade is based on your overall performance in all course assessments. No single assignment or examination determines your final course grade.
The following grading scale applies to this course:
A grade of D is not awarded in this course.
To successfully pass the course, you must:
A final course grade below 75% does not meet the minimum passing requirement for the course.
Students are expected to attend and be prepared for all scheduled examinations. If a student misses an examination, they must complete it during the following class period. A 10-point deduction will be applied to the examination grade for a missed examination.
The instructor will administer make-up examinations at a time determined by the instructor based on the instructor's availability. Students should be prepared to complete the make-up examination at the time the instructor designates.
Students are responsible for communicating with the instructor regarding a missed examination. Missing an examination does not extend the deadline for other assignments or examinations.
Regular attendance is essential to successfully complete this course. As stated in the Amarillo College Student Rights and Responsibilities Publication, “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.”
The Health Sciences Division follows established attendance requirements for all classroom, laboratory, and clinical experiences. Students are responsible for reviewing and following the attendance requirements outlined in the Dental Hygiene Program Handbook and this course syllabus.
Attendance means being present, alert, and actively engaged for the entire scheduled class or laboratory session. This expectation applies to both in-person and virtual class meetings.
Students are expected to maintain at least 90% attendance in both classroom and laboratory sessions. A student whose attendance falls below 90% may fail the course, regardless of the student's academic performance on assignments or examinations.
Excessive absenteeism can interfere with a student's ability to meet course objectives, complete required learning activities, and successfully progress in the Dental Hygiene Program. Attendance is therefore an important component of your responsibility as a professional student.
A student who maintains perfect attendance for the course may receive one (1) bonus point added to the final course grade, provided the student has a minimum overall course average of 75% before the bonus point is applied.
The perfect attendance bonus recognizes students who demonstrate consistent attendance and commitment to their education. The bonus point cannot be used to raise a failing course average to a passing grade.
To support student success and ensure mastery of course material, any student who scores below 75% on a test, excluding the final examination, must complete the remediation process outlined below.
The purpose of this policy is to provide timely academic support, reinforce areas of difficulty, and promote mastery of course material and continued success in the Dental Hygiene Program.
Periodontology Course Calendar Fall 2026
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Course Lab Instructors:
1. Dr. Plunk, DDS
2. Haley Epperson, RDH
05/26/26 1:59 PM
08/23/26 8:56 PM