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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
Students are required to have the most current edition of textbooks.
Newman and Carranza's Clinical Periodontology for the Dental Hygienist by Michael G. Newman, Lory Laughter, Gwendolyn Essex and Sathessh Elangovan, Elsevier, 1st edition, 2021.
Teaching Methods
The course is taught in a lecture/lab format. A variety of teaching methods will be used to facilitate the goals and objectives of this course. The material is posted on Blackboard Ultra. Lab assignments are included to support learning and include adaptive quiz assignments, case studies, CEs, and homework assignments.
Technical Skills and Requirements
The use of the computer is an integral part of this course. The basic skills include proficiency in sending and receiving emails with attachments, the ability to upload documents, and participation in discussion board assignments. Computers can break, servers can crash, and electric power can go out. It is your responsibility to identify solutions for an unexpected catastrophe by thinking ahead about solutions to potential problems. Students will be responsible for bringing their computers to class every session. Please have the battery charged and ready to go. Students will need to make sure that Respondus Lockdown Browser has been installed.
Utilize CTL resources for technical help. CTL Student Help Center: (806) 371-5992 or ctlstudenthelp@actx.edu
Communication
The best way to contact me is through your student email in Blackboard. I will check my emails Monday-Friday first thing in the morning and throughout the day as time allows. I will respond to your email within 24 hours. I will answer emails sent over the weekend the following Monday morning. Please remember the use of netiquette when corresponding to faculty, staff, and peers.
Other Supplies
1. Library Card for AC and/or city library
2. Computer and Internet Access, Printer, Print Cartridges. Students may be required to print some materials.
3. Index Cards, Paper, Pens, Markers
4. Additional Materials as Needed
Course Meeting Day and Time
Tuesday 2:00 pm - 6:00 pm (Jones Hall Room 111)
End-of-Course Outcomes
After completing the course, the student will be able to 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.
Participation and Instructor Help
Learning activities in this course are designed to enhance the understanding of concepts. As a student, you are expected to prepare for these sessions and participate appropriately. All students are considered mature enough to ask questions, seek help and assistance from facuty, and are encouraged to ask questions during class.
Course Objectives
Chapter 4: Anatomy, Structure, and Function of the Periodontium
After studying the chapter and assigned materials, the student will be able to:
1. Identify and differentiate the following structures of the periodontium:
a) Oral Mucosa
b) Gingiva
c) Periodontal Ligament
d) Cementum
e) Alveolar process
2. Describe the development of the attachment apparatus.
3. Explain external forces and the periodontium.
4. Describe and identify the vascularization of the supporting structures.
Chapter 5: Aging and the Periodontium
After studying the chapter and assigned materials, the student will be able to:
1. Describe the effects of aging on the periodontium.
2. Explain the effects of aging on the progression of periodontal diseases.
3. Compare aging and the response to treatment of the periodontium.
Chapter 6: Classification of Diseases and Conditions Affecting the Periodontium:
After studying the chapter and assigned materials, the student will be able to:
1. Identify and explain the 2018 periodontal disease classification system.
2. Review the 1999 Periodontal Disease Classification System to illustrate the overall similarities and differences between the 1999 and 2018 disease classifications.
Chapter 7: Fundamentals in the Methods of Periodontal Disease Epidemiology:
After studying the chapter and assigned materials, the student will be able to:
1. Define and identify the need for epidemiology.
2. Differentiate the epidemiologic study designs.
3. Outline suspected modifiable causative factors for periodontal disease.
4. Differentiate between periodontal conditions versus periodontal diseases.
Chapter 8: Periodontal Disease Pathogenesis and Genetics
After studying the chapter and assigned materials, the student will be able to:
1. Describe the histopathology of periodontal disease.
2. Outline the inflammatory responses in the periodontium.
3. Link pathogenesis to clinical signs of disease.
4. Describe the resolution of inflammation.
5. Outline immune responses in periodontal pathogenesis.
6. Explain the concept of host susceptibility.
7. Identify genetics of periodontal disease risk and treatment.
Chapter 9: Biofilm and Periodontal Microbiology and Molecular Biology
After studying the chapter and assigned materials, the student will be able to:
1. Describe the oral cavity from a microbe's perspective.
2. Recognize bacteria and their biofilm mode of living.
3. Describe characteristics of biofilm bacteria (Life in "Slime City").
4. Describe bacterial transmission and translocation.
5. Identify nonbacterial inhabitants of the oral cavity.
6. Explain the microbiologic specificity of periodontal diseases.
7. Differentiate the transition from health to disease.
8. Describe virulence factors of Periodontopathogens.
Chapter 10: Resolution Of Inflammation
After studying the chapter and assigned materials, the student will be able to:
1. Define and differentiate the following terms:
a) Inflammation
b) Acute inflammation
c) Chronic inflammation
d) Therapeutic actions of resolution mediators
Chapter 11: Smoking and Periodontal Disease
After studying the chapter and assigned materials, the student will be able to:
1. Describe the smoking epidemic.
2. Outline the effects of smoking on the prevalence and severity of periodontal diseases.
3. Outline the effects of smoking on the etiology and pathogenesis of periodontal disease.
4. Describe the effects of smoking on the response to periodontal therapy.
5. Discuss the effects of smoking cessation on periodontal treatment outcomes.
Chapter 12: The Role of Dental Calculus and Other Predisposing Factors
After studying the chapter and assigned materials, the student will be able to:
1. Outline the role of calculus and the predisposing factors associated with periodontal disease.
Chapter 13: Influence of Systemic Conditions
After studying the chapter and assigned materials, the student will be able to:
1. Describe and differentiate the following systemic conditions in the relationship between periodontal disease and systemic health:
a) Endocrine disorders and hormonal changes
b) Hematologic disorders and immune deficiencies
c) Genetic disorders
d) Stress and psychosomatic disorders
e) Other systemic conditions
f) Nutritional influences
2. Identify medications that may have adverse effects on periodontal tissues, wound healing, or the host immune response.
Chapter 14: Impact of Periodontal Infection on Systemic Health
After studying the chapter and assigned materials, the student will be able to:
1. Describe the pathobiology of periodontitis.
2. Discuss the focal infection theory.
3. Identify evidence-based clinical practice.
4. Recognize subgingival environment as a reservoir for bacteria.
5. Describe periodontal disease and mortality.
6. Discuss periodontal disease, coronary heart disease, and atherosclerosis.
7. Discuss periodontal disease and stroke.
8. Discuss periodontal disease and diabetes mellitus.
9. Discuss periodontal disease and pregnancy outcomes.
10. Discuss periodontal disease and chronic obstructive pulmonary disease.
11. Discuss periodontal disease and acute respiratory infections.
12. Discuss periodontal disease and asthma.
13. Identify periodontal medicine in clinical practice.
Chapter 15: Defense Mechanisms of the Gingiva
After studying the chapter and assigned materials, the student will be able to:
1. Describe sulcular fluid.
2. Explain leukocytes in the dentogingival unit.
3. Describe the role of saliva as a defense mechanism of the gingiva.
Chapter 16: Gingival Inflammation
After studying the chapter and assigned materials, the student will be able to:
1. Describe and differentiate the following lesions associated with gingival inflammation:
a) Stage I Gingival Inflammation: The Initial Lesion
b) Stage II Gingival Inflammation: The Early Lesion
c) Stage III Gingival Inflammation: The Established Lesion
d) Stage IV Gingival Inflammation: The Advanced Lesion
Chapter 17: Clinical Features of Gingivitis
After studying the chapter and assigned materials, the student will be able to:
1. Describe the course and duration of gingivitis.
2. Describe the clinical findings of gingivitis.
3. Recognize the significance of gingival bleeding on probing.
4. Identify gingival bleeding caused by local factors.
5. Identify gingival bleeding associated with systemic changes.
6. Describe the following changes associated with gingivitis:
a) Color changes in the gingiva
b) Color changes associated with systemic factors
c) Changes in gingival consistency
d) Changes in gingival surface texture
e) Changes in gingival position
f) Changes in gingival contour
Chapter 18: Gingival Enlargement
After studying the chapter and assigned materials, the student will be able to:
1. Identify terminology and classification of gingival enlargement.
2. Discuss the diagnosis associated with gingival enlargement.
3. Identify types and other forms of gingival enlargement.
Chapter 19: Acute Gingival Infections
After studying the chapter and assigned materials, the student will be able to:
1. Describe and identify necrotizing ulcerative gingivitis.
2. Describe and identify primary herpetic gingivostomatitis.
3. Describe and identify pericoronitis.
Chapter 20: Gingival Disease in Childhood
After studying the chapter and assigned materials, the student will be able to:
1. Explain the periodontium of the primary dentition.
2. Describe periodontal changes associated with normal development.
3. Identify gingival diseases of childhood.
4. Identify periodontal diseases of childhood.
5. Discuss gingival manifestations of systemic disease in children.
6. Describe oral mucosa in childhood diseases.
7. Identify therapeutic considerations for pediatric patients.
Chapter 21: Desquamative Gingivitis
After studying the chapter and assigned materials, the student will be able to:
1. Describe chronic desquamative gingivitis.
2. Discuss the diagnosis of desquamative gingivitis.
3. Outline diseases that can manifest as desquamative gingivitis.
4. Explain drug-related eruptions.
Chapter 22: The Periodontal Pocket and Associated Pathologies
After studying the chapter and assigned materials, the student will be able to:
1. Identify pocket classification.
2. Recognize the clinical features of pockets.
3. Explain the pathogenesis of pockets.
4. Explain the histopathology of pockets.
5. Describe periodontal disease activity.
6. Explain site-specificity.
7. Outline pulp changes associated with periodontal pockets.
8. Describe the relationship of attachment loss and bone loss to pocket depths.
9. Describe the area between the base of the pocket and the alveolar bone.
10. Recognize the relationship of the pocket to the bone.
11. Describe a periodontal abscess.
12. Describe a lateral periodontal cyst.
Chapter 23: Bone Loss and Patterns of Bone Destruction
After studying the chapter and assigned materials, the student will be able to:
1. Describe bone destruction caused by the extension of gingival inflammation.
2. Describe bone destruction caused by trauma from occlusion.
3. Describe bone destruction caused by systemic disorders.
4. Outline factors determining bone morphology in periodontal disease.
5. Recognize bone destruction patterns in periodontal disease.
Chapter 24: Masticatory System Disorders That Influence the Periodontium
After studying the chapter and assigned materials, the student will be able to:
1. Describe the temporomandibular joint.
2. Outline the muscles and nerves of the masticatory system.
3. Describe centric relation.
4. Recognize dysfunction and deterioration associated with masticatory system disorders.
5. Describe orofacial pain associated with masticatory system disorders.
Chapter 25: Chronic Periodontitis
After studing the chapter and assigned materials, the student will be able to:
1. Describe the clinical features of chronic periodontitis.
2. Recognize risk factors for chronic periodontitis.
Chapter 26: Aggressive Periodontitis (Periodontitis Grade C)
After studying the chapter and assigned materials, the student will be able to:
1. Recognize the classification and clinical characteristics of aggressive periodontitis.
2. Outline the pathobiology and risk factors associated with aggressive periodontitis.
3. Describe therapeutic considerations for aggressive periodontitis.
Chapter 27: Necrotizing Ulcerative Periodontitis
After studying the chapter and assigned materials, the student will be able to:
1. Recognize the clinical features of necrotizing ulcerative periodontitis.
2. Describe the microscopic findings associated with necrotizing ulcerative periodontitis.
3. Describe the association of patients with HIV/AIDS and necrotizing ulcerative periodontitis.
4. Identify the etiology of necrotizing ulcerative periodontitis.
5. Explain the relationship between malnutrition and necrotizing ulcerative periodontitis.
Chapter 28: Management of Periodontal Problems in Patients with Human Immunodeficiency Virus Infection
After studying the chapter and assigned materials, the student will be able to:
1. Explain the pathogenesis, classification, and staging of periodontal problems in human immunodeficiency virus-infected patients.
2. Outline complications of dental treatment in the management of patients with human immunodeficiency virus infection.
3. Describe gingival and periodontal diseases associated in patients with human immunodeficiency virus infection.
4. Outline the periodontal treatment protocol in patients with human immunodeficiency virus infection.
Chapter 29: Levels of Clinical Significance
After studying the chapter and assigned materials, the student will be able to:
1. Describe tangible versus intangible benefits.
2. Evaluate the size of the treatment effect.
3. Define four levels of clinical significance.
Chapter 30: Periodontal Examination and Diagnosis
After studying the chapter and assigned materials, the student will be able to:
1. Recognize the overall appraisal of the patient.
2. Evaluate the health and dental history.
3. Explain the need for photographic documentation.
4. Compare and contrast the clinical examination, tactile periodontal examination, and periodontal charting.
5. Describe the examination of the teeth and implants.
6. Discuss the importance of a radiographic examination.
7. Outline laboratory aids to clinical diagnosis.
8. Describe a periodontal diagnosis.
9. Explain the assessment of biofilm control and patient education.
Chapter 31: Radiographic Aids in the Diagnosis of Periodontal Disease
After studying the chapter and assigned materials, the student will be able to:
1. Recognize normal interdental bone.
2. Identify radiographic techniques.
3. Describe bone destruction in periodontal disease.
4. Recognize the radiographic appearance of periodontal disease.
5. Discuss digital intraoral radiography.
6. Identify advanced imaging modalities.
Chapter 32: Clinical Risk Assessment
After studying the chapter and assigned materials, the student will be able to:
1. Define risk assessment.
2. Outline risk factors for periodontal disease.
3. Describe risk determinants and background characteristics for periodontal disease.
4. Describe risk indicators for periodontal disease.
5. Outline risk markers and predictors for periodontal disease.
6. Identify clinical risk assessment for periodontal disease.
Chapter 33: Determination of Prognosis
After studying the chapter and assigned materials, the student will be able to:
1. Define prognosis.
2. Outline types of prognosis.
3. Describe factors in the determination of prognosis.
4. Outline prognosis of specific periodontal diseases.
5. Describe the determination and reassessment of prognosis.
Chapter 34: Treatment Planning and the Rationale for Periodontal Treatment
After studying the chapter and assigned materials, the student will be able to:
1. Explain an overall treatment plan for a patient with periodontal disease.
2. Outline the sequence of therapy.
3. Explain the treatment plan to the patient.
Chapter 36: Periodontal Treatment of Medically Compromised Patients
After studying the chapter and assigned materials, the student will be able to:
1. Outline a treatment plan for the following medically compromised patients:
a) Cardiovascular diseases b) Endocrine disorders c) Hemorrhagic disorders d) Renal diseases e) Liver diseases f) Pulmonary diseases g) Medications and cancer therapies h) Prosthetic joint replacement i) Pregnancy j) Infectious diseases
Chapter 37: Periodontal Therapy in the Female Patient
After studying the chapter and assigned materials, the student will be able to:
1. Discuss periodontal therapy in the following: a) Puberty b) Menses c) Pregnancy d) Patient taking oral contraceptives e) Menopause
Chapter 38: Periodontal Treatment in Older Adults
After studying the chapter and assigned materials, the student will be able to:
1. Recognize characteristics of the aging periodontium.
2. Identify demographics.
3. Describe dental and medical assessments.
4. Identify periodontal diseases in older adults.
5. Explain periodontal treatment planning for older adults.
Chapter 39: Treatment of Aggressive and Atypical Forms of Periodontitis
After studying the chapter and assigned materials, the student will be able to:
1. Describe aggressive periodontitis.
2. Describe the term refractory periodontitis and treatment.
3. Identify necrotizing ulcerative periodontitis.
Chapter 40: Treatment of Acute Gingival Disease
After studying the chapter and assigned materials, the student will be able to:
1. Describe necrotizing ulcerative gingivitis and treatment.
2. Describe primary herpetic gingivostomatitis and treatment.
3. Describe pericoronitis and treatment.
Chapter 41: Treatment of Periodontal Abscess
After studying the chapter and assigned materials, the student will be able to:
1. Outline the classification of abscesses.
2. Identify specific treatment approaches for the types of abscesses.
Chapter 42: Phase I Periodontal Therapy
After studying the chapter and assigned materials, the student will be able to:
1. Outline the rationale for Phase I Periodontal Therapy
2. Describe treatment sessions and sequence of procedures in Phase I Periodontal Therapy.
3. Identify results in Phase I Periodontal Therapy.
4. Describe healing in Phase I Periodontal Therapy.
5. Discuss referral to a specialist for treatment.
Chapter 47: Systemic and Local Anti-Infective Therapy for Periodontal Diseases
After studying the chapter and assigned materials, the student will be able to:
1. Identify the various systemic antibiotics.
2. Discuss systemic administration of antibiotics.
3. Discuss combination antibiotic therapy.
4. Outline the decision tree for the selection of antibiotic therapy.
5. Discuss locally delivered antibiotics.
6. Discuss local administration of antibiotics.
Chapter 49: Phase II Periodontal Therapy
After studying the chapter and assigned materials, the student will be able to:
1. Outline the objectives of the surgical phase.
2. Differentiate between pocket elimination versus pocket maintenance.
3. Discuss the term reevaluation after Phase I therapy.
4. Identify critical zones in pocket surgery.
5. Explain indications for periodontal surgery.
6. Explain methods of pocket therapy.
Chapter 50: General Principles and Types of Periodontal Surgery
After studying the chapter and assigned materials, the student will be able to:
1. Outline the principles of periodontal surgery.
2. Discuss when hospital periodontal surgery may be indicated.
3. Identify types of periodontal surgeries.
4. Identify gingival surgery.
5. Identify surgical instruments.
6. Describe flap surgery.
Chapter 53: Supportive Periodontal Treatment
After studying the chapter and assigned materials, the student will be able to:
1. Explain the rationale for supportive periodontal treatment.
2. Outline a maintenance program.
3. Describe the classification of post-treatment patients and risk assessment.
4. Discuss when to refer patients to the periodontist.
5. Describe tests for disease activity.
Chapter 54: Results of Periodontal Treatment
After studying the chapter and assigned materials, the student will be able to:
1. Discuss the prevention and treatment of gingivitis.
2. Outline prevention and treatment of loss of attachment.
3. Explain tooth mortality.
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 Student Rights and Responsibilities publication. This document may be located online at www.actx.edu
"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. Polices, 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 polices for Dental Hygiene students at Amarillo College. The instructor expects students to adhere to the professional and civility policies outlined for the program and evidenced by student signatures each semester.
Cell Phone and Electronic Device Policy
Cell phones and other electronic devices may detract from the learning environment. For this reason, they should be silenced and put away out of view before entering the classroom. The personal use of cell phones in the classroom is not permitted. Cell phones may be checked at designated break times. Students who choose to violate the cell phone policy in class will receive a 0 in the grade book for the day.
Mailboxes
Each student is assigned a mailbox located inside the student locker room. Students are required to check his/her mailbox daily for various communication from the faculty.
Bulletin Board
First and second-year dental hygiene students have designated areas on a shared bulletin board inside the student locker room where various announcements may be posted.
Emergency Contacts
Phone numbers that family members may use to reach a student in case of an emergency are as follows:
Dental Clinic Supervisor: (806) 354-6050
Amarillo College Police: (806) 371-5163
Academic Grievance Procedure
A student who has a grievance concerning an academic course in which he or she is enrolled is directed to appeal in the following order to the: (1) Instructor (2) Department Chair/Program Director (3) Dean of Health Sciences/Division Committee (5) Assistant Vice President of Academic Affairs (6) Vice President of Academic Affairs and (7) President in that order.
Required Examinations and Projects
The course will consist of weekly chapter tests, a mid-term examination, homework, lab assignments to support learning, a case study exam and a comprehensive final. Please refer to the course calendar for the schedule of materials to be covered in each class and 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. Chapter Tests – Each will be valued at 100% and constitute 30% of your final grade.
B . Mid-Term Exam - Will constitute 25% of your final grade
C. Homework Assignments - Constitute 5% of your final grade.
D. Case Study Exam - Constitute 15% of your final grade.
E. Comprehensive Final Examination - Constitute 25% of your final grade.
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 for this Course:
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. A student will receive a remediation ticket with the instructor keeping the duplicate copy. In DHYG 1211, students will be required to complete a hand-written adaptive quiz assignment on the subject of periodontology. 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 examination is given, the student may make up the missed work as follows:
1. It is the student's responsibility 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 the day ends at 4:00 p.m.
3. The student's make-up work may earn 80% of the original point value.
Attendance Policy
"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). Absences will be monitored and evaluated to determine the student's final course grade. A student with less than 90% attendance in class or lab may fail the course. Student absenteeism jeopardizes the completion of the course. The instructor will take roll for each class and note absences for each student. Students who are not present for roll call are counted absent. Students must report any anticipated class/lab absence to the instructor. A student who leaves class or lab early will be counted absent. A student will receive ONE bonus point to the final grade for perfect attendance, with a prior passing minimum average of 75%.
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Periodontology Calendar Fall 2023
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05/22/23 10:22 AM
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