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Posted: 10/05/06

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DHY 200 - Periodontology

 

Course Description

Provides fundamental information on periodontal anatomy, pathogenesis of the periodontal diseases, and an introduction to modern rational periodontal therapy, including preventive, nonsurgical, and surgical methods.  Topics include:  tissues of the periodontium, epidemiology, the classification of periodontal diseases and conditions, disease prevention, disease treatment and management, drug therapy, immunology, microorganisms associated with periodontology, surgical and nonsurgical treatment, implantology and maintenance, and periodontal emergencies.

 

Competency Areas

Hours

Tissues of the Periodontium

Class

4

Epidemiology of Periodontal Diseases

D. Lab

 

Periodontal Diseases

P. Lab/O.B.I.

 

Disease Prevention and Treatment Planning

Credit

4

Nonsurgical Periodontal Disease Therapy

 

 

Drug Therapy

 

 

Immunology and Host Defense Mechanism

 

 

Microorganisms Associated with Periodontology

 

 

The Principles of Periodontal Surgery

 

 

Periodontal/Endodontic Emergencies

 

 

Implantology and Maintenance of Implants

 

 

 

Prerequisite:

DHY 101

Corequisite:

 

 

Course Guide

 

Competency

After completing this section, the student will be able to:

Hours

Class

D.Lab

P.Lab/

O.B.I.


Tissues of the Periodontium

4

 

 

 

Describe anatomy of the periodontal complex and basic histological features.

 

 

 

 

Describe etiologic factors of periodontal disease and their significance

 

 

 

 

Describe various forms of periodontal disease including histopathology.

 

 

 

 

Discuss the relationship between systemic health factors and the progression of periodontal disease, including immunological complex.

 

 

 

Epidemiology of Periodontal Diseases

 

 

 

 

Define and understand the prevalence data and

Risk factors associated with periodontal diseases.

3

 

 

Periodontal Diseases

8

 

 

 

Gingival Diseases

Dental plaque-induced gingival/ Non-plaque induced gingival lesions.

 

 

 

 

Chronic and Aggressive Periodontitis

As a manifestation of systemic diseases

 

 

 

 

Necrotizing Periodontal Diseases

 

 

 

 

Abscesses of the Periodontium

 

 

 

 

Periodontitis associated with endodontic lesions

 

 

 

 

Developmental or acquired deformities and conditions around the teeth

 

 

 

Disease Prevention and Treatment Planning

5

 

 

 

Describe various plaque control and desensitization techniques

 

 

 

 

Discuss the Theories and Strategies for motivating patients to take an active role in their own oral health care.

 

 

 

 

Understand the individual patient’s needs for Treatment Planning and develop a treatment plan utilizing all available assessment data.

 

 

 

 

Understand the need to reevaluate the dental hygiene plan of care to assess the tissue response and determine an appropriate STP interval, and evaluate the need for referral to a Periodontist.

 

 

 

 

Nonsurgical Periodontal Disease Therapy

5

 

 

 

Describe principles of scaling. root planing, periodontal debridement, and soft tissue curettage. Discuss specialized instrumentation techniques and armentarium for furcation involvement, and deep periodontal pocket therapy.

 

 

 

 

 

Describe the healing process and the desired short and long term goals nonsurgical periodontal therapy.

 

 

 

 

Discuss rationale for surgical therapy and post surgical care

 

 

 

 

Describe surgical and nonsurgical periodontal therapy methods utilizing the AAP decision continuum for treatment.

 

 

 

 

Understand the need for some aggressive periodontal treatment plans to include medical supervision due to systemic conditions

 

 

 

 

Discuss the relationship of tobacco use and the severity of periodontal diseases with the patient.

 

 

 

 

 

Understand The role traumatic occlusion plays in the severity of periodontal diseases

 

 

 

 

Discuss the plaque retentive factors, such as restoration contour, overhangs, orthodontic bands and faulty restorations and how removing these iatrogenic irritations can aid in the periodontal healing process.

 

 

 

Drug Therapy

2

 

 

 

Discuss current drug therapy related to periodontal disease including antimicrobial agents and methods of delivery.                                                             

 

 

 

 

Understand the systemic antibiotics that are used in the treatment of more aggressive forms of periodontal diseases.

 

 

 

Immunology and Host Defense Mechanism

3

 

 

 

Understand the orderly sequence of events that occurs in response to any injury or infection

 

 

 

 

Understand the importance PMNs function plays in the maintenance of periodontal health but how they may also be responsible for periodontal destruction

 

 

 

 

Understand the cellular elements and immunoglobulins involved in immune response in periodontal diseases

 

 

 

Microorganisms Associated with Periodontology

2

 

 

 

Understand the microbial flora found in the gingival crevice in health and disease

 

 

 

 

Discuss the pathogencity and the part it plays in tissue destruction

 

 

 

The Principles of Periodontal Surgery

4

 

 

 

Describe the conditions present in the Periodontium that may require surgical treatment.

 

 

 

 

Understand the potential therapy procedures and know when surgical intervention may be needed

 

 

 

 

Describe the advantages and disadvantages of periodontal surgical procedures with an understanding of the goals for the procedures

 

 

 

Periodontal/Endodontic Emergencies

1

 

 

 

Discuss the implications of gingival, periodontal and pericoronal abscesses in the periodontal disease process

 

 

 

Implantology and Maintenance of Implants

3

 

 

 

Understand the patient selection, and considerations for implant usage and the implant materials

 

 

 

 

Understand the clinical measures, evaluation of tissue; therapist instrumentation, and patient home care implications in implant care.

 

 

 

 

 

 

 

 

 

 

Suggested Resources

 

Weinberg, M., Westphal, C., Palat, M., and Froum, S.  Comprehensive Periodontics for the Dental Hygienist New Jersey:  Prentice Hall, 2006.

Newman, M., Takei, H., Carranza, F., Clinical Periodontology, Philadelphia:  W. B. Saunders, Ninth Edition, 2002.

Perry,  Dorothy, Phyllis Beemsterboer, and Edward Taggart.  Periodontology for the Dental Hygienist.  Philadelphia:  W. B. Saunders, Second Edition, 2001..

Schwartz, M., et al.  Clinical Guide to Periodontics.  Philadelphia:  W. B. Saunders, 1995.

Nield-Gehrig, Jill, and Ginger Houseman.  Fundamentals of Periodontal Instrumentation.  Third Edition.  Baltimore:  Williams & Wilkins, 2003.

Rateitschak, K., ed.  Color Atlas of Periodontology.  Revised Second Edition.  New York: Thieme Medical, 1989

 

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