HomeMy WebLinkAboutDHY-2091 | A s s t . P r o f . D . A v r u t i k – P e r i o d o n t o l o g y I S y l l a b u s ( D H Y 2 09)
Bergen Community College
Division of Health Professions
Dental Hygiene Department
Course Title: Periodontolgy I – DHY 209HY
Term: Spring 2014
Hours/Credits: 1 Lecture hour/1 Credit
Pre-Requisites: BIO-104, BIO-109, DHY-101, DHY- 108 and DHY-109
Class Day and Time: DHY 209-001 - Friday 10:30 AM – 11:20 AM
DHY 209-002 - Friday 11:35 AM – 12:25 PM
Classroom: Pitkin Education Center - B-322
Instructor: Denise D. Avrutik, RDH, MS
Office Hours: Monday: 7:30 AM – 8:30 AM and 12:00 Noon – 12:30 PM
Tuesday: 12:30 PM – 1:00 PM
Wednesday: 7:30 AM – 8: 30 AM
Also by appointment – Telephone: 201- 493-3628
Office: B-313
Email Address: davrutik@bergen.edu
Textbook: Nield-Gehrig, J.S., Willmann, D., Foundations of Periodontics for the
Dental Hygienist. Wolters, Kluwer/Lippincott, Williams and Wilkins. 3rd
Edition, 2011.
Instructional Resources:
BCC Library and Resource Center
Dental/Dental Hygiene Journals – National and International
Web-based resources
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Internet Resources:
www.adha.org (American Dental Hygienists’ Association)
www.ada.org (American Dental Association)
www.cochrane.org (Cochrane Reviews)
http;//thePoint.lww.com - Periodontal Resources on the Internet – companion
adjunct to your textbook.
Course Description:
This course is the study of the principles and concepts of periodontal disease
including the tissues surrounding the teeth in both healthy and diseased states.
Soft tissue management, periodontal therapies and case management are
discussed. The role of systemic disease and periodontal health is also
addressed. Prerequisites: BIO-104, BIO-109, DHY-101, DHY-108 and DHY-109
Course Objectives:
Upon completion of the course, the student will be able to:
Achieve accuracy in using periodontal terminology.
Describe the clinical and microscopic appearance of the tissues of the
periodontium in health.
Define and contrast the terms gingival disease, periodontal disease and
periodontitis.
Discuss the controlling factors in periodontal disease.
Identify the risk factors of periodontal disease.
List, describe and identify the various periodontal diseases in the classification
system established by the American Academy of Periodontology.
Describe the factors that influence the progression of periodontal disease.
Explain the role epidemiology plays in evaluating the prevalence of periodontal
disease.
Define the term oral biofilm and describe its role in gingival health and disease.
State the most effective ways to control dental plaque biofilms.
Identify the local etiologic factors that influence plaque biofilm pathogenicity and
retention.
Describe the immune system and explain its primary function.
Define the term inflammation and name the events that can trigger an
inflammatory response.
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Describe the role of the host response in periodontal disease.
Explain the pathogenesis of inflammatory periodontal disease.
Describe the systemic risk factors for periodontitis.
Identify the genetic risk factors for periodontitis.
Discuss the implications of smoking on periodontal health status.
Compare and contrast the characteristics and clinical appearance of healthy and
inflamed gingival tissue.
Define the two major subdivisions of gingival disease as established by the
American Academy of Periodontology.
Name, define and describe the three major categories of periodontitis.
Compare and contrast the clinical and radiographic features of chronic
periodontitis and aggressive periodontitis.
Name and explain systemic and genetic factors that may contribute to the
initiation and progression of periodontitis.
Describe the possible role periodontitis plays as a risk factor for systemic disease.
Competencies for Entry into the Profession of Dental Hygiene
Dental hygienists must complete an accredited educational program and qualify for
licensure in any state or jurisdiction. They practice in collaboration with dental and
other health care professionals in a variety of settings.
Core Competencies (C)
C.1 Apply a professional code of ethics in all endeavors.
C.2 Adhere to state and federal laws, recommendations, and regulations in the
provision of oral health care.
C.3 Use critical thinking skills and comprehensive problem-solving to identify oral health
care strategies that promote patient health and wellness.
C.4 Use evidence-based decision making to evaluate emerging technology and
treatment modalities to integrate into patient dental hygiene care plans to achieve high-
quality, cost-effective care.
C.5 Assume responsibility for professional actions and care based on accepted scientific
theories, research, and the accepted standard of care.
C.6 Continuously performs self-assessment for lifelong learning and professional
growth.
C.7 Integrate accepted scientific theories and research into educational, preventive, and
therapeutic oral health services.
C.8 Promote the values of the dental hygiene profession through service-based
activities, positive community affiliations, and active involvement in local organizations.
C.9 Apply quality assurance mechanisms to ensure continuous commitment to accepted
standards of care.
C.10 Communicate effectively with diverse individuals and groups, serving all persons
without discrimination by acknowledging and appreciating diversity.
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C.11 Record accurate, consistent, and complete documentation of oral health services
provided.
C.12 Initiate a collaborative approach with all patients when developing individualized
care plans that are specialized, comprehensive, culturally sensitive, and acceptable to all
parties involved in care planning.
C.13 Initiate consultations and collaborations with all relevant health care providers to
facilitate optimal treatments.
C.14 Manage medical emergencies by using professional judgment, providing life
support, and utilizing required CPR and any specialized training or knowledge.
Health Promotion and Disease Prevention (HP)
HP.1 Promote positive values of overall health and wellness to the public and
organizations within and outside the profession.
HP.2 Respect the goals, values, beliefs, and preferences of all patients.
HP.3 Refer patients who may have physiological, psychological, or social problems for
comprehensive evaluation.
HP.4 Identify individual and population risk factors, and develop strategies that promote
health-related quality of life.
HP.5 Evaluate factors that can be used to promote patient adherence to disease
prevention or health maintenance strategies.
HP.6 Utilize methods that ensure the health and safety of the patient and the oral
health professional in the delivery of care.
Community Involvement (CM)
CM.1 Assess the oral health needs and services of the community to determine action
plans and availability of resources to meet the health care needs.
CM.2 Provide screening, referral, and educational services that allow patients to access
the resources of the health care system.
CM.3 Provide community oral health services in a variety of settings.
CM.4 Facilitate patient access to oral health services by influencing individuals or
organizations for the provision of oral health care.
CM.5 Evaluate reimbursement mechanisms and their impact on the patient’s access to
oral health care.
CM.6 Evaluate the outcomes of community-based programs, and plan for future
activities.
CM.7 Advocate for effective oral health care for underserved populations.
Patient Care (PC)
Assessment
PC.1 Systematically collect, analyze, and record diagnostic data on the general, oral,
and psychosocial health status of a variety of patients using methods consistent with
medical legal principles.
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PC.2 Recognize predisposing and etiologic risk factors that require intervention to
prevent disease.
PC.3 Recognize the relationships among systemic disease, medications, and oral health
that impact overall patient care and treatment outcomes.
PC.4 Identify patients at risk for a medical emergency, and manage the patient care in
a manner that prevents an emergency.
Dental Hygiene Diagnosis
PC.5 Use patient assessment data, diagnostic technologies, and critical decision making
skills to determine a dental hygiene diagnosis, a component of the dental diagnosis, to
reach conclusions about the patient’s dental hygiene care needs.
Planning
PC.6 Utilize reflective judgment in developing a comprehensive patient dental hygiene
care plan.
PC.7 Collaborate with the patient and other health professionals as indicated to
formulate a comprehensive dental hygiene care plan that is patient-centered and based
on the best scientific evidence and professional judgment.
PC.8 Make referrals to professional colleagues and other health care professionals as
indicated in the patient care plan.
PC.9 Obtain the patient’s informed consent based on a thorough case presentation.
Implementation
PC.10 Provide specialized treatment that includes educational, preventive, and
therapeutic services designed to achieve and maintain oral health. Partner with the
patient in achieving oral health goals.
Evaluation
PC.11 Evaluate the effectiveness of the provided services, and modify care plans as
needed.
PC.12 Determine the outcomes of dental hygiene interventions using indices,
instruments, examination techniques, and patient self-reports as specified in patient
goals.
PC.13 Compare actual outcomes to expected outcomes, reevaluating goals, diagnoses,
and services when expected outcomes are not achieved.
Professional Growth and Development (PGD)
PGD.1 Pursue career opportunities within health care, industry, education, research,
and other roles as they evolve for the dental hygienist.
PGD.2 Develop practice management and marketing strategies to be used in the
delivery of oral health care.
PGD.3 Access professional and social networks to pursue professional goals
Reference: American Dental Education Association, House of Delegates, (2111),
Competencies for Entry into the Profession of Dental Hygiene
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Curriculum Core Competencies:
Apply a professional code of ethics in all endeavors.
Adhere to state and federal laws, recommendations, and regulation in the
provision of dental hygiene care.
Provide dental hygiene care to promote patient/client health and wellness using
critical thinking and problem solving skills in the provision of evidenced based on
practice.
Use evidence based decision making to evaluate and incorporate emerging
treatment modalities.
Assume responsibility for dental hygiene actions and care based on accepted
scientific theories and research as well as the accepted standard of care.
Communicate effectively with individuals and groups from diverse populations
both verbally and in writing.
Teaching Methodology: Periodontology I is a hybrid online course. A portion of the
course work will be presented by lecture and PowerPoint presentations in class and the
remainder will be offered online. Inquiry learning and case studies are often utilized to
engage the students and increase the student’s understanding, contribution and
participation in the course.
ADA Compliance Statement:
Students who require accommodations in accordance with the Americans with
Disabilities Act (ADA) can request these services from the Office of Specialized Services.
To learn more about how to apply for services. Please visit them at:
http://www.bergen.edu/oss
Examination Policy:
There will be 2 examinations during the semester. The exam dates will be announced
during session one of the Spring semester.
Make-up exams will be administered at the discretion of the instructor and will
represent a format different than the regularly scheduled exam. If the student misses
the scheduled make-up exam, a grade of “0” will be given.
Course Requirements:
Grading is the responsibility and province of the instructor. All students will be graded
consistently and fairly. Continuous open communication between student and instructor
will be encouraged and appreciated.
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There will be assigned readings and supplemental studies.
To receive a passing grade, students must achieve a grade average of 75 and above.
Evaluation:
The course grade will be based upon the following weights:
Two in-class examinations – A midterm and a cumulative final examination
Total weight - 80% - Both weighted equally (40% each)
Homework Assignments – 20%
The following grading system reflects the policy established by the college and shall be
used in this course:
A - 92 – 100
B+ - 89 – 91
B - 83 – 88
C+ - 80 – 82
C - 75 – 79
F - below 75
Grading Policy
It is an unfortunate feature of grade windows that many people are within a point of
the next higher grade. In order to maintain the integrity of the system I feel that I have
to be consistent in allocating grades. In doing so, I don’t think that one can permit
personal issues to influence the decision. I have outlined a grading scheme that is as
generous as possible but maintains the standards of the college. In doing so I am not
able to change the assigned grades.
Examination Grade Policy
A cumulative average of 75 must be achieved on all examinations in Periodontology I to
successfully pass the course. When a student has not been able to earn a “C” grade or
better, the student will receive the letter grade “F” which signifies the course must be
repeated.
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Attendance/Punctuality:
Bergen Community College’s attendance policy states: “All students are expected to
attend punctually every scheduled meeting of each course in which they are registered.
Attendance and lateness policies and sanctions are to be determined by the instructor
of each course.”
All program classes and activities must be prioritized. Scheduling conflicts must be
resolved by the student so that program classes and activities are met.
Please note that attendance is critical to successful completion of the program. It is
your responsibility to find out what you have missed by consulting the instructor. I will
not pursue you regarding your missed work.
More than two (2) unexcused absences will result in a loss of credit in this
course and will result in the student repeating the entire course.
Two tardy arrivals will equal one absence.
Absence of the Instructor:
As noted in the college catalog, students are expected to wait twenty (20) minutes for a
faculty member to come to class. If at the end of the twenty minutes, the faculty
member does not come, the students should sign an attendance sheet and indicate the
course, date and time. A student should deliver this attendance sheet to the dental
hygiene office. The students cannot be penalized by faculty for not waiting longer than
the twenty minutes.
Serious Illness, Injury or Pregnancy:
A student in the Dental Hygiene program, who sustains a serious illness, injury or
becomes pregnant, must present written medical permission to attend classes and
clinical practice at the time of resuming studies. Pregnant students must provide the
Dental Hygiene Coordinator with a written permission slip from their physician to
participate in radiology and clinical courses. The college medical office and the
instructor must each receive a copy of this medical clearance.
Your good health is essential to the practice of dental hygiene. In order to successfully
complete the program, full participation in all areas of practice is required regardless of
medical conditions.
Academic Conduct:
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The Dental Hygiene faculty adheres to the policy statement governing academic
conduct as outlined in the Bergen Community College catalog.
Tape recorders are not permitted in DHY 209.
Faculty may not post exam grades due to laws.
Faculty reserve the right to delay the return of exam grades until all students
have taken the exam and faculty review of the exam has been completed.
Cheating, plagarism and unethical behavior will not be tolerated. Any student
who has demonstrated any of the above behaviors will be disciplined according
to college procedures.
Cell phone use is NOT permitted during class.
Please advise your professor prior to class.
Progression Requirements:
A student must complete the Dental Hygiene program within four consecutive
years from enrollment in the program.
Two core dental hygiene course failures prohibit the student from progressing in
the program.
All dental hygiene students who are withdrawing from a dental hygiene course
(DHY) or have received an “F” grade in any course must notify the dental
hygiene program chairman about their intention to repeat the course.
General science and education pre- and co- requisites must be fulfilled as listed
in the course sequence of the catalog and program brochure.
It is the responsibility of the individual student to review the prerequisites for
each course prior to registration.
Recommended Practice:
To effectively manage the course for successful completion, the following is
recommended:
Read and follow the course syllabus
Follow the course calendar
Complete all of the required readings, assignments and reviews.
Use the email communication system for communicating with each other and
your professor on a regular basis.
Consult the instructor if you have any questions regarding the course material.
Email and Moodle Communication
I will attempt to answer all email communication within 24 hours of receipt Monday
through Friday. The only exception to this would be on my non-teaching day which is
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Thursday. I will check my email at a minimum of once during the weekend and will
answer all weekend Moodle mail by 8:30 PM on Sunday. Please check your email on a
daily basis and respond in an efficient manner. If you would like to schedule an online
discussion with me please email me a suggested time.
Netiquette Reminders During Discussions and Forums
Remember to be respectful, keep your responses on topic, post your messages to the
appropriate audience, quote responsibly and reply substantially and keep your
responses jargon free.
Assignments:
All assignments must be submitted by the designated date and time. No late
assignments will be accepted.
Moodle
When possible, Power Point presentations will be placed on Moodle for class and online
teaching.
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Course Content
(Subject to change)
Month Topic Assigned
Readings
Competencies
January
25 Periodontal Disease Chapters 1, 2 and
3
HW – Focus on
Patients Pg. 65
C.1,3,5,7,9,11,12,13,
HP. 1,3,4,5,
PC.1,2,3,5,6,7,8,10,11,
12, 13
February
01 Classifications of Periodontal
Disease
Chapter 4
C.1,3,5,7,9,11,12,13,
HP. 1,3,4,5,
PC.1,2,3,5,6,7,8,10,11,
12, 13
08 Causes of Periodontal Disease Chapter 5
HW – Focus on
Patients
Pg. 92
C.1,3,5,7,9,11,12,13,
HP. 1,3,4,5,
PC.1,2,3,5,6,7,8,10,11,
12, 13
15 Oral Biofilms and Periodontal
Infections
Chapter 6
HW – Focus on
Patients
Pg. 118
C.1,3,5,7,9,11,12,13,
HP. 1,3,4,5,
PC.1,2,3,5,6,7,8,10,11,
12, 13
22 Local Contributing Factors to
Periodontal Disease
Chapter 7
HW- Focus on
Patients
Pg. 134
C.1,3,5,7,9,11,12,13,
HP. 1,3,4,5,
PC.1,2,3,5,6,7,8,10,11,
12, 13
March
01 Immunity and Inflammation Chapter 8
HW – Focus on
Patients
Pg. 154
C.1,3,5,7,9,11,12,13,
HP. 1,3,4,5,
PC.1,2,3,5,6,7,8,10,11,
12, 13
08 Host Immune Response to
Periodontal Pathogens
Chapter 9
HW – Focus on
Patients
Pg. 169
C.1,3,5,7,9,11,12,13,
HP. 1,3,4,5,
PC.1,2,3,5,6,7,8,10,11,
12, 13
15 Midterm Exam
22 Spring Break
29 Systemic Factors Associated
with Periodontal Disease
Chapter 10
HW – Focus on
Patients
Pg. 191
C.1,3,5,7,9,11,12,13,
HP. 1,3,4,5,
PC.1,2,3,5,6,7,8,10,11,
12, 13
April
05 Smoking and Periodontal Chapter 11 and 12 C.1,3,5,7,9,11,12,13,
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Disease
Etiologic Risk Factors for
Periodontitis
HW – Focus on
Patients
Pgs. 205, 218
HP. 1,3,4,5,
CM. 1,2,3,4,5,6,7
PC.1,2,3,5,6,7,8,10,11,
12, 13
12 Clinical Features of the Gingiva
and Diseases of the Gingiva
Chapter 13, 14
HW – Focus on
Patients
Pgs. 233, 250
C.1,3,5,7,9,11,12,13,
HP. 1,3,4,5,
PC.1,2,3,5,6,7,8,10,11,
12, 13
19 Chronic Periodontitis Chapter 15
HW – Focus on
Patients
Pg. 267
C.1,3,5,7,9,11,12,13,
HP. 1,3,4,5,
PC.1,2,3,5,6,7,8,10,11,
12, 13
26 Aggressive Periodontitis and
Other Periodontal Conditions
Chapter 16, 17
HW – Focus on
Patients
Pg. 294
C.1,3,5,7,9,11,12,13,
HP. 1,3,4,5,
PC.1,2,3,5,6,7,8,10,11,
12, 13
May
3 Periodontitis as a Risk Factor for
Systemic Disease
Chapter 18
C.1,3,5,7,9,11,12,13,
HP. 1,3,4,5,
PC.1,2,3,5,6,7,8,10,11,
12, 13
10 Cumulative Final Exam
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Lecture Outline
Lecture 1 Periodontal Disease
Goal: To introduce the student to the periodontium in health and disease.
Objectives: 1. Describe sequentially the embryologic and histologic
development of the periodontium.
2. List and recognize the clinical, histologic and radiographic
features of periodontal health, and the varying classifications of
gingivitis and periodontitis.
3. Describe the functions of the periodontium as a whole and the
in functions of the individual components.
4. Define the term pathogenesis.
5. Define periodontal disease and contrast it to periodontitis.
6. Name and describe two types of periodontal disease.
7. Clinically identify the visible clinical signs of periodontal health,
gingivitis and periodontal disease.
8. Describe the development of periodontal disease.
9. Describe the position of the crest of the alveolar bone in
gingivitis.
10. Describe the position of the junctional epithelium in health,
gingivitis, and periodontitis.
11. Describe the progressive destruction of alveolar bone loss that
occurs in periodontitis.
12. Compare and contrast horizontal and vertical bone loss.
13. Define the terms active disease site and inactive disease site.
14. Explain attachment loss.
15. Define the term gingival pocket.
16. Define the term periodontal pocket.
17. Describe suprabony and infrabony pockets.
Lecture 2 Classifications of Periodontal Disease
Goal: Outline the American Academy of Periodontology’s Classification of
Periodontal Disease.
Objectives: 1. List, describe and contrast all of the American Academy of
Periodontology’s classification of periodontal disease.
2. Define and contrast the terms gingival disease, periodontal
disease and periodontitis.
3. Describe plaque induced gingival diseases, gingival diseases
modified by systemic factors and non plaque induced gingival
lesions.
4. Define and contrast the terms chronic periodontitis and
aggressive periodontitis.
Lectures 3 Causes of Periodontal Disease
Goal: Introduces the student to the epidemiology of periodontal disease.
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Objectives: 1. Describe the variables in periodontal disease.
2. Define the prevalence and incidence as measurements of
disease in a population.
3. Discuss the historical and current theories associated with
progression of periodontal disease.
4. Describe how clinical dental hygiene practice can be affected by
epidemiological research.
Lecture 4 Oral Biofilms and Periodontal Infections
Goal: Explain the role of bacteria in the initiation and progression of
periodontal disease.
Objectives: 1. Define the term biofilm and explain the advantages and
disadvantages to bacteria living in biofilm.
2. Name the three bacteria designated as periodontal pathogens
by the World Workshop in Periodontology.
3. Identify the bacteria associated with health, gingival disease
and periodontitis.
4. Name, identify and describe the components of the biofilm
structure.
5. Explain the significance of each component of the biofilm
structure.
6. Explain why systemic antibiotics and antimicrobial agents
are not effective in eliminating dental plaque biofilms.
7. State the most effective ways to control dental plaque biofilm.
8. Explain why frequent periodontal instrumentation is vital in
in the control of dental plaque biofilms within a periodontal
pockets.
Lectures 5 Local Contributing Factors to Periodontal Disease
Goal: Explain how local contributing factors can increase the risk of
developing and allowing the progression of gingivitis or periodontitis.
Objectives: 1. Define the terms pathogenicity and local contributing factors.
2. Identify the local etiologic factors that contribute to the
retention of microbial plaque.
3. Identify and differentiate the location, composition, modes of
attachment, mechanisms of mineralization, and pathologic
potential of supragingival and subgingival calculus deposits.
4. Describe the role of trauma from occlusion as a contributing
factor in periodontal disease.
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Lectures 6 Immunity and Inflammation
Goal: Study the immune system and inflammation and the role they play in
our body’s defense system.
Objectives: 1. Define the term immune system and name its primary
function.
2. Define the term inflammation and name two events that can
trigger the inflammatory response.
3. Compare and contrast acute inflammation and chronic
inflammation.
4. Define the term phagocytosis and describe the steps in this
process.
5. Describe the role of polymorphonuclear leukocytes in the
immune system.
6. Describe the role of macrophages in the immune system.
7. Describe the three ways that antibodies participate in the
host defense.
8. Describe the role of B lymphocytes and T lymphocytes in
in the immune system.
9. Define the term inflammatory mediator.
Lecture 7 Host Immune Response to Periodontic Pathogens
Goal: Study the body’s response to periodontal pathogens.
Objectives: 1. Define the term immune system and name its primary function.
2. Define the term biochemical mediator and name three types of
mediators.
3. Describe the tissue destruction that can be initiated by the
biochemical mediators secreted by immune cells.
4. Describe the development of periodontal disease.
5. Describe the role of the host response in the severity and
tissue destruction of periodontitis.
6. Explain the immunologic interactions of the host in periodontal
disease.
Discuss current knowledge of the immunopathology of periodontal
disease.
Lecture 8 Systemic Factors Associated with Periodontal Disease
Goal: Examine the relationship of systemic risk factors and tobacco smoking
in periodontitis.
Objectives: 1. Describe systemic factors that may modify or exaggerate the
host response to periodontal pathogens.
2. Discuss the implications of diabetes on the periodontium.
3. Explain the link between skeletal osteoporosis and alveolar
bone loss in the jaw.
4. Discuss how hormone alterations may affect the periodontium.
5. Describe a pregnancy-associated pyogenic granuloma.
6. Explain the implications of Down Syndrome on the
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periodontium.
Lectures 9 Smoking and Periodontal Disease
Etiologic Risk Factors for Periodontitis
Goal: Discuss the contributing etiologic risk factors for periodontitis and
describe the causes, appearance and management for chronic
periodontitis.
Objectives: 1. Discuss the implications of smoking on periodontal health.
2. Discuss the implications of smoking on the host response to
periodontal disease.
3. Describe the effects of smoking on periodontal treatment
outcomes.
4. Explain why tobacco cessation counseling is a valuable part of
patient care and a routine component of periodontal of
treatment.
5. Define the term biologic equilibrium.
6. Describe the factors that can disrupt the balance between
health and disease in the periodontium.
7. Define and provide examples of the term contributing risk
factors.
8. Name and define the three major categories of periodontitis.
9. Identify and describe the clinical and radiographic features of
chronic periodontitis.
10. Define the term clinical attachment loss.
11. List systemic factors that may contribute to chronic
periodontitis.
12. Define recurrent and refractory periodontitis.
Lecture 10 Clinical Features of the Gingiva and Diseases of the Gingiva
Goal: Describe the appearance of healthy and diseased gingiva and to
differentiate between dental plaque induced gingival diseases and
non-plaque induced gingival lesions.
Objectives: 1. Describe the characteristics of healthy gingiva.
2. List the clinical signs of inflammation.
3. Compare and contrast the clinical features of healthy and
inflamed gingival tissue.
4. Differentiate between the color of acute and chronic
inflammation.
5. Differentiate between bulbous, blunted and cratered papilla.
6. Name and describe the two subdivisions of gingival disease.
7. List systemic factors that may modify gingival disease.
8. Explain how medications and malnutrition can modify gingival
disease.
9. Name three types of medications that can cause gingival
enlargement.
10. Describe the protocols utilized for managing patients with
primary herpetic gingivostomatitis.
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Lecture 11 Chronic Periodontitis
Goal: Describe the classifications of periodontitis, the general characteristics
of chronic periodontitis, the severity, extent and the progression of
periodontitis. Differentiate between refractory and recurrent forms of
chronic periodontitis. Discuss initial nonsurgical therapy in the
treatment of chronic periodontitis.
Objectives: 1. Name and describe the three major categories of periodontitis.
2. Recognize and describe clinical and radiographic features of
chronic periodontitis.
3. Define the term clinical attachment loss.
4. In the clinical setting, explain to your patient the signs and
symptoms of chronic periodontal disease.
5. In a clinical setting for a patient with chronic periodontitis,
describe to your instructor the clinical signs of disease present
in the patient’s mouth.
6. List systemic factors that may be contributing factors to
periodontitis.
7. Define and differentiate between recurrent and refractory
periodontitis.
Lecture 12 Aggressive Periodontitis and Other Periodontal Conditions
Goal: Examine the characteristics, appearance and treatment of aggressive
periodontitis and discuss less common forms of periodontal conditions.
Objectives: 1. Compare and contrast the clinical and radiographic features
of chronic periodontitis and aggressive periodontitis.
2. Describe the treatment for aggressive periodontitis.
3. Differentiate between localized and generalized aggressive
periodontitis clinically and radiographically.
4. Define necrotizing periodontal diseases.
5. Describe the tissue destruction that occurs in necrotizing
periodontal diseases.
6. Compare and contrast the clinical findings of necrotizing
ulcerative gingivitis and necrotizing ulcerative periodontitis.
7. Compare and contrast the tissue destruction in chronic
periodontitis with that seen in necrotizing ulcerative
periodontitis.
8. List the local factors that may contribute to the initiation
and progression of periodontitis.
9. Describe how secondary occlusion can lead to rapid bone loss.
Lecture 13 Periodontitis as a Risk Factor for Systemic Disease
Goal: Study how the presence of a chronic oral infection such as
periodontitis may have an adverse effect on an individual’s systemic
health.
Objectives: 1. Describe the possible impact of periodontal infection on
cardiovascular health.
2. Discuss the possible impact of periodontal infection on
18 | A s s t . P r o f . D . A v r u t i k – P e r i o d o n t o l o g y I S y l l a b u s ( D H Y 2 09)
pregnancy outcomes.
3. Explain the probable bidirectional association between
periodontal disease and diabetes.
4. Discuss the association between periodontal disease and
pneumonia in health compromised individuals.
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B ergen County Community College
Division of Health Professions
Dental Hygiene Department
DHY 209 – Periodontology I
Spring 2014
Student Acknowledgment Verification
I, ________________________________________________ acknowledge that I have
read and understand the requirements of this course, DHY 209 – Periodontology I, and
agree to abide by the rules set forth in this course outline.
_____________________________ ____________________________________
Student Signature Denise D. Avrutik, RDH, MS
Assistant Professor, Dental Hygiene
January 24, 2014
Date