HCC – Coleman College for Health Sciences
Dental Hygiene Program
Course Syllabus for Periodontology
Spring 2015 - DHYG 1211
Semester (CRN)
41524
Instructor contact information
Patricia (Patti) Jenkins
patricia.jenkins2@hccs.edu
713-718-8339
Office Location and Hours
Room 517
Office Hours: Tuesday – 1:00 pm – 4:00 pm
Wednesday – 1:00 pm – 4:00 pm
Friday – 9:00 am – 4:00 pm
Course Location/Times
Coleman College for Health Sciences
1900 Pressler Street
Houston, TX 77030
Tuesday – 9:30 am – 11:30 am
Room 577
Course Semester Credit Hours
(SCH) (lecture, lab) If applicable
Credit Hours: 2
Lecture Hours: 2
Total Course Contact Hours
32.00
Course Length (number of weeks) 16 weeks
Type of Instruction
Lecture
Course Description: Normal and diseased periodontium including the structural, functional,
and environmental factors. Emphasis on etiology, pathology, treatment modalities, and
therapeutic and preventive periodontics
PREREQUISITE(S):
Course Prerequisite(s)
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Completion of first semester of the dental hygiene curriculum with a 75% or higher in all
dental hygiene courses.
FREQUENT REQUISITES
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Departmental approval
Admission to the Program
College Level Reading
MATH 0312 (Intermediate Algebra)
College Level Writing
Academic Discipline/CTE Program Learning Outcomes
1. Health Promotion and Disease Prevention: The dental hygienist must be competent in the
performance and delivery of oral health promotion and disease prevention services in public
health, private practice and alternative settings.
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2. Patient Care: The dental hygienist must possess a thorough foundation in the biomedical,
clinical, and behavioral sciences and be able to apply those principles in assessment, diagnosis,
planning, implementation and evaluation of treatment
3. Professionalism: The dental Hygienist must be able to discern and manage ethical issues and
problems in dental practice, exercise critical thinking and sound clinical judgment and
communicate with other professionals.
4. Community Involvement: Dental hygienists must appreciate their role as health professionals
at the local, state, and national levels. The dental hygienist must assess, plan, and implement
programs and activities to benefit the general population. The dental hygienist must also be
prepared to influence others to facilitate access to care and services.
Course Student Learning Outcomes (SLO): 4 to 7
1. Provide dental hygiene care to promote patient/client health and wellness using critical
thinking and problem solving in the provision of evidenced-based practice
2. Recognize predisposing and etiologic risk factors that require intervention to prevent disease.
3. Recognize health conditions and medications that impact overall patient care.
4. Identify patient needs and significant findings that impact the delivery of dental hygiene
services
5. Establish a planned sequence of care (educational, clinical and evaluation) based on the
dental hygiene diagnosis; identified oral conditions; potential problems; etiologic and risk
factors; and available treatment modalities
6. Apply basic and advanced techniques of dental hygiene instrumentation to remove deposits
without trauma to hard and soft tissues
Learning Objectives (Numbering system should be linked to SLO - e.g., 1.1, 1.2, 1.3, etc.)
Provide dental hygiene care to promote patient/client health and wellness using critical
thinking and problem solving in the provision of evidenced-based practice
1. Apply the use of periodontal assessments to describe correctly a patient’s periodontal
condition, including all aspects of the periodontal disease prior to and after treatment.
Recognize predisposing and etiologic risk factors that require intervention to prevent
disease.
1. Understand the relationship of systemic factors and their contribution to periodontal disease
2. Itemize those factors that affect treatment progression of disease and anticipated response to
treatment.
3. Recognize and describe clinical, radiographic, microbiological, and histopathological features
of various periodontal diseases and differentiate among these diseases
Recognize health conditions and medications that impact overall patient care.
1. Discuss the outcome, techniques and medications that apply to periodontal therapy
2. Demonstrate patient education methods and the use of antimicrobial therapeutic agents used
in the treatment of periodontal therapy patients
3. Explain the role of the dental hygienist in the providing nonsurgical periodontal therapy or
supportive periodontal therapy.
Identify patient needs and significant findings that impact the delivery of dental hygiene
services
1. Understand the etiology and pathology of periodontal diseases including treatment modalities
used for therapy and prevention
Establish a planned sequence of care (educational, clinical and evaluation) based on the
dental hygiene diagnosis; identified oral conditions; potential problems; etiologic and
risk factors; and available treatment modalities
1. Interpret periodontal assessment data and develop a dental hygiene treatment plan.
2. List and describe the indices used to report plaque accumulation, periodontal status,
furcations involvement, tooth mobility, dental caries, root caries, and tooth wear. List and
recognize factors related to dental-implant management.
3. Apply the use of periodontal assessments to describe correctly a patient’s periodontal
condition, including all aspects of the periodontal disease prior to and after treatment.
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Apply basic and advanced techniques of dental hygiene instrumentation to remove
deposits without trauma to hard and soft tissues
1. Apply the principles of nonsurgical periodontal instrumentation to include OHI instruction, and
professional instrumentation in a clinical situation
2. Describe the management of surgical complications of periodontal therapy
3. Explain the role of the dental hygienist in the providing nonsurgical periodontal therapy or
supportive periodontal therapy
SCANS and/or Core Curriculum Competencies: If applicable SCANS
Provide dental hygiene care to promote patient/client health and wellness using critical
thinking and problem solving in the provision of evidenced-based practice
Workplace Competencies - Interpersonal -Teaches Others
Workplace Competencies - Interpersonal -Serves Clients/Customers
Recognize predisposing and etiologic risk factors that require intervention to prevent
disease.
Workplace Competencies - Information -Acquires & Evaluates
Workplace Competencies - Information -Interprets & Communicates
Recognize health conditions and medications that impact overall patient care.
Workplace Competencies - Interpersonal -Teaches Others
Workplace Competencies - Interpersonal -Serves Clients/Customers
Workplace Competencies - Interpersonal -Exercises Leadership
Workplace Competencies - Interpersonal -Negotiates to Arrive at a Decision
Identify patient needs and significant findings that impact the delivery of dental hygiene
services
Workplace Competencies - Interpersonal -Teaches Others
Workplace Competencies - Interpersonal -Serves Clients/Customers
Workplace Competencies - Interpersonal -Exercises Leadership
Workplace Competencies - Interpersonal -Works with Cultural Diversity
Establish a planned sequence of care (educational, clinical and evaluation) based on the
dental hygiene diagnosis; identified oral conditions; potential problems; etiologic and
risk factors; and available treatment modalities
Workplace Competencies - Information -Acquires & Evaluates
Workplace Competencies - Information -Organizes & Maintains
Workplace Competencies - Information -Interprets & Communicates
Apply basic and advanced techniques of dental hygiene instrumentation to remove
deposits without trauma to hard and soft tissues
Instructional Methods Face to Face
Student Assignments
Provide dental hygiene care to promote patient/client health
and wellness using critical thinking and problem solving in the provision of evidencedbased practice
Various assigned readings from textbooks, peer-rev
Discussions
Projects
Recognize predisposing and etiologic risk factors that require intervention to prevent
disease.
Various assigned readings from textbooks, peer-rev
Discussions
Papers
Presentations
Projects
Recognize health conditions and medications that impact overall patient care.
Various assigned readings from textbooks, peer-rev
Discussions
Papers
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Presentations
Projects
Identify patient needs and significant findings that impact the delivery of dental hygiene
services
Various assigned readings from textbooks, peer-rev
Discussions
Presentations
Projects
Establish a planned sequence of care (educational, clinical and evaluation) based on the
dental hygiene diagnosis; identified oral conditions; potential problems; etiologic and
risk factors; and available treatment modalities
Various assigned readings from textbooks, peer-rev
Discussions
Papers
Presentations
Projects
Apply basic and advanced techniques of dental hygiene instrumentation to remove
deposits without trauma to hard and soft tissues
Various assigned readings from textbooks, peer-rev
Projects
Student Assessment(s)
Provide dental hygiene care to promote patient/client health and wellness using critical
thinking and problem solving in the provision of evidenced-based practice
Writing papers including essays, analyses, reviews, research, comparing and contrasting
Oral and written peer-reviewed article reviews and discussions
Quizzes/Tests which may include: definitions, matching, multiple choice, true/false, short
answer, brief essay
Various assigned readings from textbooks
Recognize predisposing and etiologic risk factors that require intervention to prevent
disease.
Various assigned readings from textbooks
In-class discussions
Reading and then writing about seminal texts and theories
Quizzes/Tests which may include: definitions, matching, multiple choice, true/false, short
answer, brief essay
Group and/or individual projects
Recognize health conditions and medications that impact overall patient care.
Various assigned readings from textbooks
Quizzes/Tests which may include: definitions, matching, multiple choice, true/false, short
answer, brief essay
Group and/or individual projects
Identify patient needs and significant findings that impact the delivery of dental hygiene
services
Various assigned readings from textbooks
Essays, internet searches with concomitant essays
In-class discussions
Reading and then writing about seminal texts and theories
Quizzes/Tests which may include: definitions, matching, multiple choice, true/false, short
answer, brief essay
Group and/or individual projects
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Establish a planned sequence of care (educational, clinical and evaluation) based on the
dental hygiene diagnosis; identified oral conditions; potential problems; etiologic and
risk factors; and available treatment modalities
Various assigned readings from textbooks
Writing papers including essays, analyses, reviews, research, comparing and contrasting
Oral and written peer-reviewed article reviews and discussions
Quizzes/Tests which may include: definitions, matching, multiple choice, true/false, short
answer, brief essay
Group and/or individual projects
Apply basic and advanced techniques of dental hygiene instrumentation to remove
deposits without trauma to hard and soft tissues
Various assigned readings from textbooks
Oral and written peer-reviewed article reviews and discussions
Oral and written book reviews and discussions
Quizzes/Tests which may include: definitions, matching, multiple choice, true/false, short
answer, brief essay
Group and/or individual projects
SPECIFIC COURSE OBJECTIVES
Week 1
Course Introduction & Syllabus
Tissues of the Periodontium in Health
Microscopic Anatomy of the Periodontium
1. List and recognize the clinical features of periodontal health.
2. Describe the function that each tissue serves in the periodontium, including the
gingiva, periodontal ligament, cementum and alveolar bone.
3. In a clinical setting, identify the following anatomical areas of the gingiva in the oral
cavity: free gingiva, gingival sulcus, interdental gingiva, and attached gingiva.
4. Identify the tissues of the periodontium on an unlabeled drawing depicting the
periodontium in cross section.
5. In a clinical setting, identify the following boundaries of the gingiva in the oral cavity:
gingival margin, free gingival groove, and mucogingival junction. If the free gingival
groove is not visible clinically, determine the apical boundary of the free gingiva by
inserting a probe to the base of a sulcus on an anterior tooth.
6. In a clinical setting, identify the free gingiva on an anterior tooth by inserting a
periodontal probe to the base of the sulcus.
7. In a clinical setting, contrast the coral pink tissue of the attached gingiva with the
darker, shiny tissue of the alveolar mucosa.
8. In a clinical setting, use compressed air to detect the presence or absence of stippling
of the attached gingiva.
9. Identify the alveolar process (alveolar bone) on a human skull.
10. Describe the position and contours of the alveolar crest of the alveolar bone in health.
11. Describe the nerve and blood supply to the periodontium.
12. Explain the role of the lymphatic system in the health of the periodontium.
13. Define the term cell junction and describe its function in the epithelial tissues.
14. Define keratin and describe its function in the epithelium.
15. List and define the layers that comprise the stratified squamous epithelium of the skin.
16. Define the term epithelial tissue and describe its function in the body.
17. Compare and contrast the terms desmosome and hemidesmosome.
18. 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.
19. Describe the function of connective tissue in the body.
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20. List and recognize the histologic features of periodontal health.
21. List and define the layers that comprise the stratified squamous epithelium of the
gingiva.
22. Identify the 3 anatomical areas of the gingival epithelium on an unlabeled drawing
of the anatomical areas of the gingival epithelium.
23. Define the term oral epithelium and describe its location and function in the
gingival epithelium.
24. Define the term sulcular epithelium and describe its location and function in the gingival
epithelium.
25. Define the term junctional epithelium and describe its location and function in the
gingival epithelium.
26. 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.
27. State the level of keratinization present in each of the three anatomical areas of the
gingival epithelium (keratinized, nonkeratinized, or parakeratinized).
28. 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.
29. Describe the function of the gingival connective tissue.
30. Define the term supragingival fiber bundles and describe their function in the
periodontium.
31. Define the term periodontal ligament and describe its function in the periodontium.
32. Identify the principle fiber groups of the periodontal ligament on an unlabeled drawing.
33. Define the term Sharpey Fibers.
34. Define the term cementum and describe its function in the periodontium.
35. State the three relationships that the cementum may have in relation to the enamel
at the CEJ.
36. Define the term alveolar bone and describe its function in the periodontium.
Week 2
Disease Progression
Disease Classification
1. Define the term pathogenesis
2. Define the term periodontal disease and contrast it with the term periodontitis.
3. Name and define the two types of periodontal disease.
4. Compare and contrast the clinical and histologic characteristics of the periodontium in
health, gingivitis, and periodontitis.
5. In the clinical setting, point out to your clinical instructor visible clinical signs of health,
gingivitis, and/or periodontal disease.
6. In the clinical setting, point out to your clinical instructor any visible clinical signs of
periodontal disease. Using a periodontal probe, measure the 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, explains whether this patient’s disease is gingivitis or
periodontitis. Epithelial tissue and describe its function in the body.
7. Describe the sequential development of inflammatory periodontal disease.
8. Describe the position of the crest of the alveolar bone in gingivitis.
9. Describe the position of the junctional epithelium in health, gingivitis and periodontitis.
10. Describe the epithelial-connective tissue junction in health, gingivitis, and periodontitis.
11. Explain why there is a band of intact transseptal fivers even in the presence of severe
bone loss.
12. Describe the progressive destruction of alveolar bone loss that occurs in periodontitis.
13. Compare and contrast horizontal and vertical bone loss.
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14. Describe the pathway of inflammation that occurs in horizontal bone loss.
15. Describe the pathway of inflammation that occurs in vertical bone loss.
16. Define the terms active disease site and inactive disease site.
17. Define the term attachment loss.
18. Define the term gingival pocket. Explain why a gingival pocket sometimes is referred
to as a false pocket.
19. Define the term periodontal pocket.
20. Name the two types of periodontal pockets.
21. Given a drawing of a periodontal pocket, determine whether the pocket is sultrated is a
suprabony or infrabony pocket.
22. List, describe and differentiate the various periodontal diseases according to the
1999 classification system established by the American Academy of
Periodontology.
23. Define and contrast the terms gingival disease, periodontal disease, and periodontitis.
24. Define and contrast the terms plaque-induced gingival diseases and non-plaqueinduced gingival lesions.
25. Define and contrast the terms chronic periodontitis and aggressive periodontitis.
26. Define the key terms for Chapter 4 found on page 67.
Week 3
Search for the Causes of Periodontal Disease
Oral Biofilms
1. Describe variables associated with periodontal disease that an epidemiologist might
include in a research study.
2. Define prevalence and incidence as measurements of disease within a population.
3. Discuss historical and current theories associated with the progression of periodontal
disease.
2. Describe how clinical dental hygiene practice can be affected by epidemiologic research.
3. Define the key terms for Chapter 5 found on page 81
4. Define the terms innocuous, pathogenic, virulent, gram-positive, and gram-negative.
5. Recognize that not all bacteria are equally capable of causing periodontal disease.
6. Define the term biofilm and explain the advantages to a bacterium of living in a biofilm.
7. Name three everyday examples of biofilms in the environment.
8. Name the three bacteria designated by The World Workshop in Periodontology as
periodontal pathogens.
9. Identify bacteria associated with health, gingival diseases, and periodontitis.
10. Describe how the numbers of bacteria vary from health to disease in the periodontium.
11. Name and describe the components of the biofilm structure.
12. Given a drawing of a mature biofilm, label the following: bacterial microcolonies, fluid
channels, extracellular slime layer, acquired pellicle, and tooth surface.
13. Explain the significance of the extracellular slime layer to a bacterial microcolony.
14. Explain the purpose of the fluid channels in a biofilm.
15. Define coaggregation and explain its significance in bacterial colonization of the tooth
surface.
16. Explain why systemic antibiotics and antimicrobial agents are not effective in eliminating
dental plaque biofilms.
17. State the most effective ways to control dental plaque biofilms.
18. Explain why frequent periodontal instrumentation is vital in the control of dental plaque
biofilms located within periodontal pockets.
19. Given a drawing of the subgingival plaque biofilm, label the zones of the bacterial
attachment.
20. Explain to a patient how to prevent and delay the development of dental plaque biofilms.
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Week 4
Exam 1
Local Factors
Immunity and Inflammation
1. Define the terms pathogenicity and local contributing factors.
2. Identify local etiologic factors that contribute to the retention and accumulation of
microbial plaque biofilm.
3. Explain the meaning of the phrase “pathogenicity of plaque biofilm.”
4. Identify and differentiate the location, composition, modes of attachment,
mechanisms of mineralization, and pathologic potential of supragingival and
subgingival calculus deposits.
5. Describe four local contributing factors that can lead to direct damage to the periodontium.
6. Describe the role of trauma from occlusion as a contributing factor in periodontal disease.
7. Define the term immune system and name its primary function.
8. Define the term inflammation and name two events that can trigger the inflammatory
response.
9. Name the five classic symptoms of acute inflammation and explain what events in the
tissues result in these classic symptoms.
10. Compare and contrast acute inflammation and chronic inflammation.
11. Define the term phagocytosis and describe the steps in this process.
12. Describe the role of polymorphonuclear leukocytes in the immune system.
13. Describe the role of macrophages in the immune system.
14. Contrast the terms macrophage and monocyte.
15. Describe the role of B lymphocytes in the immune system.
16. Describe the role of T lymphocytes in the immune system.
17. Describe the three ways that antibodies participate in the host defense.
18. Define the term inflammatory mediator.
Week 5
Host Response
Systemic Factors
1. Examine the periodontium of a patient with gingivitis and point out the signs of
inflammation that are visible in the tissues.
2. Define the term biochemical mediator and name tree types of mediators.
3. Describe the tissue destruction that can be initiated by the biochemical mediators
secreted by immune cells.
4. Describe the sequential development of periodontal disease.
5. Describe the role of the host response in the severity and tissue destruction
seen in periodontitis.
6. Explain immunologic interactions of the host in periodontal diseases.
7. Describe and differentiate the mechanisms of tissue destruction in periodontal disease.
8. Describe and discuss current knowledge of the immunopathology of periodontal disease.
9. Describe the changes that occur in the early bacterial accumulation phase of
subclinical gingivitis.
10. Describe systemic factors that may modify or amplify the host response to periodontal
pathogens.
11. In the clinical setting, for a patient in your care with periodontitis, explain to your
clinical instructor the risk factors that may have contributed to your patient’s
periodontitis.
12. Discuss the implications of diabetes on the periodontium.
13. Define the term osteoporosis and discuss the link between skeletal osteoporosis and
alveolar bone loss in the jaw.
14. Discuss how hormone alterations may affect the periodontium.
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15. Define the term pregnancy-associated pyogenic granuloma.
16. Explain how abnormalities of polymorphonuclear leukocytes may affect the body’s
response to periodontal pathogens.
17. Define the term drug-influenced gingival enlargement.
Week 6
Smoking & Periodontal Disease
Etiologic Factors: Risk for Periodontitis
1. Discuss the implications of smoking on periodontal health status.
2. Discuss the implications of smoking on the host response to periodontal disease.
3. Discuss the effects of smoking on periodontal treatment outcomes.
4. Discuss current theories as to why smokers have more periodontal
disease than nonsmokers.
5. Explain why tobacco cessation counseling is a valuable part of patient care in the dental
setting.
6. Value the importance of providing tobacco cessation counseling as a
routine part of periodontal treatment.
7. Define the term biologic equilibrium and discuss factors that can disrupt the balance
between health and disease in the periodontium.
8. Define and give examples of the term contributing factors.
9. In the clinical setting, for a patient with periodontitis, explain to your clinical
instructor the factors that may have contributed to your patient’s disease.
Week 7
Exam 2
Clinical Features of Gingival Diseases
1. Describe characteristics of the gingiva in health.
2. List clinical signs of gingival inflammation.
3. Compare and contrast clinical features of healthy and inflamed gingival tissue.
4. Explain the difference in color between acute and chronic inflammation.
5. Differentiate between bulbous, blunted and cratered papilla.
6. Define and describe the clinical signs of refractory chronic periodontitis.
7. Discuss the differences between ideal and reasonable treatment goals for
chronic and aggressive periodontitis.
8. Describe the impact of polymorphonuclear leukocyte (PMN; neutrophil)
dysfunction on the periodontium.
9. Describe the tissue destruction that occurs in necrotizing periodontal diseases.
10. Compare a periodontal screening examination and a comprehensive
periodontal assessment.
11. List the components of a comprehensive periodontal assessment.
12. Describe how to assess each component of a comprehensive periodontal
assessment including mobility, fremitus and furcation involvement.
13. Explain how to calculate the width of attached gingiva.
14. Explain how to calculate the clinical attachment level given several different
clinical scenarios.
15. In the clinical setting, calculate and document the clinical attachment levels for a patient
with periodontitis.
16. Define the following: treatment outcomes, baseline data
Week 8
Chronic Periodontitis & Classification of Periodontal Diseases and Conditions
Aggressive Periodontitis
1. Name and define the three major categories of periodontitis.
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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. In a clinical setting for a patient with chronic periodontitis, describe
to your clinical instructor the clinical signs of disease present in the patient’s mouth.
5. List systemic factors that may be contributing factors to periodontitis.
6. Define recurrent chronic periodontitis.
7. Define refractory chronic periodontitis.
8. Compare and contrast chronic periodontitis and aggressive periodontitis.
9. In the clinical setting, explain to your patient the signs and symptoms of chronic
periodontal disease.
10.
In the clinical setting for a patient with chronic periodontitis, describe to your
clinical instructor the clinical signs of disease present in the patient’s mouth.
11.
List systemic factors that may be contributing factors to periodontitis.
12.
Formulate an initial care plan for a patient with chronic periodontitis.
13.
Define and describe the clinical signs of recurrent chronic periodontitis.
Week 9
Other Conditions
Periodontitis: A Risk Factor for Systemic Disease
1. Name and define the three major categories of periodontitis
2. Name and explain systemic or genetic factors that may contribute to the initiation
and progression of periodontitis
3. Describe the impact of polymorphonuclear leukocyte (PMN) (neutrophil) dysfunction on
the periodontium
4. Define necrotizing periodontal disease
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. Name several local factors that may contribute to the initiation and progression of
periodontitis
9. Define secondary occlusal trauma and explain how it can
lead to rapid bone loss
Week 10
Spring Break!!!!
Week 11
Exam 3
Periodontal Assessment
Radiographic Analysis
1. Explain which members of the dental team are responsible for the clinical
periodontal assessment.
2. Compare and contrast a periodontal screening examination and comprehensive
periodontal assessment.
3. Describe how to perform one type of periodontal screening examination.
4. Name the components of a comprehensive periodontal assessment.
5. Describe how to evaluate each component of a comprehensive periodontal assessment.
6. Explain how to calculate the width of attached gingiva.
7. Explain how to calculate clinical attachment level given several different clinical
scenarios.
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8. In a clinical scenario, calculate and document the clinical attachment levels for a
patient with periodontitis.
9. Recognize the radiographic characteristics of normal and abnormal alveolar bone.
10.Recognize and describe early radiographic evidence of periodontal disease.
11.Distinguish between vertical and horizontal alveolar bone loss.
12.Recognize potential etiologic agents for periodontal disease radiographically.
13.Gain practical experience in radiographic assessment by applying information
from this lecture in the clinical setting.
14.Explain the term nonsurgical periodontal therapy.
15.Name the four goals for nonsurgical therapy.
16.Write a typical plan for nonsurgical therapy for a patient with plaque-induced gingivitis.
17.Write a typical plan for nonsurgical therapy for a patient with slight chronic periodontitis.
18.Explain the terms periodontal debridement and deplaquing.
19.Describe the type of healing to be expected following successful instrumentation
of root surfaces.
20.Explain the origin of the condition called dental hypersensitivity.
21.Describe a strategy for managing dentinal hypersensitivity during nonsurgical therapy.
22.Explain why reevaluation is a critical step during nonsurgical therapy.
23.List steps in an appointment for reevaluation of the results of nonsurgical therapy.
24.Describe three decision made during the reevaluation appointment.
25.Explain current American Academy of Periodontology recommendations for deciding
which patients should be managed by a Periodontist.
Week 12
Non-surgical Periodontal Therapy
Periodontal Surgical Concepts for the Dental Hygienist
Including Traditional, Laser, Grafting of Bone & Tissue
1. Define the term biologic equilibrium and discuss factors that can disrupt the
balance between health and disease in the periodontium
2. Define and give examples of the term contributing risk factors
3. For a patient in your care with periodontitis, explain to your clinical instructor the factors
that may have contributed to your patient’s disease
4. List the objectives for periodontal surgery.
5. Explain the term relative contraindications for periodontal surgery.
6. Define the terms repair, reattachment, new attachment and regeneration.
7. Explain special considerations for the dental hygienist for the following types of
periodontal surgery:
i.
Periodontal flap for access
ii.
Bone replacement grafts
iii.
Guided tissue regeneration
iv.
Apically positioned flap with osseous surgery
v.
Mucogingival surgery/periodontal plastic surgery
vi.
Crown lengthening surgery
vii.
Gingivectomy
viii.
Dental Implant Surgery
ix.
LNAP = the use of Lasers in Periodontal Therapy
8. Periodontal plastic surgery, soft tissue graft, connective tissue graft, free gingival graft,
crown lengthening surgery, gingivectomy, gingival curettage.
Week 13
Motivational Interviewing to Enhance Patient Behavior Change
The Patient’s Role in Nonsurgical Periodontal Therapy
1. Recognize the role of ambivalence in patient behavior change and explain the goal of
motivational interviewing with respect to ambivalence.
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2. Describe the primary difference between how hygienists often approach
patient education and the motivational interviewing approach.
3. Be able to identify the three elements of the motivational interviewing philosophy and
the four general principles.
4. Give examples of specific motivational interviewing methods and how
they are used to enhance patient motivation for change.
9. Discuss the concept of self-care and the roles of the patient and provider.
10.State the benefits of power toothbrushes.
11.In the clinical setting, recommend and teach power brushing to an appropriate patient.
12.Give examples of oral conditions that might prompt a dental hygienist to recommend a
power toothbrush.
13.Explain why interdental care is of special importance for a patient with periodontitis.
14.Define the term gingival embrasure space and explain its importance in selecting
effective interdental aids.
15.Define the term root concavity and explain its importance in selecting effective
interdental aids.
16.In a classroom or lab setting, explain the criteria for selection and correctly
demonstrate the use of the following to an instructor: power toothbrush and all of the
interdental aids presented in this lecture.
17. In a clinical setting, recommend, explain and demonstrate appropriate interdental
aids to a patient with type III embrasure spaces. Assist the patient in selecting an
appropriate interdental aid that the patient is willing to use on a daily basis.
Week 14
Exam 4
Irrigation
Chemical Agents
1. Discuss the oral health benefits from using a dental water jet.
2. Identify the types of patients who would benefit from using a dental water jet.
3. Compare the use of the dental water jet to traditional dental floss.
4. Distinguish the depth of the delivery between the dental water jet, a toothbrush, dental
floss, and other interdental aids.
5. Name the types of agents that can be used in a dental water jet.
6. Instruct patients in the use of the dental water jet including how to use the standard
irrigation tip, subgingival tip and orthodontic tip.
7. Summarize research findings that relate to using professional irrigation to deliver
chemicals to periodontal pockets.
8. Describe the difference between systemic delivery and topical delivery of chemical
agents.
9. Explain the term systemic antibiotic.
10. Explain why systemic antibiotics are not used routinely in the treatment of
patients with plaque-associated gingivitis and patients with chronic periodontitis.
11. Describe three examples of mouth rinse ingredients that can help reduce the
severity of gingivitis.
12. Define the term controlled–release delivery device.
13. List three antimicrobial agents that can be delivered with controlled-release
delivery devices.
14. Explain why toothpastes are nearly ideal delivery mechanisms for chemical agents.
15. List two toothpaste ingredients that can reduce the severity of gingivitis.
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Week 15
Host Modulation
Periodontal Maintenance
1. Explain the term host modulation.
2. Explain the potential importance of host modulation.
3. Name some anti-inflammatory mediators.
4. Name some pro-inflammatory mediators.
5. List three types of drugs that have been studied for use as possible host modulating
agents.
6. Explain why low dose doxycyclines are useful as host modulating agents.
7. Explain the term sub-antibacterial dose.
8. Make a list of treatment strategies for a periodontitis patient that includes host
modulation.
9. Define the term periodontal maintenance.
10. List the objectives of periodontal maintenance.
11. List components of periodontal maintenance.
12. Explain treatment procedures that may be needed at a maintenance visit.
13. Describe an appropriate maintenance interval.
14. Define the term recurrence as it applies to periodontitis.
5. List clinical signs of recurrence of periodontitis.
6. Explain reasons for recurrence of periodontitis.
7. Define the term compliance.
8. List strategies that can be used to improve patient compliance.
9. Explain the rationale for referral to a Periodontist for evaluation for patient that has
been on periodontal maintenance.
10. Describe 3 examples of mouth rinse active ingredients that can help control gingivitis.
11. Explain why toothpastes are nearly ideal delivery mechanisms for chemical agents.
12. List 4 active ingredients that can be added to toothpastes to benefit patients and
explain what conditions the ingredients can help.
13. Name and describe the three types of abscesses of the periodontium.
14. Define the terms acute and circumscribed.
15. List the possible causes of abscesses of the periodontium.
16. Compare and contrast the abscess of the periodontium and the endodontic abscess.
17. Outline the typical treatment steps for a gingival abscess and a periodontal abscess.
18. Describe the clinical situation that can result in a pericoronal abscess.
19. Outline the typical treatment for pericoronitis.
Week16
Dental Implants from a Periodontist’s Perspective
Periodontal Emergencies
1. Define the term dental implant and describe the components of a typical dental implant
and restoration
2. Define the term peri-implant tissues
3. Compare and contrast the periodontium of a natural tooth with the peri-implant tissues
that surround a dental implant
4. Define the terms osseointegration and biomechanical forces as they apply to dental
implants
5. Compare and contrast the terms peri-implant mucositis and peri-implantitis
6. Discuss the special considerations for periodontal instrumentation of a dental implant
7. Describe an appropriate maintenance interval for a patient with dental implants
8. In the clinical setting, select appropriate self-care aids for a patient with dental implants
9. Name and describe the three types of abscesses of the periodontium
10. Define the terms acute and circumscribed
11. List the possible causes of abscesses of the periodontium
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12. Compare and contrast the abscess of the periodontium and the endodontic abscess
13. Outline the typical treatment steps for a gingival abscess and a periodontal abscess
14. Describe the clinical situation that can result in a pericoronal abscess
15. Outline the typical treatment for a pericoronal abscess (pericoronitis)
16. List the two types of necrotizing periodontal diseases
17. Describe the characteristics of necrotizing ulcerative gingivitis
18. Outline the typical treatment steps for necrotizing ulcerative gingivitis
19. Describe the symptoms of primary herpetic gingivostomatitis
Week 17
Final Comprehensive Exam
Program/Discipline Requirements:
Grading Criteria:
Homework Assignments/Quizzes:
Exams:
Literature Review Paper:
Comprehensive Final Exam:
15%
30%
25%
30%
MAKE-UP POLICY:
The student will not be able to make up exams or assignments without a doctor’s note and or at
the instructor’s discretion. The student will receive a ‘0’ for that exam or assignment. If a
makeup is given, the makeup exam will be different from the one given at the scheduled time.
The make-up exam must be taken within two (2) days of returning to class and will be
administered at a time scheduled with the instructor. Any student arriving after a test has been
handed out will only be allowed the original time set by the instructor for completion. Any
student arriving after an exam has been turned in by another student will not be allowed to take
the test and will receive a ‘0’. If a student arrives 15 minutes late on a day that an exam is being
given, they will not be allowed to take the exam and will receive a ‘0’ for the exam grade.
ATTENDANCE POLICY:
Arrangements must be made that do not conflict with class times for doctor’s appointments, sick
family members, and transportation needs. In cases of emergency or illness, the student must
contact the instructor within one hour prior to class should an absence be anticipated. A
doctor’s note must be provided to the instructor on the day the student returns to class to avoid
an unexcused absence and the assigned penalty. Class handouts can be obtained from the
instructor. Class notes can be obtained from other classmates.
One point will be deducted from your final grade for each unexcused absence and ¼ point for
each tardy; four (4) tardies will equal one absence resulting in a full point deduction from the
final grade. You must be physically present in class and are considered tardy five (5) minutes
after class start time, 9:30 am. Messages relayed through classmates are not acceptable.
Calling or emailing prior to class does not result in an “excused” absence or tardy, but rather
assists the faculty in evaluating the student’s progress in professionalism. If you are not present,
you are not learning the information or putting in the necessary time to develop your skills. You
will receive an attendance notice every time you are tardy or absent from class.
CLASS RULES:
 No cell phone use is allowed during class. Cell phones will be placed at the front of the
classroom at the beginning of each class and can be picked up at the end of class. No
picture taking, audio recording, video recording, or texting is allowed at any time unless
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


approved by the instructor. Failure to follow these rules will result in 2 point deduction
from the final course average.
Students are required to wear designated scrubs when attending class. No jewelry is
allowed other than a flat, smooth wedding band and a plain watch. No hats or head
coverings are allowed. Failure to follow this rule will result in a 2 point deduction from
the final course average.
If a student presents to class smelling of alcohol, tobacco, or under the influence of any
controlled substance, they will be dismissed from class and will receive an absence for
the day as well as a written warning. A second offense will result in dismissal from the
program and a grade of ‘F’ for the course.
Dishonesty or lying in any form to the instructor will result in one written warning. A
second infraction will result in immediate dismissal from the program with an ‘F’ for the
course.
ASSIGNMENTS:
Assignments must be completed and turned in on time and according to specified criteria. You
are responsible for all reading assignments in course texts and handouts in addition to the
content of the lecture. Since information in each assignment will be used during the class
sessions for discussions, it is essential that materials be carefully studied prior to class.
Homework assignments are due at the beginning of each class. Homework will not be accepted
late; therefore, a grade of "0" will be given if it is not received on time.
STUDENT SUCCESS:
To successfully complete this course, the student will need to:
1. Complete assignments as indicated on the schedule.
2. Read weekly topic objectives before class and studying for a test.
3. Ask the instructor for help as soon as you realize you are having difficulty.
4. Take notes during class and place a question by anything you do not understand.
5. Additional recommendations can be found in the Dental Health Program student manual.
HCC GRADING SCALE
A = 100- 90
B = 89 - 80:
C = 79 - 70:
D = 69 - 60:
59 and below = F
IP (In Progress)
4 points per semester hour
3 points per semester hour
2 points per semester hour
1 point per semester hour
0 points per semester hour
0 points per semester hour
W (Withdrawn)
0 points per semester hour
I (Incomplete)
0 points per semester hour
AUD (Audit)
0 points per semester hour
IP (In Progress) is given only in certain developmental courses. The student must re-enroll to
receive credit. COM (Completed) is given in non-credit and continuing education courses. To
compute grade point average (GPA), divide the total grade points by the total number of
semester hours attempted. The grades "IP," "COM" and "I" do not affect GPA.
DENTAL HYGIENE PROGRAM GRADING CRITERIA
Graded requirements will be graded as follows:
A. 93-100
B. 83-92
C. 75-82
F. 0-74*
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* A final grade below a “C” (75%) will interrupt a student’s progress through the program and
will result in dismissal from the program. If you are having trouble with this course, it is your
responsibility to contact the professor immediately and arrange for tutoring or other assistance.
INSTRUCTIONAL MATERIALS
Lippincott, Williams & Wilkins Clinical Practice of the Dental Hygienist Philadelphia Current
Edition,
Nield-Gehrig, Jill S Fundamentals of Periodontal Instrumentation Philadelphia Current Edition
Nield-Gehrig, Jill S., Patient Assessment Tutorials, Current Edition, Philadelphia: Lippincott,
Williams and Wilkins
Pattison Institute, Dental Educational Videos, http://www.pattisoninstitute.com
HCC POLICY STATEMENT:
ADA STATEMENT
“Any student with a documented disability (e.g. physical, learning, psychiatric, vision, Hearing,
etc.) who needs to arrange reasonable accommodations must contact the Disability Services
Office at the respective college at the beginning of each semester. Faculties are authorized to
provide only the accommodations requested by the Disability Support Services Office. The
information in this publication will be made available in large print, taped or computer-based
format upon request”. The ADA Counselor for Coleman College is located on the 1st floor.
ACADEMIC HONESTY STATEMENT
“Students are responsible for conducting themselves with honor and integrity in fulfilling course
requirements. Penalties and/or disciplinary proceedings will be initiated by College System
officials against a student accused of scholastic dishonesty”. See the HCCS Student Handbook
for more information.
NOTICE:
“Students who repeat a course three or more times face significant tuition/fee increases at HCC
and other Texas public colleges and universities. Please ask your instructor/counselor about
opportunities for tutoring or other assistance prior to considering course withdrawal, or if you are
not receiving passing grades.”
DRUG-FREE SCHOOL
HCC is fully dedicated to a drug-free environment for all students and employees at all College
locations. The unlawful manufacture, distribution, dispensation, possession, sale, offer to sell,
purchase and/or use of controlled substances or alcohol on campuses, at teaching sites, in
vehicles, and on other property owned, leased, or under the control of HCC and at all oncampus and off-campus, school sponsored activities is prohibited. Controlled substances are
those defined in Schedules I through V of Section 202 of the Texas Health and Safety Code, s
481.001 et. seq. the Texas Controlled Substances Act. Controlled substances include, but are
not limited to, such substances as marijuana, hashish, heroin, cocaine, LSD, PCP,
methamphetamine, anabolic steroids, human-growth hormones, and fentanyl. A student who
uses a drug authorized by a licensed physician through a prescription specifically for that
student’s use shall not be considered to have violated this rule. As a condition of enrollment, all
students are required to follow HCC policy and regulations concerning alcohol and other drugs.
College counselors are available to students for consultation on alcohol and other drug issues.
Counselors will assist students personally or act as a referral source when necessary. All
student-counselor relationships will be on a confidential basis to the extent permitted by law.
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VIOLATIONS
Students who violate the policy shall be subject to disciplinary proceedings according to the
Student Discipline and Conduct Code. Disciplinary action may include referral to drug and
alcohol counseling or rehabilitation programs or student assistance programs, suspension,
expulsion, and referral to appropriate law enforcement officials for prosecution
EGLS3 – EVALUATION FOR Greater Learning
Student Survey System
At Houston Community College, professors believe that thoughtful student feedback is
necessary to improve teaching and learning. During a designated time, you will be asked to
answer a short online survey of research-based questions related to instruction. The
anonymous results of the survey will be made available to your professors and division chairs
for continual improvement of instruction. Look for the EGLS3 as part of the Houston Community
College Student System online near the end of the term.
Access Student Services Policies on their Web site:
http://hccs.edu/student-rights
Distance Education and/or Continuing Education Policies. Access DE Policies on their
Web site: http://de.hccs.edu/Distance_Ed/DE_Home/faculty_resources/PDFs/DE_Syllabus.pdf
Access CE Policies on their Web site:
http://hccs.edu/CE-student-guideline
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Week
1
Date
1/13/2015
2
1/20/2015
3
1/27/2015
4
2/3/2015
5
2/10/2015
6
2/17/2015
7
2/24/2015
8
3/3/2015
9
3/102015
10
11
3/17/2015
3/24/2015
12
3/31/2015
13
4/7/2015
14
4/14/2015
15
4/21/2015
16
4/28/2015
Patti Jenkins 1/2015
Chapters
Course Introduction and Syllabus Review.
Chapter 1: Periodontium: The tooth
supporting structures; Chapter 2:
Microscopic Anatomy of the Periodontium
Chapter 3: The Progression of Periodontal
Disease; Chapter 4: Classification of
Periodontal Diseases and conditions
Chapter 5: Search for Causes of Periodontal
Diseases; Chapter 6: Oral Biofilms and
Periodontal infections
Exam 1 (Ch. 1-6)
Chapters 7: Local Contributing Factors
Chapter 8: Basic Concepts of Immunity and
Inflammation
Chapter 9: Host Immune Response to
Periodontal Pathogens
Chapter 10: Systemic Factors Associated
with Periodontal Diseases
Chapter 11: Smoking and Periodontal
Disease; Chapter 12: Etiologic Factors: Risk
for Periodontitis
Exam 2 (Ch. 7-12)
Chapter 13: Clinical Features of the Gingiva
Chapter 14: Diseased of the Gingiva
Chapter 15: Chronic Periodontitis
Chapter 16: Aggressive Periodontitis
Literature Review Paper Assignment
Chapter 17: Other Periodontal Conditions
Chapter 18: Periodontitis as a Risk Factor
for Systemic Disease
Spring Break
Exam 3 (Ch. 13-18)
Chapter 19: Clinical Periodontal Assessment
Chapter 20: Radiographic Analysis of the
Periodontium
Chapter 24: Nonsurgical Periodontal
Therapy; Chapter 30: Periodontal Surgical
Concepts for the Dental Hygienist
Chapter 25: Motivational Interviewing to
Enhance Patient Motivation for Change
Chapter: 26: Patient's Role in Nonsurgical
Periodontal Therapy
Exam 4 (Ch. 19, 20, 24, 25, 26, 30)
Chapter 27: Supragingival and Subgingival
Irrigation; Chapter 28: Chemical Agents in
Periodontal care
Chapter 29: Host Modulation
Chapter 31: Maintenance for the Periodontal
Patient
Chapter 32: Maintenance for the Dental
Implant Patient; Chapter 33: Periodontal
Emergencies
Assignments
Read Chapter 3 and 4
Homework assignment
Read Chapters 5 and 6
Homework assignment
Read Chapters 7 and 8
Homework assignment
Study for test on chapters 1-6
Read Chapters 9 and 10
Homework assignment
Read Chapters 11 and 12
Homework assignment
Read Chapters 13 and 14
Homework assignment
Study for test on chapters 7-12
Read Chapters 15 and 16
Homework assignment
Read Chapters 17 and 18
Homework assignment
Read Chapters 19 and 20
Homework assignment
Study for test on chapters 13-18
Relax….
Read Chapters 24 and 30
Homework assignment
Read Chapters 25 and 26
Homework assignment
Read Chapters 27 and 28
Homework assignment
Study for test on chapters 19, 20, 24,
25, 26, and 30
Read Chapters 29 and 31
Homework assignment
Read Chapters 32 and 33
Homework assignment
Literature Review Paper Due
Study for Comprehensive Final
18
17
5/5/2015
Patti Jenkins 1/2015
Comprehensive Final Exam
19
Houston Community College system
Coleman College for Health Sciences
Dental Hygiene Program
DHYG 1211 – Periodontology
Syllabus Agreement
I have read this syllabus. I understand its implications and will abide by it. I understand that if I fail to adhere to
these requirements, I will be advised by my instructor of disciplinary actions that will be taken against me. I
understand that the course instructor has the right to make alterations to the class and assignments as
deemed necessary.
Student Printed Name____________________________________________________________________
Student Signature________________________________________________________________________
Date___________________________________________________________________________________
Instructor’s Signature______________________________________________________________________
Date___________________________________________________________________________________
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