Pierce College Dental Hygiene Syllabus
Campus – Lakewood, WA
Quarter
Spring, 2010
Course Title
DHYG 121
Periodontology II
Course Credits
3 credits
Pre-requisites
Enrollment in the dental hygiene program at Pierce College
Course Description
The second in a series of three courses, DHGY 111, 121, and 231
introducing the dental hygiene student to the basic science and
introductory components for assessing and evaluating the periodontal
health of individuals.
Room Location
Pierce Campus: Cascade 125
Day and Time
Thursdays, 8:30am-12pm
Instructors
Kathy S. Forbes, RDH, BS
Linda Walsh, RDH, BS
Office Hours and Room
To be arranged – 7:30-8:30 on Thursdays
Contact Information
Email: ks.forbes@comcast.net
Emergency phone: 253-848-5385 (home) or 253-905-7781 (cell)
Email: lwrdh@comcast.net
Emergency phone: 206-243-3310
Required Textbooks
Caranza’s Clinical Periodontology (10th Edition) by
Carranza FA, Newman MG, Takei HH, Klokkevold, PR;
WB Saunders Co: Philadelphia, PA, 2006 (ISBN 978-14160-2400-2 and ISBN-10: 1-4160-2400-X)
Required References
Additional articles will be posted on Angel on a week-by-week basis in
order to provide current information to supplement the text which was
published in 2006
Course Topics
Lecture:
Classification of Gingival and Periodontal Diseases – 1 hour
Desquamative and acute gingival diseases – 2 hours
Chronic periodontal diseases, bone loss patterns – 2 hours
Initial periodontal therapy (phase 1), scaling and root planing – 2 hours
Periodontal medicine, clinical diagnosis – 2 hours
Risk assessment, prognosis, treatment plan and rationale – 2 hours
Endoscopy use in periodontal treatment – 1 hr
Chemotherapeutics, antimicrobials, periodontal packs, irrigation – 2 hrs
(+6 hrs exams) TOTAL: 20 hours.
(with approximate
distribution hours)
1
Lab:
Gingival descriptions and radiographic interpretation – 1.5 hours
Root morphology and furcation ID – 3 hours
Instrument selection for periodontal treatment –2.5 hours
Instrumentation adaptation to root surfaces – 3.0 hours
Review instrument sharpening and sharpening files – 1 hour
Root identification, instrument identification and selection – 2 hours
(+2 hrs lab exams) TOTAL: 15 hours
Course Outcomes
1. Describe and synthesize content for the etiology and pathogenesis of
periodontal disease. Include applicable microbiology, host/microbe
interaction, would healing, process, development and consequences
(A,E,F,T,)
2. Describe and identify various consequences of periodontal disease
processes. Include bony defects, recession, etc. (A,T)
3. Identify, contrast, and compare select systemic diseases and their
relationship in the progression, severity and treatment of periodontal
diseases. Infer knowledge to case studies. (A,F)
4. Identify and discuss for adult dentition, root morphology, periodontal
instruments, and periodontal instrumentation. Include designating
indications for specific instrument selection. The specific instruments
are from the current instrument issue and will include files, the Gracey
series and Langer/Pattison. (A,I,J,K,L)
5. Demonstrate correct sharpening techniques for the periodontal
instruments introduced in this course. (J,K,L)
6. Identify and discuss Non-Surgical Periodontal Therapy (NSPT)
treatment planning. Focus on the determining prognostic and risk
factors and the rationale for determining prognosis and treatment.
(A,I,J,K)
7. Identify and discuss treatment options for plaque associated
gingivitis, chronic periodontitis and aggressive forms of periodontitis.
(A,F,T)
8. Discuss the criteria for, advantages and disadvantages, and describe
or demonstrate the use of antimicrobials/chemotherapeutic agents and
adjunctive therapies. (A,C,E,J, M,T)
9. Discuss the reasons and rationale for using chemotherapeutic agents
and antimicrobials in periodontal patients. (A,F,T)
10. Discuss the reasons and use of periodontal packs following
periodontal surgeries. (A, F, T)
11. Synthesize and utilize knowledge from DENT 111 to enhance
learning in DENT 121. (A,F,T)
Optional References
Lexicomp ONLINE for Dentistryv2009
Periodontology for the Dental Hygienist (3rd Edition) by Perry, DA &
Beemsterboer, PL; Saunders: Philadelphia, PA, 2007. (ISBN-13: 9781-4160-0175-1 and ISBN-10: 1-4160-0175-1)
Manual of Clinical Periodontics by Serio FG & Hawley, CE; Lexi-Comp,
Inc.: Hudson, OH, 2002. (ISBN 1-930598-82-3)
Fundamentals of Periodontics (2nd Edition) by Wilson, TB & Kornman,
KS; Quintessence Publishing: Chicago, 2003. (ISBN 0-86715-405-5)
2
Method of Instruction
Course instruction will utilize a variety of approaches:
Lecture
Classroom/group discussion
Lab activities (hands on)
Group assignments, projects and presentations
Instructor observation
Written examinations
Student Conduct Policy
Please refer directly to the Pierce College Student Code of Conduct and
the Pierce College Dental Hygiene Program Student Handbook for the
general guidelines of conduct within and related to this class.
Professional behavior is expected. Please remember that you signed
and agreed to all of the rules, policies, criteria, etc. set forth in the
handbook. In addition, please review for the use of cell phones in the
classroom and clinic.
Course Evaluation
As with most of the courses within the Dental Hygiene Curriculum, this
course provides a foundation for other courses, therefore attendance is
required. Should an emergency arise, it is the student’s responsibility
to contact the course instructor immediately. Further, the student
must initiate obtaining any missed information presented during the
class(es) missed. The instructors will not accept this responsibility.
Grouping Learning:
For some of the assignments students will work collaboratively within
groups. These groupings will continue as assigned winter quarter:
Disclosing Divas:
Shawna Dobbins, Sunny Kim, Annie Marks, Kim Page, Stephanie Spann
Mouth Mafia:
Christina Clark, Liz Johnson, Aubrey Lockwood, Darcie Orsborn, Yelena
Sednev
Leaders of the Plaque:
Joy Garcia, Erica Kinerk, Steve Page, Keenin Young
Tooth Fairies:
Jessica Cabanillas, Kelly Green, Jessica McWilliams, Nekia Schwisow
Course Evaluation Weighting:
Individual assignments:
Small group assignment:
Lab Assignments (A-J)
Lab Exams (2)
Exams (3)
15%
10%
10%
20%
45%

Students are expected to come to class prepared, to have
completed the assigned reading and/or homework in advance of
scheduled lectures and to actively participate in activities of
learning. Deficiencies in preparation and participation may be
reflected in the student’s final course grade.

Late work: Students are expected to complete all course
assignments by the posted due date. Grades for all
assignments received or completed past the time which it is due
will be reduced by 50% for each 24 hour period it is late. For
group or team assignments, all members of the group or team
will receive the same grade. It is imperative that all members
of each group or team work together to help each other if
3
someone is unable to complete their portion on time. All
assignments must be submitted or a grade of zero may be
assigned.
Course Requirements
Individual Assignments:
**Acute Gingival Diseases-chart/assignment (5%)
 Objective: To develop a tool which will help with the recognition
and understanding of the various acute gingival diseases
including treatment options. This tool will be especially helpful
during clinical practice
 Complete assigned portion of chart and present topic
 Written Due: Tuesday, April 6 by 6pm
 Presentation of topic: Thursday, April 8
**Dental Hygiene Periodontal Treatment Planning Presentation (10%)
 Objective: To provide the opportunity for students to develop
and present a complete dental hygiene treatment plan based on
patient interview, clinical observations and appropriate
rationale.
 This presentation will be evaluated during the Case Study
presentations for DENT 128-129 (time to be announced)
 Presentations will be given in a PPT format. Specifics may
include:
 Patient interview
 Medical history
 Dental history
 Intraoral photos
 Radiographs
 Bleeding scores and oral hygiene recommendations
 Periodontal charting, AAP classification, Billing case/code
 Gingival assessment including plaque, calculus, and stain
assessment
 Initial treatment plan
 Periodontal Prognosis
Small group assignment-Risk Assessment (10%)
 Objective: To further develop understanding of the risk factors
associated with periodontal infections and their relationship to
systemic conditions.
 Presentation of topic: May 27
Lab Assignments A-J (10%)
All 9 assignments must be completed. Grading will be using the A, I, S
system.
Lab Exams #1 and #2 (20%)
Timed exams focusing on tooth identification, root anatomy, root
identification, periodontal instrument identification, etc.
Written Exams (45%)
Exam #1
Chapters 26, 47, 48, 27, 28, 31, 32, 33, X-ray
interpretation
Exam #2
Chapters 18, 35, 36, 40, 41, 42, Root morphology (38 &
51 on Exam #3)
Exam #3
Chapters 38, 51, 52, 53, 55, Treatment Planning

Exams may include essay/short answer, true/false, multiple
4

Course Grading
choice and matching responses. Students are expected to
complete any assigned exams on the scheduled dates. There
will be no make-up sessions and a grade of zero will be given to
those exams missed due to an unexcused absence.
If an emergency should arise, it is the student’s responsibility to
contact the instructor before the scheduled time of the exam to
make alternative arrangements. The student must be prepared
to make-up the exam prior to the next class session. If the
student does not contact the instructor, there will be no makeup exam. Alternative arrangements, if any, will be at the
discretion of the instructors.
Written exams will graded on the basis of one of the following
methods:
1. Straight percentage of points available (students will be advised in
advance if this method is used)
2. Adjusted percentage after item audit (allowing for questions to be
eliminated)
3. Adjusted to a “class curve”, the highest score earned equaling
100%, providing the highest score is NOT below 92% of the possible
points, in which case 92% becomes the base for 100%.
* This is the most common method used.
Decimal grades will be awarded according to the Pierce College Dental
Hygiene department grading scale with the lowest acceptable score
being a 75% = 2.0.
All percent scores earned for the evaluation criteria categories will be
added together and converted to a final numeric course grade
according to the following scale:
100%
99%
98%
97%
96%
95%
94%
93%
92%
91%
90%
4.0
3.9
3.8
3.8
3.7
3.6
3.5
3.4
3.3
3.2
3.2
89%
88%
87%
86%
85%
84%
83%
82%
81%
80%
3.1
3.0
2.9
2.9
2.8
2.7
2.6
2.5
2.4
2.4
79%
78%
77%
76%
75%
74%
73%
72%
71%
70%
2.3
2.2
2.1
2.0
2.0
1.9
1.8
1.7
1.6
1.5
Decimal grades will be awarded according to the Pierce College Dental
Hygiene Department grading scale with the lowest acceptable score
being 75% or 2.0
Grade from 1.9-1.6 are considered “probationary” grades and 1.5 or
below grades are considered “failing” according to the Dental Hygiene
Department Academic Policy and are subject to probationary and/or
dismissal actions.
By the end of the quarter, each student will have had the opportunity
to attain minimum competency in the expected student outcomes. If it
5
is determined by the course instructor that a student has not
successfully achieved the student outcomes, the student may have
additional course work assigned, the course grade adjusted accordingly
(reduction of grade or incomplete grade with remediation assigned to
determine competency in all course objectives), and/or the student
may be placed on academic probation with possible dismissal from the
Dental Hygiene Program as outlined in Pierce College Department of
Dental Hygiene Program Policy.
Incomplete Grades
The student must complete all course requirements and attain a
minimum grade of 2.0 in the course to progress to the next sequential
courses. Incomplete grades are expected to be completed within the
first 3 weeks of the next quarter. The student is responsible to
schedule an appointment with the course instructor to examine the
reason the coursework has not been completed and define a plan for
completion of the course. Students are expected to submit, in writing,
their proposal for completion of requirements to the course instructor
at this meeting. If the work is not completed at this time and there are
no extenuating circumstances for the work to be outstanding, the final
course grade may be changed to a 1.5.
Additional Grading
Factors
Professionalism – Students are expected to project professional
conduct and communication towards faculty, staff, classmates, patients
and visitors at all times as outlined in the Department of Dental
Hygiene Program Policy. Deficiencies in professional conduct and
communication will be reflected as a reduction in the student’s final
course grade.
Honesty – Students are expected to demonstrate unquestionable
honesty at all times as outlined in the Department of Dental Hygiene
Program Policy. Deficiencies in honesty will be reflected as a reduction
in the student’s final course grade. Breeches in the Academic Honesty
Policy may be subject to the student’s immediate dismissal from the
Dental Hygiene Program.
Considerations which may be reflected in the student’s final course
grade include:
*promptness to class sessions
*preparation and participation during class sessions
*individual effort put toward group assignments/projects/presentations
6
Class Schedule
Topic
Week 1:
April 1
Lecture:
Pre-Test (non-graded)
Review Syllabus,
Schedule, etc.
Reading
Review “Gingival
Description” PPT
from Fall Quarter
Fundamentals
course (DHYG 108)
Review:
Gingival
Description
Case Histories
Classification of
Periodontal
Diseases
Lab Prep
Lab Exercises
Lab Prep for April 1:
Each Student brings a
set of artificial teeth along
with modeling clay/Play
Dough/wax, something to
support the teeth
Complete Lab
Assignment A
As a Group:
1. Gingival Description
2. RAD Interpretation
Each Student:
3. Place teeth in 2 arches
with crowns visible and
roots buried
(timed)
7
Week 2:
April 8
Topic
Reading
Lecture:
Desquamative
Gingivitis
Treatment of Acute
Gingival Disease
Treatment of
Periodontal
Abscess
Ch. 26:
Desquamative
Gingivitis (19)
Ch. 47:
Treatment of Acute
Gingival Disease (8)
Ch. 48:
Treatment of
Periodontal Abscess
(7)
Lab Prep
Lab Exercises
Lab Prep for April 8:
Each Student brings a
set of artificial teeth and
modeling clay/Play
Dough/wax, something to
support the teeth
Bring extracted teeth
Lab review:
Root Morphology
Complete Lab
Assignment B
Each student:
1. Place teeth in 2 arches
with roots visible and
crowns buried.
Non-graded, timed
exercise with Kilgore
teeth and real teeth.
As a Group
2. Sort teeth for next
week and complete grid
3. Pick out teeth for next
week’s exercises
8
Week 3:
April 15
Topic
Reading
Lecture:
The Periodontal
Pocket
Bone Loss Patterns
Chronic
Periodontitis
NUP
Aggressive Perio.
Ch. 27:
The Periodontal
Pocket (16)
Ch. 28:
Bone Loss and
Patterns of Bone
Destruction (12)
Ch. 31:
Chronic Periodontitis
(5)
Ch. 32:
Necrotizing
Ulcerative
Periodontitis (4)
Ch. 33:
Aggressive
Periodontitis (5)
Lab Prep
Lab Exercises
Lab Prep for April 15:
As a Group bring:
* Examples of Class I, II
and III furcations
embedded in plaster.
* Nabor’s probe
Each Student brings:
* 1 Anterior or canine
with root LIGHTLY painted
with red nail polish
* 1 Premolar or molar
with root/roots LIGHTLY
painted with red nail
polish
* Instruments: 4R/4L,
Gracey 11/12 or 13/14
Mini-Gracey 11/12 or
13/14
* #2 pencil
* Coin envelope
Lab review:
Root and furcation ID
Complete Lab
Assignment C
As a Group:
1. Furcation exercise
Each Student:
2. Anterior/canine tooth
exercise
3. Premolar/molar tooth
exercise
As a Group:
4. Evaluate root provided
9
Topic
Week 4:
April 22
Reading
Exam #1 (2 hours)
Ch. 26, 47, 48, 27,
28, 31, 32, 33
X-ray
Interpretation
Lab Prep
Lab Exercises
Lab Prep:
Bring plastic teeth,
clay/play dough
Bring extracted teeth.
Complete Lab
Assignment D
Each Student:
Non-graded, timed
exercise with real teeth.
Non-graded, timed
exercise with plastic teeth
and arches
10
Topic
Week 5:
April 29
Lecture:
Initial Periodontal
Therapy (Phase I)
/Scaling and Root
Planing
Reading
Ch. 51
Scaling and Root
Planing
pp. 749-764 (12)
and review pp.768784 (11)
p. 759-760 –
pictures of Quetin
furcation curette
and diamond files
P. 956 – picture of
Sugarman file
Lab Prep
Lab Exercises
Lab Prep for April 29:
Each Student brings:
* 1 molar with Class III
furcation and at least 5mm
of root surface exposed and
mounted in plaster which
should be at the top of the
cup holder.
From the CEJ, LIGHTLY
apply red nail polish to cover
from CEJ to base of plaster.
* Once nail polish dry, apply
at least 3 coats of whiteouttype liquid to exposed root
surface.
* Once dry, use #2 pencil to
divide into line angles as
done previously on MB, DM,
ML, DL
* Instruments: Nabor’s
probe, Orban files,
Hirschfield files, all Graceys
and mini-Graceys
* #2 pencil
Lab review:
Instrument Selection,
Instrument Adaptation to
Root Surfaces
Calculus Formula
Complete Lab Assignment
E
Each Student:
1. Draw line angles and
instructor signs off before
you start
2. Use of files
3. Instrument B and L
surfaces according to
directions.
Complete Lab Assignment
F
Each student:
1. Instructor signs off before
you start
2. Use of files
3. Instrument B and L
surfaces according to
directions.
11
Topic
Week 6:
May 6
Lecture:
Periodontal
Medicine**
Radiographic
Aids**
Clinical Diagnosis
Reading
Ch. 18:
Periodontal
Medicine: Impact of
Periodontal Infection
on Systemic Health
(16)
Ch. 36:
Radiographic Aids in
the Diagnosis of
Periodontal Disease
(16)
Ch. 35:
Clinical Diagnosis
(19)
Handout:
Sharpening files
Quetins
Lab Prep
Lab Exercises
Lab Prep for May 6:
Each Student brings:
* 1 premolar with at least
5mm of root surface
exposed and mounted in
plaster as for previous labs.
Apply the tenacious calculus
formula to the lingual side
from the CEJ to base of
plaster.
* 1 molar with at least 5mm
of root surface exposed and
mounted in plaster as for
previous labs. Apply the
granular calculus formula to
the buccal side from the CEJ
to base of plaster.
* #2 pencil to divide into
line angles as done
previously on MB, DM, ML,
DL
* Instruments: Nabor’s
probe, Orban files,
Hirschfield files, Quetin
curette, diamond file
*Magnifying glass and/or
loupes and tanged
sharpening file
Lab review:
Instrument adaptation
Sharpening files
Complete Lab Assignment
G
Each student:
1. Instructor signs off both
teeth before you start
2. Use of files/Quetin premolar
3. Use of files/Quetin –
molar
Complete Lab Assignment
H
As a Group:
Sharpening Files and
Quetins
12
Topic
Week 7:
May 13
Lecture:
Risk Assessment,
Prognosis,
Treatment Plan,
Rationale for
Periodontal
Treatment
Assign Risk
Assessment Topics
Reading
Ch. 38:
Risk Assessment (5)
Ch. 40:
Determination of
Prognosis (10)
Ch. 41:
The Treatment Plan
(4)
Ch. 42:
Rationale for
Periodontal
Treatment (5)
Lab Prep
Lab Exercises
Lab Prep for May 13:
* 1 molar with Class III
furcation and at least
5mm of root surface
exposed and mounted in
plaster as for previous
labs. From the CEJ,
LIGHTLY apply red nail
polish to cover from CEJ
to base of plaster. Be
sure to apply into the
furcation.
* Once dry, apply
granular calculus formula
to the furcation roof and
sides of the furcation. DO
not make this so thick
that it closes the furcation
entrance.
* Instruments: All
instruments used this
quarter including the
11/12 explorer
*Magnifying glass and/or
loupes and tanged
sharpening file
*Coin envelope
Lab review:
Sharpening files
Risk Assessment
Complete Lab
Assignment I
If not done last week
Complete Lab
Assignment J
Each student:
1. Instructor signs off
teeth before you start
2. Use of periodontal
instruments on specific
surfaces
3. Completed
instrumentation of root
surfaces/turn in tooth
13
Topic
Week 8:
May 20
Reading
Exam #2 (2 hours)
Ch. 18, 35, 36, 40,
41, 42, Root
Morphology
(Ch. 38 and 51 on
NEXT exam)
Lab Prep
Lab Exercises
Lab Prep for May 20:
Each Student brings set
of artificial teeth and
modeling clay/Play
Dough/wax, something to
support the teeth
Lab review:
Endoscopy
Lab Exam #1
Graded, timed exercise
with Kilgore teeth:
maxillary and mandibular
arches – crowns down
Graded, timed exercise
with real teeth including
instrument selection
14
Topic
Week 9:
May 27
Week 10:
June 3
Week 11:
Wednesday
June 9
Reading
Group prep for
lecture May 27
Periodontal Packs
Tutorial Assignment
(hands-on)
Reading materials to
be given during class
May 20
Lab Prep
Lab Exercises
Lab:
Risk Assessment
Presentations
Lecture:
Discussion:
Periodontal Pack
Chemotherapeutic
Agents and
Antimicrobials
Host Modulation
Irrigation
Ch. 52:
Chemotherapeutic
Agents (13)
Ch. 53:
Host Modulation
Agents (14)
Ch. 55:
Supragingival and
Subgingival
Irrigation (8)
Additional reading
assignments
Exam #3:
Written (2 hours)
Ch. 38, 51, 52, 53,
55, Additional
reading, Treatment
Planning
Bring calculator for
Risk Assessment
questions
Each Student:
Dental Hygiene
Periodontal Treatment
Planning Presentation
15
Lab Exam #2
Root ID, Instrument ID
and Selection (timed)
Disclaimer
Course handouts are for the purpose of directing self-study and note
taking. PowerPoint presentations are provided on Angel for study and
review. It is not considered a requirement to print all presentations for
class. They will be heavily loaded with color graphics and photographs
that can be time and ink intensive to print. Students are encouraged
to use a variety of note taking strategies and should consider printing
only what they individually wish to have in class. Using “draft” and
“grayscale” print modes can conserve on ink. Faculty are not required
to post multiple versions for convenience as these are supplemental to
class and an “added benefit”.
The syllabus may be altered at any time during the course as deemed
necessary by the instructor. Changes requiring a schedule or time
frame alteration will be given with sufficient notice for students to
accommodate. Emergencies are the exception.
Security/Emergency
Procedures for
Classrooms
Call 911 and then Campus Safety in response to an imminent threat to
persons or property. In the event of an evacuation (intermittent horns
& strokes), gather all personal belongings and leave the building using
the nearest available safe exit. Be prepared to be outside for one hour
and stay a minimum of 200 feet from any building or structure. So
long as it is safe to do so, students are expected to stay on campus
and return to class after evacuations that last less than 15 minutes.
Do not attempt to re-enter the building until instructed by an
Evacuation Director (identified by orange vests) or by three horn blasts
or bell rings. Please notify the nearest Campus Safety Officer or
Evacuation Director of any one left in the building or in need of
assistance.
Fort Steilacoom Campus Safety (253) 964-6751
Puyallup Campus Safety (253) 840-8481
Chapter Objectives
Unit #1:
Chapter 26
Chapter 47
Chapter 48
Chapter 27
Chapter 28
Chapter 31
Chapter 32
Chapter 33
1. Demonstrate correct usage and spelling of dental terminology.
2. Describe the clinical features, diagnostic criteria, differentiation
criteria, microbial predominance if determined and any significant facts
associated with the following (including associations with systemic
diseases, etc.):
A. Lichen Planus
B. Pemphigoid
(1) Bullous pemphigoid
(2) Mucous membrane pemphigoid (cicatricial pemphigoid)
C. Pemphigus vulgaris
D. Chronic ulcerative stomatitis
E. Linear IgA disease (linear IgA dematosis)
F. Dermatitis herpetiformis
G. Lupus erythematosus
H. Erythema multiforme
3. Describe the therapeutic approaches to treating the following:
A. Erosive lichen planus
B. Mucous membrane pemphigoid (cicatricial pemphigoid)
C. Pemphigus
D. Chronic ulcerative stomatitis
4. Differentiate between stomatitis medicamentosa and stomatitis
venenata or contact stomatitis.
16
5. When treating acute gingival diseases, treatment focuses on two
major items. What are they?
6. When is treatment complete in NUG?
7. Describe the three phases of treatment.
8. Explain the significance of a thorough health history.
9. List and describe the four stages of healing in NUG.
10. Adjunctive therapies may help in treatment and prevention of NUG.
Describe them. If treatment is unresponsive to NUG, what next?
11. Describe the primary goal in treating Periocoronitis.
12. Describe the primary goal in treating Acute Herpetic
Gingivostomatitis.
13. Define Periodontal Abscess, describe two types and discuss the
primary goal in their treatment
14. Describe the characteristics of each of the following in order to
determine a differential diagnosis
A. Acute Abscess
C. Periodontal Abscess
B. Chronic Abscess
D. Pulpal Abscess
15. Define and discuss the following terms :
A. Periodontal pocket
B. Histological features of perio pocket versus gingival diseases
C. Classifications of pockets
D. Suprabony and infrabony pockets
E. Pocket formation
F. Topography of a pocket
16. Discuss the clinical significance of fibrous versus edematous pocket
wall.
17. Describe the contents of a pocket?
18. Discuss the significance of pus as a common feature of periodontal
abscess?
19. What changes does the root surface wall undergo during periodontal
infection?
20. How do these changes manifest clinically and what is the resulting
impact for the patient and clinician?
21. What are the five zones of the surface of the tooth in a periodontal
pocket?
22. What is the significance of each zone?
23. Discuss the five ways periodontal abscesses form?
24. Discuss the classification of periodontal abscesses by location?
25. What is a periodontal cyst?
A. What are the possible etiologies?
B. What does it look like radiographically?
26. Describe how bone destruction is caused by an extension of gingival
inflammation including the histopathologic changes, effect on periodontal
fibers, etc.
27. Describe how occlusal trauma may contribute to periodontal bone
destruction.
28. Describe how local and systemic factors have an influence on bone
destruction patterns.
29. Variation in periodontal bone patterns can exist. Describe and
recognize the features of:
A. Exostosis
B. Trauma from occlusion
C. Buttressing bone formation
D. Food impaction
17
30. Describe and recognize the following patterns of bone destruction in
periodontal disease:
A. Horizontal bone loss
B. Osseous defects
C. Vertical defects
D. Osseous craters
E. Bulbous bone contours
F. Reverse architecture
G. Ledges
H. Furcation involvement
31. Describe the following as it relates to Chronic Periodontitis:
A. Characteristics and clinical features
B. Disease Distribution
C. Disease Severity
D. Symptoms
E. Disease Progression
F. Prevalence
32. Describe the risk factors for Chronic Periodontitis.
33. Describe the following as it related to Necrotizing Ulcerative
Periodontitis:
A. Characteristics and clinical features
B. Microscopic findings
C. Etiology and microbial flora
34. Why is an immunocompromised patient more prone to NUP?
35. Explain how psychological stress can affect patients with NUP?
36. Describe the following as it related to Localized and Generalized
Aggressive Periodontitis:
A. Characteristics and clinical features
B. Radiographic findings
C. Risk factors
D. Immunologic factors
E. Genetic factors
Unit #2:
Chapter 51 &
Root Morphology
Chapter 18
Chapter 35
Chapter 36
Chapter 38
Chapter 40
Chapter 41
Chapter 42
1.
2.
Demonstrate correct usage and spelling of dental terminology.
Explain the difference between the conventional Gracey curette and
A. the Gracey curvette
B. the Langer curette
C. the Quetin curette
D. the “after 5” curette
3. Discuss the general principles for effective periodontal
instrumentation.
4. To prevent injury to the patient, what must one be constantly aware
of while instrumenting?
5. Describe why proper grasp is ESSENTIAL?
6. List finger rests/fulcrums used in periodontal instrumentation.
7. Define adaptation. How is precise adaptation achieved? How much of
the working end is adapted at any given time?
8. Define angulation. Why is correct angulation ESSENTIAL for the
removal of calculus?
9. Exact angulation depends on what 4 items?
10. What angulation does one use for heavy calculus? After removal
of calculus? curettage?
11. Define lateral pressure. Why is lateral pressure CRITICAL to the
success of scaling and root planing?
12. List the three types of strokes. Directions?
13. Discuss wrist/arm movement versus finger movement.
18
14. Discuss notable factors regarding root planing and scaling. Include
proper angulation, shank positioning, etc
15. Why are detection skills so important?
16. What are the two items in which one must develop an expertise when
scaling and root planing subgingivally?
17. Compare supragingival scaling and subgingival scaling and root
planing in relation to stroke, pressure, angulation, adaptation, etc.
18. There are many ways to burnish calculus. List as many as you can
from the material you read.
19. Review and know the positioning of operator and pt., and fulcrums for
each area.
20. What is the distance between the apical edge of the calculus and the
bottom of the pocket?
21. Review and know the following terminology (from Biostructures)
A. Apex of root
B. Root axis line
C. Anatomical crown/root
D. Cervical Line (CEJ)
E. Cervix/root trunk
F. Furcation
G. Concave/convex
H. Longitudinal groove
I. Alveolus
J. Line angle
22. Define and recognize the following:
A. Trifurcation
B. Bifurcation
C. Depth of depression
D. Lingual convergence
E. Furcation roof
F. Root trunk
G. Terminal root
H. Intermediate bifurcation ridge
I. Longitudinal axis of the root
23. How do concavities and anomalies affect the survival of a tooth with
periodontal disease?
24. Which arch/ general principles do you use to identify a particular root
type?
25. Which specific characteristics do you use for individual root
identification?
26. Which teeth have roots with the deepest depressions/concavities?
27. What is the general shape of the roof of a trifurcation? Bifurcation?
28. Describe the importance of host susceptibility to understanding the
differences in the onset, natural history, and progression of periodontitis.
29. List the organ systems and conditions which may possibly influence
periodontal conditions.
30. Explain why eradication of gram- bacteria in the periodontal pocket is
so difficult and the reemergence is often rapid.
31. Describe how periodontal disease may affect mortality.
19
32. Describe the impact of periodontal infections for the following
conditions:
A. Coronary heart disease/atherosclerosis
B. Stroke
C. Diabetes Mellitus
D. Pregnancy outcome
E. Chronic Obstructive Pulmonary Disease
F. Acute Respiratory Infections
33. What are the diagnostic tools used for clinical diagnosis of periodontal
disease?
34. Define the following:
A. Diagnosis
B. Erosion
C. Abrasion
D. Abfraction
E. Attrition
F. Fremitis
G. Facet
35. How does trauma from occlusion relate to radiographic changes?
What are the changes?
36. Where is the diagnosis of trauma from occlusion made?
37. What is pathologic migration of the teeth?
38. What does pathologic migration have to do with destruction of the
periodontium?
39. Radiographs reveal what about periodontal disease. How do we use
radiographs in periodontal diagnosis?
40. How do viewing distortions determine our interpretation of
radiographs?
41. Give four items that can alter views of radiographs or create
distortions?
42. What are three things we DO see regarding bone loss?
43. What radiographs DO NOT show?
44. What is the sequence of radiographic changes/causative tissue
changes seen in radiographic appearance in periodontitis?
45. What radiographic changes are seen in aggressive periodontitis and
traumatic occlusion?
46. Define risk assessment
47. Define and differentiate:
A. Risk factors
B. Risk determinant/background characteristics
C. Risk indicators
D. Risk markers
48. Name four known risk factors? How were they identified?
49. Name five risk determinants? How were they identified?
50. Name three risk indicators? How were they identified?
51. Name 2 risk markers? How were they identified? What is the
relationship to disease?
52. What are the factors to consider when determining a prognosis?
Why?
53. What are the types of prognosis?
54. Define and discuss the overall versus individual tooth prognosis.
55. What is the relationship between diagnosis, classification, and
prognosis?
56. What is the significance of re-evaluation?
20
57. What is the prognosis for patients with gingival diseases?
Periodontitis? Periodontitis as a manifestation of systemic disease? Give
each separate disease by category and the prognosis for each per your
text.
58. Define treatment plan.
59. What are the ten prognostic factors that must be included in the
treatment plan decisions?
60. What is the cardinal rule with the treatment plan?
61. What is the primary goal of a treatment plan?
62. When should a tooth be extracted?
63. How do you explain the treatment plan to a patient?
64. What are the five phases of periodontal treatment? What is the
significance of each?
65. What does periodontal therapy accomplish?
66. What are two ways to provide therapy?
67. Define:
A. New attachment
B. Epithelial adaptation
68. What do we typically achieve in healing as a result of periodontal
therapy, non-surgical?
Unit #3:
Chapter 52
Chapter 53
Chapter 55
1. Demonstrate correct usage and spelling of dental terminology.
To be distributed later in the quarter
21