Concorde Career College
Dental Hygiene Education Program
Course Syllabus
Course:
Total Semester Units:
Total Hours:
Instructor:
DH:203 Periodontology Term IV
3 credit hours, 4.5 hours of lecture
45
Instructor: Bonita Rayl, RDH, BS (brayl@concorde.edu)
Office Hours: During breaks and by appointment
Class Schedule:
Tuesday 2:00 pm –4:30 pm
Thursday 11:00 am –1:00 pm
Description of the Course: This course will provide information and will study periodontal anatomy, normal
periodontal tissues, etiology, pathology, and clinical manifestations of periodontal disease. It will address
periodontal therapy including preventive, surgical and non-surgical methods. Specific topics will include
periodontal disease complexity, prevention of the disease, treatment, drug therapy and osseous integration.
Textbooks:
Perry, Dorothy A.; Beemsterboer, Phyllis L.; Essex, Gwen; Periodontology for the Dental Hygienist, 4th Ed.; Elsevier
Saunders; 2014.
Wilkins, Esther M. Clinical Practice of the Dental Hygienist, 11th Ed. Baltimore: Lippincott Williams & Wilkins; 2012.
Library Reference:
Newman, Michael G.; Takei, Henry H.; Klokkevold, Perry R.; Carranza, Fermin A. Carranza’s Clinical Periodontology,
11th Ed. St. Louis: Saunders; 2012.
Prerequisites:
Successful completion of terms I - III Dental Hygiene Program courses.
Websites:
 http://www.perio.org/
 http://www.ada.org/3063.aspx
 http://www.joponline.org/doi/abs/10.1902/jop.2010.100321
Course Objectives:
Upon successful completion of this course, the student will be able to:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
Discuss the epidemiology of periodontal disease
Recognize the anatomic characteristics of the periodontium
Recognize Gingival and Periodontal diseases
Discuss calculus and other disease associated factors
Demonstrate clinical assessment of periodontal disease
Demonstrate clinical assessment of occlusion and temporomandibular disorders
Explain treatment for periodontal diseases
Describe periodontal surgery
Discuss dental implants
Describe periodontal emergencies
Describe the Systemic factors Influencing periodontal disease
Describe Periodontal Maintenance and Prevention
Discuss prognosis after periodontal therapy
CCC Course Syllabus
Revised: 06/14
Dental Hygiene Program
DH: 203 Periodontology
Page 1 of 9
Concorde Career College
Dental Hygiene Education Program
WEEKLY OUTLINE OF CURRICULUM
WEEK
Lecture 1
2.5 hours
01-28-14
Lecture 2
2 hours
01-30-14
Lecture 3
2.5 hours
02-04-14
Lecture 4
2 hours
02-06-14
Lecture 5
2.5 hours
02-11-14
Lecture 6
2 hours
02-13-14
Lecture 7
2.5 hours
02-18-14
Lecture 8
2 hours
02-20-14
Lecture 9
2.5 hours
02-25-14
Lecture10
2 hours
02-27-14
Lecture11
2.5 hours
03-04-14
Lecture12
2 hours
03-06-14
Lecture13
2.5 hours
03-11-14
Lecture14
2.5 hours
03-13-14
Lecture15
2 hours
03-18-14
Lecture16
2.5 hours
03-20-14
Lecture17
2 hours
UNIT OF INSTRUCTION OR TOPIC
ASSIGNMENTS
Documenting Periodontal Conditions – Case Study Exercise
Periodontium: Anatomic Characteristics and Host Response
Chapter 2
Microbiology of Periodontal Diseases
Chapter 4
Library Reference: Carranza
Chapter 23
Calculus and Other Disease-Associated Factors
Chapter 5
Exam 1: Chapters 2, 4, 5
Gingival Diseases
Gingival Diseases Cont’d.
Periodontal Diseases
Periodontal Diseases Cont’d.
Chapter 6
Library Reference: Carranza
pgs. 34-41 and pgs. 69-70
Chapter 6 - 7
Library Reference: Carranza
pgs. 41-46
Chapter 7
Library Reference: Carranza
Chapter 21
Clinical Assessment
Use of Indices
Chapter 8
Wilkins Chapter 22
Exam 2: Chapters 6, 7, 8
Treatment Planning for the Periodontal Patient
Chapter 10
Plaque Biofilm and Disease Control for the Periodontal Patient
Chapter 12
MIDTERM EXAM
Nonsurgical Periodontal Therapy I: SRP/ Debridement/ Prophylaxis/
Curettage/ Principles of Instrumentation
Nonsurgical Periodontal Therapy II: Sonic and Ultrasonic Instrumentation
Antimicrobial Therapies/Lasers
Chapter 13
Chapter 13
Chapter 14
Library Reference: Carranza
Chapter 56-64
Periodontal Surgery
Exam 3: Chapters 13,14
Dental Implants
Chapter 15
Periodontal Emergencies
Chapter 16
Systemic Factors Influencing Periodontal Disease
Chapter 9
Exam 4: Chapters 9, 15, 16
Periodontal Maintenance and Prevention
Chapter 17
03-25-14
CCC Course Syllabus
Revised: 06/14
Dental Hygiene Program
DH: 203 Periodontology
Page 2 of 9
Concorde Career College
Dental Hygiene Education Program
WEEKLY OUTLINE OF CURRICULUM
WEEK
Lecture18
2.5 hours
03-27-14
Lecture19
2 hours
04-01-14
Lecture20
2.5 hours
04-03-14
UNIT OF INSTRUCTION OR TOPIC
Prognosis After Periodontal Therapy
ASSIGNMENTS
Chapter 18
Final Review
FINAL-COMPREHENSIVE
*******Sequence of Unit of Instruction or Topic is Subject to Change as Needed*******
INSTRUCTIONAL UNIT OBJECTIVES:
Upon successful completion of instruction, the student will be able to:
Documenting Periodontal Conditions – Case Study Exercise
Periodontium: Anatomic Characteristics and Host Response
1. Name the tissues of the periodontium and describe the anatomy and clinical characteristics of the tissues
of the periodontium
2. Differentiate among the 3 types of oral epithelial surfaces: keratinized, parakeratinized, and nonkeratinized
3. Name the principal fiber bundles of the gingiva
4. List the functions of the periodontal ligament.
5. Describe clinically normal gingiva in terms of color, size, contour, texture and consistency
6. Define the protective roles of gingival fluid and saliva
7. Using provided case study, devise an appropriate treatment plan in groups including DH Dx & Goal Statements
Microbiology of the Periodontal Diseases
1. Describe the development of supragingival and subgingival plaque biofilms and compare
the composition of the biofilms
2. Describe salivary factors in pellicle formation
3. Define the mechanism for bacterial plaque adherence to tooth surfaces
4. Describe the influence of bacterial surface components on bacterial colonization and coaggregation
5. Discuss microbial succession
6. Compare nonspecific and specific plaque hypotheses
7. Describe and classify the specific bacteria associated with the major periodontal infections
8. Describe the significance of dental plaque biofilm to dental hygiene practice
9. Discuss host susceptibility and pathogenic bacteria as it relates to the transition from health to disease
Calculus and other Disease-Associated Factors
1. Describe the role of dental calculus and other disease associated factors in the initiation and perpetuation of
gingival and periodontal diseases
2. Describe the formation and attachment of supragingival and subgingival calculus in the oral environment
3. Compare the composition , distribution and attachment of supragingival and subgingival calculus
4. Explain the action of anticalculus agents
5. Explain the role of the RDH in recognition and provision of care for patients with disease associated factors
Gingival Diseases
1. Define the types of gingivitis
2. Relate the clinical signs and symptoms of gingivitis to the pathogenesis of each stage of disease
3. List the similarities and differences in the clinical presentation, treatment, and healing of dental plaque
biofilm-induced gingivitis and other gingival conditions
4. Identify the medications that can cause gingival hyperplasia in patients
5. Describe examples of bacterial, viral and fungal infections that affect the gingival
6. Define necrotizing ulcerative gingivitis
7. Describe the role of the dental hygienist in the treatment of gingivitis
8. Describe the protective role of saliva in the maintenance of oral tissues
CCC Course Syllabus
Revised: 06/14
Dental Hygiene Program
DH: 203 Periodontology
Page 3 of 9
Concorde Career College
Dental Hygiene Education Program
9. List and describe the American Academy of Periodontology categories of gingival diseases
Periodontal Diseases
1. Describe the pathogenesis of periodontitis
2. Describe the histopathology of periodontitis
3. Discuss the inflammatory responses in the periodontium: microbial virulence and host response
4. List and describe the American Academy of Periodontology categories of periodontal diseases
5. Identify the five case types of periodontal diseases
6. Define clinical attachment loss and its relationship to periodontitis
7. Compare and contrast chronic periodontitis, aggressive periodontitis, prepubertal periodontitis, early-onset
periodontitis, juvenile periodontitis, refractory periodontitis, necrotizing ulcerative periodontitis, and
periodontitis as a manifestation of systemic disease, as to demographics, clinical and microbial characteristics
8. Identify the systemic diseases and genetic factors associated with periodontal disease susceptibility
Clinical Assessment
1. Describe the connection between patients’ overall health and their dental and periodontal health
2. List and describe the indices used to report plaque biofilm accumulation, periodontal status, furcation
involvement, tooth mobility, dental caries and tooth wear
3. Describe intrinsic and extrinsic dental stains and their causes
4. Describe the normal and abnormal clinical presentation of the periodontium and dentition.
5. Identify radiographic changes seen in periodontal disease
6. Describe the normal and abnormal clinical and radiographic presentation of the periodontal structures
surrounding dental implants
Treatment Planning for the Periodontal Patient/ Use of Periodontal Indices/ Phase I Therapy
1. Describe the goals and rationale for periodontal treatment planning
2. Define the role of the RDH in determining the dental hygiene care plan
3. Define the phases of dental treatment included in the comprehensive care plan.
4. Identify the considerations for sequencing dental hygiene treatment with periodontal diseases.
5. Define informed consent and its importance to patient care
6. Compare and contrast the plaque, calculus, bleeding, and periodontal indices that are used to quantify
conditions in the oral cavity
7. Discuss the sequence of treatment for Phase I Periodontal Therapy
Plaque and Disease Control for the Periodontal Patient
1. List the goals for plaque biofilm control for the periodontal patient
2. Describe the role of plaque biofilm removal as an essential element in dental hygiene
3. Describe why biofilm control is more complex for periodontal patients than for those with no clinical
attachment loss
4. Describe interproximal plaque biofilm removal techniques that permit access to root surface concavities and
furcations
5. Describe the role of motivation in gaining compliance of patients for plaque biofilm control programs
Nonsurgical Periodontal Therapy I: SRP/ Debridement/ Prophylaxis/ Curettage/ Principles of Instrumentation
1. Define nonsurgical periodontal therapy
2. Describe the short and long term goals of nonsurgical periodontal therapy
3. Describe the process of healing after periodontal debridement procedures, scaling, and root planing
4. Explain the limitations of calculus removal and the expectations for clinician proficiency
5. List and define the classifications of periodontal instruments
6. Differentiate among sickles, curettes, hoes, chisels, and files, and periodontal explorers
Nonsurgical Periodontal Therapy II: Sonic and Ultrasonic Instrumentation/ Lasers/ Antiinfective Therapies
1. Define the use of laser use in nonsurgical therapy.
2. Describe the use of loupes, endoscopy and microscopes to nonsurgical therapy
3. Explain the benefits and indications of antimicrobial adjuncts to nonsurgical therapy
4. Describe the differences between sonic and ultrasonic instruments
5. Explain the mechanism of action and benefits of irrigation
6. List and describe indications for commonly prescribed systemic antibiotics for use in periodontal therapy
CCC Course Syllabus
Revised: 06/14
Dental Hygiene Program
DH: 203 Periodontology
Page 4 of 9
Concorde Career College
Dental Hygiene Education Program
7. List and describe indication for commonly used local delivery antibiotics for use in periodontal therapy
Periodontal Emergencies
1. Define the role of the dental hygienist in the recognition and treatment of periodontal emergencies
2. Describe the etiology of periodontal abscesses
3. Compare and contrast the signs , symptoms, and treatment considerations in patients with gingival,
periodontal, and periapical abscesses
4. Describe the symptoms and treatment for acute herpetic gingivostomatitis, necrotizing ulcerative gingivitis,
and pericoronitis
Periodontal Surgery / Gingivectomy, Osseous Resection and Periodontal Plastic Surgery
1. List and define types of periodontal surgery.
2. Describe healing process after periodontal surgery.
3. Define postoperative procedures
4. Describe postoperative instructions
5. Identify the role of the RDH in the surgical treatment of periodontal diseases
Dental Implants
1. Describe the common types of implants
2. Discuss the indications and contraindications for dental implant therapy
3. Explain why titanium is the best biomaterial available for use in implants
4. Define concept of osseointegration
5. Compare and contrast the bone and soft tissue interfaces of implants and natural dentition
6. List the criteria for success used in implant therapy
Periodontal Maintenance and Prevention
1. Explain the effectiveness of periodontal maintenance therapy in the prevention of disease, disease
progression, and tooth loss.
2. List and describe the elements of a successful maintenance program
3. State five major objectives of periodontal maintenance
4. Describe strategies to improve compliance with recommended maintenance intervals and oral hygiene
regimens
5. List the principal aims and components of the maintenance appointment
6. Recognize the signs of recurrent periodontitis and assess the factors that contribute to its development
7. Describe the role of the dental hygienist in providing periodontal treatment
Prognosis After Periodontal Therapy
1. Define prognosis
2. Describe the difference between overall prognosis and tooth prognosis
3. Compare the elements of overall prognosis with the elements of tooth prognosis
4. List and describe the factors associated with overall prognosis
5. List and describe the factors associated with individual tooth prognosis
Systemic Factors Influencing Periodontal Diseases
1. Understand systemic factors influence dental hygiene care
2. List and describe conditions which require consultation with a patient’s M.D.
3. Describe changes in oral tissues observed with systemic diseases and conditions
LEARNING ACTIVITIES:
The following learning activities may be used:
1. Class discussion, participation, and sharing
2. Journal article reviews, research, presentations
3. In class group critical thinking activities
4. Homework assignments
5. Hands on demonstration
6. Critical Thinking Activities
7. Drawing, sketching, molding
CCC Course Syllabus
Revised: 06/14
Dental Hygiene Program
DH: 203 Periodontology
Page 5 of 9
Concorde Career College
Dental Hygiene Education Program
TEACHING METHODS:
The following teaching methods may be used:
1. Lecture and discussion
2. Class discussion and participation
3. Computerized presentations
4. Guest speakers
5. Problem-solving
6. Reading Assignments
7. Class participation in role play
8. Lab sessions in both classroom and clinical settings including observation, practice and proficiencies
9. Hands on demonstration
METHODS OF EVALUATION:
The following methods of assessment and evaluation may be used:
1. Examinations which may include slides, short answer, matching, true and false, fill in the blanks, multiple
choice and short essay. Written exams are listed on the class schedule. The written final is comprehensive.
2. Problem solving exercises: homework, research, presentations, and/or class exercises
3. Practical Exams which include clinical demonstration of instructor selected competencies
It is required that the student, upon completion of this course will demonstrate and describe the principles of
Periodontology with a score of 75% or better. This will include written exams, class work, projects, and
presentations. It will also include demonstration of acceptable levels of safety and competency when working
with patients and classmates. It will be necessary for the student to demonstrate skills in cooperation, critical
thinking, and effective problem solving. The overall course grade will be determined by combined test scores,
projects, class work, and presentations. In addition, the student will be evaluated on her/his ability to
demonstrate ethical, attitudinal and behavioral attributes necessary to perform the duties of a dental
hygienist. Some examples are:
1. Willingness to accept suggestions for improvement
2. Good personal grooming and hygiene
3. Maintaining a neat and clean work area
4. Ability to work alone and in a group setting
5. Honesty in ALL interactions
6. Using sound judgments in all situations
Letter Grade
A
B
C
D*
F*
Percentage
Description
90-100%
Exceptionally Competent
80-89%
Highly Competent
75-79%
Fully Competent
70-74%
Partially Competent
69% or less
Not Competent
*Must be repeated for credit
To pass this course, the student must maintain a minimum overall average of 75% and professional behavior
must be satisfactory.
Assignment
Tests
Midterm
Final
Total Possible
CCC Course Syllabus
Revised: 06/14
Percentage (%)
40
30
30
100%
Dental Hygiene Program
DH: 203 Periodontology
Page 6 of 9
Concorde Career College
Dental Hygiene Education Program
Assignments:
Each assignment must be submitted on or before the stated due date. Late work is not accepted and missed
assignments will be recorded in the grade book as zero.
A. Tests – 40%
There will be four tests based on the information presented during lectures. Topics to be included on
each test are noted on the lecture schedule.
B. Midterm – 30%
There will be one midterm based on the information presented during lectures. Topics to be included on
the midterm are noted on the lecture schedule.
C. Final –30%
There will be one comprehensive final based on the information presented during lectures. Topics to be
included on the final are noted on the lecture schedule.
Program Core Competencies Completed Within This Course:
I.
II.
III.
Professional Growth and Development: NA
Health Promotion and Disease Prevention: 6
Patient Care: 8, 9, 10, 11
PROGRAM POLICIES:
Professional Development
Dental hygienists are professionals and must conduct themselves in an ethical and professional manner at all
times. Arriving on time (both at the beginning of class and after breaks), being prepared for class, listening in class
and respectively honoring the teacher and/or a classmates when they are speaking, dressing appropriately by
following the uniform requirement, and keeping food and drink out of the classroom are all examples of
professional conduct. Please refer to the clinic manual for further examples of professional and unprofessional
conduct/behavior.
Scholastic Honesty
It is assumed that all students are enrolled in class to learn; therefore, cheating is not an acceptable practice.
Dishonesty of any type in a course, including cheating on examinations or plagiarizing materials, can result in a
grade of “F” and may be cause for suspension and/or termination. Plagiarism includes passing off or attempting to
pass off the ideas or writing of another person as one’s own.
Students are not allowed to copy another student’s work. Collaboration on assignments is prohibited unless
explicitly permitted by the instructor. When collaboration is permitted, students must acknowledge all
collaboration and its extent in all submitted work.
Students are prohibited from operating any type of audio or video recording device in a classroom, laboratory, or
clinical setting without prior expressed permission from the Campus President or Academic Dean. Prohibited items
include, but are not limited to; video cameras, telephones with audio or video recording capability, computers,
electronic tablets, or watches with audio or video recording capability. This is not an all-inclusive list. Violations of
this policy may lead to disciplinary actions up to and including dismissal from school.
Attendance Policy
Regular and punctual attendance at all scheduled classes is expected of all students and is a key to successful
program completion. When a student enrolls, he or she accepts the responsibility of attending all classes and
completing all class work assigned by the instructor. Beginning with the first class period, instructors will report
absences at each class meeting and this information is entered in the student’s permanent record.
CCC Course Syllabus
Revised: 06/14
Dental Hygiene Program
DH: 203 Periodontology
Page 7 of 9
Concorde Career College
Dental Hygiene Education Program
Students may not miss in excess of 10% of scheduled class hours per Term. If, at the end of a Term, a student has
missed in excess of 10% of scheduled class hours, he or she will be placed on attendance probation beginning with
the next Term. Clinical hours missed count toward the 10%. During any Term, three clinical absences are the
maximum number allowed. Should the student exceed three clinical absences in any Term, he or she may be
subject to withdrawal from the program. Students need to notify the clinic and/or instructor in advance by phone
or email and carbon copy (CC) the Program Director if they are going to be absent from the clinic or classroom.
While on attendance probation, students may not miss in excess of 10% of the scheduled class hours in the Term.
Any student on probation who misses in excess of 10% of scheduled class hours has violated the Terms of
probation and will be withdrawn from the program immediately upon determination of the violation, but no later
than the end of that Term. A dental hygiene student may only be on attendance probation one time during the
entire program. Should the student be absent in excess of 10% of scheduled class hours in any future Term, the
student will be withdrawn from the program. Any student who is absent for more than 10% of the scheduled class
hours, in the final Term of the Dental Hygiene program, will be withdrawn from the program. Should that student
apply for readmission and be accepted, he or she will be required to repeat all final Term course work. If the
student on attendance probation does not exceed the 10% absence during the Term, he or she will be removed
from probation at the end of the Term. Any student terminated for violating the attendance policy may apply for
readmission once he or she has met the conditions of the readmission policy. All clinical objectives must be
satisfied before a final grade may be given for a course. Each student is directly responsible to the individual
instructor and/or Program Director and the Academic Dean for absences. Any student who misses 10 consecutive
scheduled class days and does not return on the 11th day will be withdrawn, regardless of his or her attendance
status.
If a student must be absent for reasons of sickness or family emergencies, notifying the instructor in advance by
phone or email and CC the program director is required. The student may be required to complete a missed
assignment, which will be determined by the instructor. Absences without instructor or clinic notification will be
subject to a write-up for the student. Quizzes may not be made up – see the policy for Missed Quizzes and
Examinations/Tests.



If a student is scheduled for a board examination in the last Term, then the day they are absent for that
examination will not be included in the percentage missed calculation, if the examination is approved by
the program director, but arrangements must be made according to the syllabus policy for any missed
assignments/tests and the student must provide proof that the examination was taken on that day.
Each uninformed absence or tardy will be recorded as a reduction in points for the professionalism grade
outlined in the professionalism portion of the syllabus, and will count toward your percentage of missed
class hours.
A student will be required to attend mandatory tutoring if he or she misses more than 20% of the DH227
Board Review class in Term 7, and this tutoring may postpone graduation.
Missed Quizzes and Examinations/Tests
If a quiz is missed, it cannot be made up and you will receive a zero (0) for that quiz grade.
If an examination/test including mid-term or final is missed, it can be made up only if the instructor is advised in
advance of the class and must be made up within five (5) days from the first day the student returns to class to
take a missed examination/test.
The student must initiate the request to reschedule on the first day of return. It is the student’s responsibility to
schedule time outside of regularly scheduled class hours with the instructor to take a missed examination/test.
Please Note: If an examination/test is not rescheduled on the day of return or if you are absent on the
rescheduled time, you will receive a zero (0). The format for a missed examination/test may be different from that
used for the class examination/test.
CCC Course Syllabus
Revised: 06/14
Dental Hygiene Program
DH: 203 Periodontology
Page 8 of 9
Concorde Career College
Dental Hygiene Education Program
Examination/Test Taking
On examination/test days, quizzes, midterms and finals, students will be seated in assigned seats. All backpacks,
purses, and any other belongings will be placed in the front of the classroom until after the examination. Students
must be in their seats at the time the instructor distributes the first quiz paper in order to take the quiz.
Mandatory Tutoring
Tutoring can be arranged for any student who demonstrates academic need or requests additional help. If a test
score below 75% is received on the Midterm, mandatory tutoring will be scheduled and must be completed within
the following week.
Course Completion
Dental Hygiene students must earn a “C” (75%) or better in each course in the program and maintain a minimum
cumulative grade point average of 2.0 for all course work attempted.
To satisfactorily complete a course with a clinical component, the student must earn a “C” (75%) or better in both
the didactic and clinical components of the course independently in order to successfully complete the course and
move forward in the program.
Should terminated students choose to reapply, they must meet the current catalog readmission requirements for
the program.
Office Hours
Instructors will be available to meet with students by appointment. In respect to all instructors and curriculum
confidentiality, students are not allowed in the faculty office.
Front Office
As in most dental offices, the front office is a very important part of the clinic. For this reason, no more than two
(2) students are allowed in the front office area at a time. Although the clinic phone number may be given to
family members in case of an emergency, personal calls may not be made from the clinic phone. Patients may be
confirmed from the front office phone.
Grades of Incomplete
The policy for a grade of incomplete is found in the college catalog.
Cell Phone Use
Students may not use cell phones in the hallways or classrooms. Cell phones should be used in the student lounge
or outside the building only.
Eating and Smoking
Students are welcome to pause, relax, and eat and drink in the student lounge. Smoking is not allowed in the
building. If students wish to smoke, they may do so outside the building in designated areas. Smoking is strictly
prohibited in all areas of the school, including all hallways, restroom facilities, and the reception area. No food or
beverages are allowed in laboratories. No food or beverages are allowed in classroom except bottled water with a
top.
CCC Course Syllabus
Revised: 06/14
Dental Hygiene Program
DH: 203 Periodontology
Page 9 of 9