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At the conclusion of this course, the student should be able to:
1. Describe the tissues of the periodontium and their functions.
2. Explain the major components that make up the microscopic anatomy of the periodontium.
3. Identify the various stages of periodontal health and disease.
4. Explain how the numbers of bacteria vary from health to disease in the periodontium.
5. Identify and address the importance of local contributing factors in maintaining long-term periodontal health.
6. Describe the basic concepts of immunity and inflammation.
7. Describe the role of the host response in the severity and tissue destruction seen in periodontitis.
8. Describe how to evaluate each component of a comprehensive periodontal assessment and apply this knowledge to patient care planning.
9. Identify early radiographic evidence of periodontal disease.
10. Discuss the concept of self-care and the roles of the patient provider.
11. Define and discuss the oral benefits from supragingival and subgingival nonsurgical periodontal therapy.
12. Describe the difference between systemic delivery and topical delivery of chemical agents.
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I. Tissues of the Periodontium
A. Clinical and radiographic features of the periodontium
B. Histology of the periodontium
II. The Progression of Periodontal Disease
A. The periodontium in health and disease
B. Gingival diseases
C. Pathogenesis of bone destruction
D. Periodontal pockets
III. Classification of Periodontal Diseases and Conditions
A. Introduction to disease classification
B. Classification systems
C. American Academy of Periodontology (AAP) classification system for periodontal diseases
D. Overview of periodontal diseases
IV. Oral Biofilms and Periodontal Infections
A. Bacteria in the oral environment
B. Bacteria associated with periodontal health and disease
C. The structure and colonization of plaque biofilms
D. Mechanisms of periodontal destruction
E. Control of plaque biofilms
V. Local Contributing Factors
A. Mechanisms for increased disease risk
B. Plaque biofilm retention
C. Plaque biofilm pathogenicity
D. Causes of direct damage
VI. Immunity, Inflammation and the Host Response to Periodontal Pathogens
A. The body's defense system
B. Components of the immune system
C. Leukocyte migration, chemotaxis, and phagocytosis
D. The inflammatory process
E. The role of host response in periodontal disease
F. Pathogenesis of inflammatory periodontal disease
VII. Clinical Periodontal Assessment
A. The assessment process
1. Responsibilities
2. Legal considerations
3. Documentation
B. The comprehensive periodontal assessment
C. Use of radiographs for periodontal evaluation
VIII. Best Practices for Periodontal Care and Decision-Making
A. During treatment planning for patients with periodontal disease
B. The role of evidence-based care in best practices
C. Decisions related to assigning a periodontal diagnosis
D. Informed consent for periodontal treatment
IX. Nonsurgical Therapy Treatment
A. Overview of therapeutic modalities
B. Initial nonsurgical therapy
C. Follow-up reevaluation
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Foundations of Periodontics for the Dental Hygienist. 6th ed. Nield-Gehrig, J. S., and Willmann, D.E. Lippincott, Williams & Wilkins. 2023.
Instructor prepared materials