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1. Apply current clinical diagnostics to new situations used to identify
the periodontal diseases.
2. Apply clinical diagnostic findings to formulate a dental hygiene
assessment of the periodontal condition with simulated cases.
3. Formulate dental hygiene treatment plans for a variety of the
periodontal diseases including preventive and therapeutic
considerations; collaborative aspects of therapy; adjunct therapy;
assessment of treatment outcomes; and maintenance using simulated
cases.
4. Apply appropriate diagnostic criteria to classify the periodontal
diseases using simulated cases.
5. Incorporate the prevailing theories about the etiology of the
periodontal diseases into clinical communication, diagnostic judgments
and clinical care. Compare and contrast conflicting theories
regarding the etiology of the periodontal diseases. Analyze
specificity theory and discuss how this theory affects periodontal
diagnosis and therapy.
6. Incorporate and use the prevailing theories about periodontal disease
progression in each of the known periodontal diseases. Compare and
contrast chronic progressive theory to exacerbation/remission theory.
7. Discuss the burst theory and the rationale behind the theory.
Understand how this theory is used in the application of periodontal
assessments and therapy.
8. Describe the biologic basis for scaling and root planing. Use
acquired knowledge in periodontal/dental hygiene treatment planning
and in decisions about treatment modalities.
9. Anticipate post treatment complications and mediating factors to
minimize these situations.
10. Discuss the refocus of periodontal therapy from resective to
regenerative.
11. Discuss the renewed emphasis on preventive and maintenance phases of
therapy.
12. Describe advanced instrumentation skills and the relation of these
skills to effective calculus detection and removal.
13. Relate instrument design to technique and function.
14. Discuss effective instrumentation procedures for all
instruments, including those instruments introduced in this
course.
15. Identify a wide variety of instruments used in initial periodontal
therapy and demonstrate when each instrument may or may not be
indicated.
16. Demonstrate on a typodont, alternative fulcrums which include
intraoral finger-on finger rest, intraoral opposite-arch reinforced
finger rest, extra oral fulcrums.
17. Correlate root morphology and selection of specific instruments for
adaptation in furcations and root concavities.
18. Demonstrate an understanding and application of the differences of
lateral pressure, fulcrum pressure, instrument adaptation and
angulation between scaling, rot planing and debridement procedures.
19. Discuss the limitations of instrumentation. With simulated patients
make accurate decisions when conditions exist which may limit
nonsurgical approaches to treatment.
20. Recognize individual patient situations when ultrasonic scaling would
be most effective.
21. State the indications and contraindications for ultrasonic
instrumentation.
22. Describe the advantages and disadvantages of ultrasonic scaling.
23. Describe how the ultrasonic scaling instrument removes deposits.
24. Demonstrate the correct principles of ultrasonic scaling to
effectively remove stain, calculus and faulty overhanging
restorations.
25. Recognize the different types of ultrasonic/sonic devices currently
available.
26. Recognize the role (strengths and limitations of ultrasonic scaling in
gingival curettage and root planing.
27. Identify the performance criteria which describe equipment
preparation, patient-operator positions, grasp, fulcrum, adaptation,
stroke and technique evaluation associate with ultrasonic
instrumentation.
28. Describe research findings related to effectiveness, tissue response,
tooth structure smoothness and safety precautions when ultrasonic
instruments are used.
29. Explain the rationale/justification for gingival curettage.
30. Discuss effective treatment planning for gingival curettage procedures
based on individual patient conditions.
31. Identify when gingival curettage may or may not be indicated in
periodontal therapy.
32. Discuss how the need for curettage and description of the procedure
could be communicated to a patient.
33. Demonstrate correct chart entries for gingival curettage procedures
including administration of local anesthesia.
34. Determine the need for curettage, accurately describe the anesthesia
to be administered and describe the curettage procedure including
the armamentarium to be used in simulated case studies.
35. Relate the basic principles of instrument sharpening to instrument
design regardless of the technique being used.
36. Identify why instrument recontouring might be necessary to restore
original instrument contour.
37. Recognize own skills and areas of needed improvement.
38. Discuss the prevailing theories related to root sensitivity.
39. Identify current products, their mechanisms of action and efficacy in
treating root surfaces.
40. Identify various techniques in desensitization in clinical practice.
41. Demonstrate correct application of the most common desensitizing
agents.
42. Recognize the difference between home application and office applied
desensitizing agents.
43. Plan a treatment for desensitization appropriately by applying
didactic information to clinical practice in simulated cases.
44. Explain efficacy of lasers on soft and hard tissue and the role of
lasers in periodontics.
45. Describe the role of the dental hygienist in the maintenance of dental
implants.
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Dental Hygiene Theory & Practice. Darby. M. and Walsh, M. WB Saunders,
Philadelphia, 1996
Periodontal Instrumentation, Pattison, A. and Pattison, G., Norwalk: Apple
ton and Lange, 1992
Clinical Practice of the Dental Hygienist 7th Ed.. Wilkins, E.M., Malvern:
Williams & Wilkins, 1990.
SUPPLEMENTARY TEXTS: Medical Emergencies in the Dental Office, 4th Ed.,
St. Louis, CV Mosby, 1993
