SRJC Course Outlines

12/2/2023 6:04:51 PMDH 85 Course Outline as of Spring 2001

New Course (First Version)

Discipline and Nbr:  DH 85Title:  ADV PERIO DEN HYG CARE  
Full Title:  Advanced Periodontal Dental Hygiene Care
Last Reviewed:2/11/2019

UnitsCourse Hours per Week Nbr of WeeksCourse Hours Total
Maximum2.00Lecture Scheduled2.0017.5 max.Lecture Scheduled35.00
Minimum2.00Lab Scheduled017.5 min.Lab Scheduled0
 Contact DHR0 Contact DHR0
 Contact Total2.00 Contact Total35.00
 Non-contact DHR0 Non-contact DHR Total0

 Total Out of Class Hours:  70.00Total Student Learning Hours: 105.00 

Title 5 Category:  AA Degree Applicable
Grading:  Grade Only
Repeatability:  00 - Two Repeats if Grade was D, F, NC, or NP
Also Listed As: 

Catalog Description:
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Study of advanced principles of clinical dental hygiene practice; including advanced principles of instrumentation, soft tissue (gingival) curettage, use of ultrasonic scalers, dental hygiene diagnosis, continued classification of the periodontal diseases, and dental hygiene treatment planning of periodontal patients.  The principles of chemical and preventive therapy, and pharmacological therapies will be addressed, prevailing periodontal theories will be explored in the context of dental hygiene care on simulated patient presentations.

Course Completion of DH 79

Recommended Preparation:

Limits on Enrollment:

Schedule of Classes Information
Description: Untitled document
Study of advanced principles of clinical dental hygiene practice; including advanced principles of instrumentation, soft tissue (gingival) curettage, use of ultrasonic scalers, dental hygiene diagnosis, continued classification of the periodontal diseases, and dental hygiene treatment planning of periodontal patients.
(Grade Only)

Prerequisites:Course Completion of DH 79
Limits on Enrollment:
Transfer Credit:CSU;
Repeatability:00 - Two Repeats if Grade was D, F, NC, or NP


Associate Degree:Effective:Inactive:
CSU GE:Transfer Area Effective:Inactive:
IGETC:Transfer Area Effective:Inactive:
CSU Transfer:TransferableEffective:Spring 2001Inactive:
UC Transfer:Effective:Inactive:

Certificate/Major Applicable: Certificate Applicable Course


Outcomes and Objectives:
At the conclusion of this course, the student should be able to:
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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
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
11. Discuss the renewed emphasis on preventive and maintenance phases of
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
15. Identify a wide variety of instruments used in initial periodontal
   therapy and demonstrate when each instrument may or may not be
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
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
25. Recognize the different types of ultrasonic/sonic devices currently
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
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
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

Topics and Scope
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A.  Ultrasonics
B.  Soft tissue curettage
C.  Diagnostics - traditional and modern.
D.  Classification of the periodontal diseases.
   1.  Gingival Diseases
   2.  Diseases of the periodontal attachment
E.  Advanced principles of instrumentation
F.  Advanced principles of instrument sharpening.
G.  Instrument manufacture and design.
H.  Chemical therapeutics
   1.  Antimocrobials (Chlorhexidine, oxygenating agents, etc.)
   2.  Antimicrobial delivery systems (oral irrigation)
   3.  Fluorides for root decay
   4.  Fluorides and other products for root sensitivity
   5.  Antibiotics
I.  Referral - the collaborative process, rationale, how to refer
   effectively, what to expect.
J.  New technologies
   1.  Implants
   2.  Lasers
   3.  NSAIDS and tetracyclines as immunologically based therapy
   4.  Regenerative procedures.

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Case Studies
Research Paper

Methods of Evaluation/Basis of Grade.
Writing: Assessment tools that demonstrate writing skill and/or require students to select, organize and explain ideas in writing.Writing
5 - 40%
Reading reports, Lab reports, Term papers, Research paper
Problem solving: Assessment tools, other than exams, that demonstrate competence in computational or non-computational problem solving skills.Problem Solving
10 - 80%
Homework problems, Quizzes, Exams, skills
Skill Demonstrations: All skill-based and physical demonstrations used for assessment purposes including skill performance exams.Skill Demonstrations
5 - 35%
Class performances, Field work, Performance exams
Exams: All forms of formal testing, other than skill performance exams.Exams
5 - 40%
Multiple choice, True/false, Matching items, Completion, fill in
Other: Includes any assessment tools that do not logically fit into the above categories.Other Category
5 - 25%
Professionalism: Criteria used to evaluate on file

Representative Textbooks and Materials:
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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

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