At the conclusion of this course, the student should be able to:
1. Describe the tissues of the periodontium and their functions.
2. Describe the major components that make up the microscopic anatomy of the
3. List and define the various stages of periodontal disease.
4. Describe various classifications of periodontal disease.
5. Describe how the numbers of bacteria vary from health to disease in the periodontium.
6. Identify and address the importance of local contributing factors in maintaining long-term
7. Describe the basic concepts of immunity and inflammation.
8. Describe the role of the host response in the severity and tissue destruction seen in periodontitis.
9. Describe how to evaluate each component of a comprehensive periodontal assessment and
apply this knowledge to patient care planning.
10. Describe early radiographic evidence of periodontal disease.
11. Explain the difference between signs of a disease and symptoms of a disease.
12. Discuss the concept of self-care and the roles of the patient provider.
13. Discuss the indications and procedures for nonsurgical periodontal therapy.
14. Define and discuss the oral benefits from supragingival and subgingival irrigation.
15. Describe the difference between systemic delivery and topical delivery of chemical agents.
I. The Periodontium in Health
A. Tissues of the periodontium
B. Nerve supply, blood supply, and lymphatic system
C. Histology of the body tissues
D. Histology of the gingiva
E. Histology of root cementum and alveolar bone
II. The Progression of Periodontal Disease
A. The periodontium in health and disease
B. Pathogenesis of bone destruction
C. 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. Local factors that increase plaque biofilm retention
C. Local factors that increase plaque biofilm pathogenicity
D. Local factors that cause 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 and Radiographic Paralysis of the Periodontium
A. The assessment process - responsibilities, legal considerations and documentation
B. The Periodontal Screening Examination
C. The comprehensive periodontal assessment
D. Clinical features that require calculations
E. Radiographic appearance of the periodontium
F. 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. What is best practice?
C. The role of evidence-based care in best practice
D. Decisions related to assigning a periodontal diagnosis
E. Decisions related to treatment sequencing
F. Informed consent for periodontal treatment
IX. Patient's Role in Nonsurgical Therapy and Host Modulation
A. Patient's self-care
B. Patient-performed interdental care
C. Anatomical challenges for the patient with periodontal disease
D. Introduction to the concept of host modulation
E. Host modulation as part of comprehensive periodontal management
X. Nonsurgical Therapy Treatment
A. Overview of therapeutic modalities
B. Initial nonsurgical therapy
C. Adjunct therapy
D. Follow-up reevaluation
Foundations of Periodontics for the Dental Hygienist. 6th ed. Nield-Gehrig, J. S., and Willmann, D.E. Lippincott, Williams & Wilkins. 2018
Instructor prepared materials