313-PCS

Introductory Clinical Periodontics

Introduction
Periodontics is one of the cornerstones in the field of dentistry. The goal of this course is to review and expand your knowledge on the biology of the healthy periodontium. This course would also introduce you to the current classification of periodontal diseases and would provide you with the fundamental knowledge of epidemiology, etiology, microbiology and immunology of periodontal diseases. Basic information will be integrated with necessary clinical skills to evaluate and diagnose all currently recognized forms of periodontal diseases. This includes the ability to recognize the less common forms of gingivitis and periodontitis and also of those systemic conditions that may influence the initiation, progression, or the treatment of periodontal diseases.

When you have successfully completed this course, you would be aware of the biology of the periodontium and also the pathology of periodontal diseases. You would be able to diagnose all forms of periodontal diseases, perform clinical examinations and understand the current biological rationale for the development of periodontal diseases. In addition, you would be able to use this knowledge in future Periodontics courses that cover periodontal prevention and therapy.

Course Objective
At the end of this course you would be able to :

1. Present a case record including history and examination of the oral tissues, develop diagnosis, discuss prognosis and make treatment plan followed by discussion with clinical supervisors.
2. Motivate and instruct a patient on oral prophylaxis.
3. Distinguish between healthy and diseased periodontium.
4. Identify plaque and calculus (supra and sub-gingival) and knowledge on how to remove them.
5. Use and care of instruments with rationale.

Course Description:

1. The healthy periodontium.
2. The etiology, the pathogenesis, and the diagnosis of periodontal disease(s).
3. Principles and techniques of disease prevention therapy.
4. Instrumentation, knowledge and practice of periodontal instruments.
5. Examination, diagnosis, treatment planning and treatment of patients with periodontal diseases.

Course Requirements:
Students must satisfactorily complete the following requirements:
Finish at least three (3) treated clinical cases:

1. Three cases of gingivitis and/or early to moderate periodontitis in which the student can practice scaling and root planing, by both hand instrument and sonic scalers.
   One re-evaluation case.
2. It is expected that the student will perform satisfactorily in both the clinical and the written components of the course.
3. Regular and prompt attendance in the lectures and clinical sessions is mandatory.
4. Any repeated absences in clinical sessions without prior notice or acceptable excuse will affect professionalism grade.
5. Complete and methodical record keeping of all patients is mandatory.
6. Completion of the clinical requirements is needed with the acceptable level of clinical skills and quality of work.

EVALUATION OF THE COURSE:

The students will be evaluated on the basis of two examinations given during the course. The final written examination is comprehensive, including all course material presented during the semester.

Final mark will be calculated as follows:

I. Clinical /Continuous Evaluation - 60%

1. Routine clinical evaluation - 35%
2. Clinical examinations - 15%
3. Weekly quizzes - 5%
4. Professionalism - 5%

II. Written Examination - 40%

1. Midyear examination - 15%
2. Final examination - 25%

Clinical grading will only be in the categories of preparation, professionalism, knowledge and management of the patients.

Note: Any student who in the opinion of the Division has not met his/her professional and ethical responsibilities to treat the periodontal needs of all his/her patients in a timely and orderly manner will not receive a passing grade.

RESOURCES
Required text book :
Michael G. Newman, Henry H. Takei, Fermin A. Carranza,( editors) Carranza's Clinical Periodontology, 10th edition Saunders Elsevier, 2007

Online edition also available at http://www.clinicalperiodontology.com/

 

Week	Date	Lecture	Clinical Session
1	14 February	Rationale of Scaling and Root Planing	Patients
2	21 February	Host Response: Basic Concepts	Patients
3	28 February	Furcation Involvement	Patients
4	7 March	Influence of Systemic Diseases and Conditions on the Periodontium I (Diabetes and Smoking)	Patients
5	14 March	Influence of Systemic Diseases and Conditions on the Periodontium II (Other Conditions)	Patients
6	21 March	Influence of Periodontitis on the General Health	Patients
7	28 March	Gingival Enlargement	Patients
8	4 April	Gingival Recession Etiopathogenesis	Patients
9	18 April	Periodontal Diseases in Children	Patients
10	25 April	Periodontal Emergencies/Acute Conditions	Patients
11	2 May	Periodontal Management of Medically Compromised Patients (I)	Patients
12	9 May	Periodontal Management of Medically Compromised Patients (II)	Patients
13	16 May	Course Review and Evaluation	Patients