413PCS

·         Course Description: This course consists of a didactic and clinical component with four credit hours. It will cover: The treatment of different types of periodontal diseases. The interrelation between periodontics and related dental specialties. Introduction to the surgical approaches in the management of moderate to advanced periodontal diseases Surgical implant procedures and maintenance of implant Communication, presentation and writing skills development Introduction to evidence based and problem based learning

Level: 4^th Year Students 

·          Academic year: 1432- 1433 H  / 2011– 2012 G\

 ·          Credit Hours: 4 Hours

·         Time: Tuesdays (DUC) & Sundays (MUC)

·         Required Text Book: Clinical Periodontology by Carranza, Newman, Glickman, 10^th ed. (2006), W.B. Saunders Company.

·         Online Edition: http://www.clinicalperiodontology.com

·         Additional text: Color atlas of Dental medicine-periodontology, Ed: Klaus H. & Edith M. Rateitschak
Herbert F. wolf and Thomas M. Hassell, 2nd edition (Thieme).

 

·         Course Description:

This course consists of a didactic and clinical component with four credit hours. It will cover:

1.  
   
   1. The treatment of different types of periodontal diseases.
   2. The interrelation between periodontics and related dental specialties.
   3. Introduction to the surgical approaches in the management of moderate to advanced periodontal diseases
   4. Surgical implant procedures and maintenance of implant
   5. Communication, presentation and writing skills development
   6. Introduction to evidence based and problem based learning

·         Synopsis of Goals:

At the end of this course the student should be able to:

1.        Perform a comprehensive diagnosis, discuss prognosis.

2.         Make treatment plan which includes the specific surgical approaches.

3.        Master the motivation and oral hygiene instruction of patients.

4.        Master the subgingival scaling and root planing.

5.        Describe the indications and procedures of specific surgical techniques.

6.        Understand the objectives and different procedures of surgical crown lengthening.

7.        Understand the importance of post surgical follow up and wound healing.

8.        Asses and evaluate the results of the performed therapy and project the long term results.

9.        Be aware of recent advances in periodontics.

10.     Understands the role of trauma from occlusion in the etiology of periodontal disease

11.     Understand the implant dentistry from the surgical point of view.

12.     Develop the necessary knowledge for peri-implant structure and skills for implants maintenance.  

1.  
   
   1. Develop the necessary knowledge to improve communication, presentation and writing skills.
   2. Develop the necessary knowledge to differentiate between evidence based, problem based learning and decision making and be able to apply it to their daily treatment approaches.

·         Clinical Components:

This second part will involve the treatment of patients with different types of periodontitis.  Upon completion of this part, the student should be able to: 

1.        Discuss the etiology, diagnosis, prognosis and treatment planning for different types of periodontal conditions including the surgical treatment needed.

2.        Carry out treatment of patients involving routine preventive care and non-surgical periodontal treatment to patients with early and severe forms of periodontal disease as well as accurately interpret and evaluate the results of treatment rendered.

3.        Basic surgical procedures such as gingivectomy, different periodontal flap surgeries and crown lengthening procedures.

4.        New regenerative techniques such as bone regeneration and tissue regeneration will be demonstrated.

 

·         Clinical Requirements:

Students must satisfactorily complete the following requirements: 

1.        Finish at least 6 clinical cases:

                                                 a.      One generalized periodontitis case with slight/ moderate amount of subgingival calculus or systemic factors case either gingivitis or periodontitis

                                                 b.      One generalized periodontitis case with moderate to severe amount of subgingival calculus and/or systemic factors.

                                                 c.       One surgical case either a surgical procedure for restorative purposes (e.g crown lengthening) or a conventional periodontal surgical procedure (e.g. Open debridement or modified widman flap) or implant fixture placement.

                                                 d.      Re-evaluation cases (student’s own finished cases) for the moderate and the severe cases only  (i.e. no gingivitis or early periodontitis).

                                                 e.      One recall and maintenance case (previously treated cases by the student or any of her colleagues)

                                                 f.       Case presentation based on evidence based learning and/or problem based learning

                                                 g.      One recall and maintenance case (previously treated cases).

                                                h.       Any additional case beyond requirement will be considered in your clinical grading as bonus.

2.        It is expected that the student will perform satisfactorily in both the clinical and written components of the course.

3.        Regular and prompt attendance in the clinic.

4.        Complete and careful record keeping of all assigned patients.

5.        Completion of the clinical requirements.

 

·         Notes:

1.       Students are not allowed to start any treatment procedure before screening of the case by the course director

2.       It is not allowed to dismiss or transfer patients from the course to another course or from a student to another without the approval of the course director.

3.       One of the screened cases should be selected by the student for the clinical examination and should be approved by the course director before starting of examination.

4.       The student is not allowed to start the treatment procedure except after signing and approving the initial treatment plane by the faculty supervisor.

5.       Grades will be deducted from the clinical evaluation of the student who fails to fulfill the above-mentioned items.

·         Measurement and Evaluation:

Final mark will be calculated as follows:

1.       WRITTEN EXAMINATION                                            40%

a.         Midterm examination                                                 20%

b.         Final examination                                                       20%

2.       CLINICAL EVALUATION                                               60%                     

a.        Routine clinical examination                                     30%

b.        Final clinical competency examination                    30%

c.        Punctuality/ Quizzes                                                  10%

TOTAL                                                100%

 

Clinical grading will be in the categories of preparation, professionalism, knowledge and management of the patients. Evaluation will be done weekly for the student and recorded on the evaluation forms. The routine evaluation will be done on all patients under the student's care. Any procedure recorded as complete must be evaluated. Scaling and root planing must be evaluated on a quadrant or sextant basis. It is the STUDENT responsibility to assure that his/her work is being regularly evaluated.

Routine evaluation marks will be calculated from the clinical evaluation form which a student should submit it with each case treated and make sure that it is graded by his/her instructor (student’s responsibility). This evaluation measures the quality of the work performed by the student during the management of his/her periodontal patients. Marks will be calculated using point system and depends on the case type and procedure as follows:

·         Gingivitis case 1 point out of 15

·         Slight periodontitis case 1.5 points out of 15

·         Moderate periodontitis case 3 points out of 15

·         Severe periodontitis case 3 points out of 15

·         Re-evaluation after initial therapy of a case 3 points out of 15

·         Recall of a finished case treated by student 2 points out of 15

·         Periodontal surgery, crown lengthening or implant 1.5 points out of 15

·         Requirement Marks:

When the student successfully finish all the requirements, the total marks of the clinical grading can only be considered when each requirement case type passed successfully (at least 60% average on the evaluation form). If the student finishes a case type with less than 60% evaluation, it will not be considered toward the requirement and the grades will still be counted in the routine evaluation. Accordingly, each requirement case will be calculated in accordance with their type as follows:

A student treats a slight periodontitis case (examination, diagnosis, treatment plan and initial therapy, scaling and root planing) and the calculated average of the case from student evaluation form is 80% then the point for this case is: (80 x 1.5)  100 = 1.2 out of 1.5 points.

·         Clinical Case Presentation (Oral) Exam:

The class will be divided into either six or eight groups, according to the number of the students and/or faculty. A faculty member will be in charge of each group. An advanced periodontal case will be assigned to each group and each student should be able to diagnose oral, dental and periodontal diseases. They should also be able to develop a comprehensive treatment plan and treatment alternatives based on the initial knowledge gained from the lectures given during the year and to additional scientific reading (Evidence Based Rational). Finally, they should be able to identify patients with increased risk factors for periodontal disease. Group members should then meet together, discuss their different finding and write one treatment plan that should be submitted as type written bound report. The data given, the treatment plan chosen and the reference used should all be included in the report. The report should be submitted to the faculty supervisor one week before the case presentation. Each case will then be presented in the allocated time of the clinic in a periodontal planning format.