POS 313

313 POS 

Preventive Periodontics

Division of Periodontics, Department of Preventive Dental Sciences
College of Dentistry, King Saud University, 

 

Credit Hours: 4

Course Contributor -2005-2008
Course Director -2006-2007 

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

• The introduction to the science and art of periodontics emphasizing periodontal anatomy, physiology and a clinical overview of the etiology of periodontal diseases.
• Dental plaque and calculus, host defense and immunopathological mechanisms.
• Clinical, histopathological and pathogenesis of gingivitis and periodontitis, as well as risk assessment and the role of genetics, tobacco use, and systemic diseases.
• Preventive and therapeutic clinical procedures associated with the diagnosis, prognosis, treatment planning and the initial phase of periodontal therapy.
  

• Recommended Textbook:  Carranza’s  Clinical Periodontology-Newman, Takei and Carranza , 9th Ed (2002), W.B. Saunders Co,Philadelphia,USA
  
  
  
  

  Information and Study Guidelines

  This introduction to the science and art of periodontics emphasizing periodontal anatomy, physiology and a clinical overview of the etiology of periodontal diseases is presented and discussed. Dental plaque and calculus, host defense and immunopathological mechanisms are also presented. Clinical, histopathological and pathogenesis of gingivitis and periodontitis, as well as risk assessment and the role of genetics, tobacco use, and systemic diseases are explored and presented. Preventive and therapeutic clinical procedures associated with the diagnosis, prognosis, treatment planning and the initial phase of periodontal therapy will be discussed.
  
  LECTURES
  Each lecturer will elaborate on several of the important points associated with the assigned readings. All of the important aspects will not be covered in the lectures due to time limitations. The purposes of the lectures are to increase your understanding of and to complement your assigned readings. The lectures are not a replacement of the assigned readings and other resources. To maximize teaching and learning, students are expected to attend all lectures.

  TEXTBOOK
  The required textbook is the 2002 updated 9th edition of CARRANZA'S CLINICAL PERIODONTOLOGY. This book provides a very comprehensive and authoritative periodontal resource. Clearly illustrated, it describes various clinical aspects of modern periodontology. The new companion CD-ROM showcases 750 clinical images in full color and provides review material to strengthen the user's diagnostic, treatment planning, and treatment skills.

  
  EXAMINATIONS AND GRADING

  Written
  A midsemester and a final examination will be given. The midsemester examination will consist of multiple-choice questions covering lectures given prior to the examination up to 15th January, 2007. The final examination will consist of multiple choice questions covering the entire course. All questions for both the midsemester and the final examination will be based on materials from the lectures and from the assigned readings.

  The following is a selected summary of the School of Dentistry rules and regulations relevant to student examination and grading:

  Final mark will be calculated as following:

  I. Clinical Evaluation 
  Oral/clinical Examination                  10%
  Daily Evaluationl Evaluation             40%
  Behavior/professionalism                10%
  Clnical Evaluation Total                 60%
  
  II. Written Examination 
  
  Mid-year examination                    15%
  Final examination                          25%
  Final examination   Total              40%
                     
  Clinical grading will be only 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 passing grade.

  REQUIRED TEXT:

  Glickman’s Clinical Periodontology,By:  Carranza and Newman 9th Edition (2002), W.B. Saunders Company

   

  COURSE DESCRIPTION:

  This course consists of a didactic, pre-clinical and clinical components.  It will cover the following:

  1. The Periodontium in health.
  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 early periodontal diseases.

  CREDIT HOURS:    4 credit hours

  SYNOPSIS OF GOALS: At the end of this course the student should be able to present:

  1.         A record including a history, examination of the oral tissues and develop diagnosis, discuss prognosis and make treatment plan followed by discussion with clinical supervisors.

  2.         Motivate and instruct a patient in oral prophylaxis.

  3.         Distinguish between healthy and diseased periodontium.

  4.         Identify plaque and calculus (supra and subgingival) and know how to remove it.
  5.         Use and care of instruments with rationale.

  Pre-CLINICAL COMPONENTS [PART I]

  In this part, all students must complete the clinical exercises on patient management clinical examination and periodontal instrumentation. From week # 6 till the end of the first semester, the preclinical session will be from (9:00 -10:00 DUC / 2:00-3:00 MUC) only, then from (10:00 – 11: 45 DUC / 3:00 – 4:45 MUC) student will work on their patients.

  Week #	Session
  4.	Demonstration of bleeding index and Plaque index (Sillness & Löe).on a volunteered student using upper and lower anterior teeth. Students will apply both indices on the colleagues on both upper and lower arches
  5.	Demonstration of intraoral examination & probing
  6.	Demonstration of radiographic examination
  7.	Demonstration diagnosis.
  8.	Demonstration of  prognosis &. treatment planning
  9.	Patient’s motivation
  10.	Demonstration of different brushing techniques on models. Demonstration on models, how to use the different types of internal aids.
  11.	Introduction to Periodontal Kit
  12.	Introduction to Instrument
  13.	Instrument and sharpening
  14.	Sonic Instruments

  
  CLINICAL COMPONENTS [PART II]

  This part will involve the treatment of patients with gingivitis and early periodontitis.  Upon completion of this part, the student should be able to:

  1.         Recognize and discuss the etiology, diagnosis, treatment planning and prognosis for mild/early periodontal diseases.

  2.         Diagnose, make a treatment plan and carry out treatment of patients, involving routine preventive care and non-surgical periodontal treatment to patients with gingivitis and mild periodontitis as well as accurately interpret and evaluate the results of treatment rendered.

  Clinical sessions are assigned to practice on patients with early periodontal disease(s).

  CLINICAL REQUIREMENTS:

  Students must satisfactorily complete the following requirements:

  1.         Finish at least six (6) clinical cases:

  Two oral hygiene cases in which the student get the confidence of diagnosing patients, practice of periodontal probing, patient education, oral hygiene instructions and polishing. No instrumentation is allowed in those two cases.

  It is a must for the student to a finish those two cases by end of first semester. 
  Hygiene cases will not be counted as part of the requirement during the second semester.

  Three cases of gingivitis and/or early periodontitis in which the student can practice scaling and root planing, by both hand instrument and sonic scalers.

  One reevaluation 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.

  4.         Complete and methodical record keeping of all patients is needed.

  5.         Completion of the clinical requirements is needed with the acceptable level of clinical skills and quality of work.