Author: Bertha Cain
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Credit Units: 3.00

*NOTE: The hours may vary. This course is a prerequisite for: DENT-5010 DENTAL HYGIENE BUSINESS ISSUES 2 DENT-5008 CLINICAL PRACTICUM 5 DENT-5009 COMMUNITY PRACTICUM 2 Prerequisite(s) for this course: DENT-3012 DENT-3013 DENT-3014 DENT-3015 DENT-3017 DENT-3018 DENT-3019 DENT-3021


Co-requisite(s) for this course: NO COURSES

Course Description: In this course emphasis is placed on disease recognition and developing evidence based dental hygiene treatment plans, according to the A.P.I.E. Model. A collaborative approach to client care and the need for referrals to other dental/health care professionals will be discussed. Topics also include occlusal trauma, temporomandibular joint disorders, surgery, osseointegrated implants, and tissue regeneration. Critical thinking skills are developed through presentations of current and controversial treatment modalities. Vocational Learning Outcomes: Upon successful completion of this course, the student will be able to: 1. Assess and interpret clinical data pertaining to the periodontal status of all clients, including those with complex and/or advanced conditions. 2. Implement the Dental Hygiene Process of Care Model when structuring the proposed client care and treatment planning considerations. 3. Utilize didactic concepts to facilitate safe, effective, and efficient dental hygiene treatment. 4. Describe surgical periodontal procedures including the role of the dental hygienist. 5. Utilize principles of research methodology and critical thinking skills when reviewing periodontal abstracts and when formulating treatment plans.

6. Recognize outcomes of non-surgical intervention that require surgical or adjunctive therapy in a comprehensive dental hygiene treatment plan. 7. Utilize evidence based critical thinking skills to synthesize and present recent innovations in the study and management of periodontal disease.

Essential Employability Skills Learning Outcomes: Essential Employability Skills Learning Outcomes


Communicate clearly, concisely and correctly in the written, spoken and visual form that fulfills the purpose and meets the needs of the audience.


Respond to written, spoken or visual messages in a manner that ensures effective communication.


Execute mathematical operations accurately.


Apply a systematic approach to solving problems.


Use a variety of thinking skills to anticipate and solve problems.


Locate, select, organize and document information using appropriate technology and information systems.


Analyze, evaluate and apply relevant information from a variety of sources.


Show respect for the diverse opinions, values, belief systems and contributions of others.


Interact with others in groups or teams in ways that contribute to effective working relationships and the achievement of goals.

Assessed Taught Reinforced or evaluated

10. Manage the use of time and other resources to complete projects. 11. Take responsibility for one's own actions, decisions and consequences. Detailed Content: Introduction: 1. Utilize the course outline, course objectives, and evaluation information to organize their studies. 2. Recognize the dental hygiene skills necessary to perform initial, non-surgical and supportive periodontal therapy reflecting the philosophy of the comprehensive dental hygiene treatment plan. 3. Recognize the interrelationship between histology and periodontology. 4. Implement the Dental Hygiene "Process of Care" model when structuring the proposed client care, treatment planning considerations and expected outcomes available to the client. 5. Describe and value the CDHO Standards of Practice. A. Air Polishing 1. Describe the rationale for using air polishing for polishing teeth. 2. Explain the recommendations and precautions relevant to aerosol production during the procedure.

3. Identify and explain the contraindications for performing an air abrasive polish. 4. List and assemble the armamentaria required to perform an air abrasive polish. 5. Describe in sequence the standard order of procedures for air polishing. B. Photodynamic Disinfection 1. Describe photodynamic disinfection technology as used in "Periowave System." 2. Identify a client that may be a candidate for Periowave. 3. Identify the number of sites that can be treated with a small or large dose treatment kit. C. Periodontal Maintenance 1. List the goals of periodontal maintenance. 2. List the components of periodontal maintenance. 3. Describe the role of periodontal maintenance in a comprehensive dental hygiene treatment plan. 4. Describe the clinical signs of, and reasons for, a recurrence of periodontitis. 5. Review re-evaluation criteria following the non-surgical phase of periodontal therapy. 6. Review criteria to determine when to refer the client to a periodontist. D. Evidence-Based Approach to Periodontal Care 1. Describe the process of compiling usable evidence related to studies. 2. Incorporate evidence based paradigms when structuring proposed client care and treatment planning considerations. E. Alternative Non-surgical Therapies 1. Identify suitable antimicrobial agents for home and therapeutic use for the client. 2. Discuss the indications and contraindications for implementing subgingival irrigation. 3. Describe the various methodologies for implementation. 4. List the types of subgingival irrigation solutions available for delivery. 5. Discuss relevant research findings/studies relating to subgingival irrigation. 6. Identify client cases that may benefit from topical chemical plaque control and determine suitable sequencing of antimicrobial agents. 7. Describe current products available for controlled-release local delivery systems: a. Actisite b. Arestin c. Atridox d. Perio Chip e. photodynamic disinfection 8. Discuss host modulation, risk factor control, and use of antibiotics as possible treatment options for adjunctive periodontal therapy. F. Periodontal Medicine 1. Discuss the following organ systems and conditions that can be influenced by periodontal infection: a. cardiovascular/cerebrovascular system b. endocrine system c. reproductive system d. respiratory system 2. Relate a variety of systemic risk factors which may manifest or contribute to periodontal disease. 3. Recognize modifiable and nonmodifiable risk factors associated with periodontal disease. 4. Discuss how genetics and genetic conditions can contribute to periodontal disease. 5. Explain the relationship between Osteoporosis and Periodontal disease. 6. Discuss hormones impact on the periodontium. 7. Describe the effects of tobacco use and methamphetamine use on the periodontium.

8. Discuss the impact of nutrition as it relates to Periodontal Disease. G. Conditions Which Affect the Periodontium 1. Describe the following conditions in terms of: a. clinical appearance b. location c. etiology d. incidence/epidemiology e. significance to oral health f. radiographic appearance g. histology/pathogenesis h. treatment i. leukemia ii. apthous ulcers iii. familial hereditary gingival enlargement/gingival enlargement iv. dilantin gingival enlargement v. HIV (review) H. Periodontal Surgery 1. Identify contraindications for periodontal surgery. 2. Justify why surgical intervention may be required for comprehensive treatment of the periodontally involved client. 3. Describe the following surgical techniques in terms of: a. indications b. contraindications c. procedure d. post-operative treatment i. gingival curettage ii. gingivectomy iii. gingivoplasty iv. grafts v. frenectomy vi. flaps vii. osseous surgery viii. guided tissue regeneration 4. Define the role of the Dental Hygienist in the surgical treatment of periodontal diseases. 5. Discuss the purpose of occlusal evaluation and therapy in the management of periodontal disease. I. Periodontal Dressings and Suture Removal 1. List the purposes, uses and precautions relating to periodontal sutures. 2. List the types of sutures and characteristics of an acceptable periodontal dressing. 3. List the general types of suturing techniques used in the oral cavity. 4. List and assemble the armamentaria necessary for suture removal. 5. Describe the preparation of the client for suture removal, including the explanation of the procedure to the client and relevant post-surgical instructions. 6. Describe the procedure used for aseptic removal of sutures while ensuring client comfort. 7. Demonstrate suture removal in a simulated exercise. 8. List the post suture removal instructions which should be given to the client. 9. Describe the disinfection and sterilization measures for the armamentarium used to remove sutures. J. Implantology 1. Describe Periimplant Disease and identify the differences between Periimplant tissues and

Periodontal tissues. 2. Describe four types of dental implants and related implant anatomy. 3. Identify client selection, indications and contraindications for placement of the various types of implants. 4. Discuss the surgical and prosthetic stages of treatment. 5. Describe client and office care relating to dental implants. 6. Discuss components of implant maintenance appointments. 7. Discuss guidelines for maintenance frequency. 8. Discuss self care of fixed and removable dental implants. K. Periodontal Emergencies 1. Describe common periodontal emergencies: a. abscesses of the periodontium b. NUG c. NUP 2. Discuss the role of the Dental Hygienist in the assessment of periodontal emergencies within the process of care model according to the CDHO Standards of Practice.

Teaching/Learning Methodology: Lecture - 50% Case study - 15% Cooperative learning (small group/self directed learning) & peer teaching - 35%

Required Learning Resources: 1. Nield-Gehrig & Willmann (2003). Foundations of Periodontics for the Dental Hygienist, 2nd ed. Philadelphia:Lippincott Williams & Wilkins 2. Darby, M. & Walsh, M. (2003). Dental Hygiene Theory and Practice, 2nd ed. St. Louis:Elsevier Science. 3. Nield-Gehrig, J. (2008). Fundamentals of Periodontal Instrumentation & Advanced Root Instrumentation, 6th ed. Philadelphia:Lippincott Williams & Wilkins. 4. Wilkins, E. (2008). Clinical Practice of the Dental Hygienist, 10th ed. Philadelphia:Lippincott Williams & Wilkins. (optional) 5. Langlais, R.P. & Miller, C. S. (2003). Color Atlas of Common Oral Diseases, 3rd ed. Philadelphia:Lippincott Williams & Wilkins 6. Ibsen, O. & Phelan, J. (2004). Oral Pathology for the Dental Hygienist, 4th ed. Philadelphia:Elsevier 7. White, & Pharoah (2004). Oral Radiology Principles and Interpretation, 5th ed. St. Louis:Mosby 8. Gage & Picket (latest). Mosby's Dental Dictionary, latest edition. St. Louis:Mosby

Method Of Evaluation: The final mark/grade for this course will be determined as follows:

Method Test #1 Test #2 Research Paper/Verbal Presentation Final Exam TOTAL

Percentage 25% 25% 25% 25% 100%

Periodontology 2 Research Paper/Presentation Description Students will work in groups of 3 in order to complete a Research Paper/Literature Review and to deliver a verbal presentation on this research. Further information will be provided including guidelines and Rubric (Evaluation Criteria) at the beginning of the course. Missed Evaluations If a student misses an evaluation due to exceptional circumstances, e.g. serious illness, bereavement, an opportunity may be provided to reschedule the evaluation. It is expected that the student has provided prior notification to the professor of Record. Rescheduled opportunities should be provided as soon as possible after the original date depending on the circumstances. See Policy 2-C-02 for the details on the Administration of Rescheduled Evaluations. In keeping with the School of Health Sciences policy, a grade of "C" (60%) is the minimum passing grade. NOTE: In view of the accuracy required for recording client data, marks (1/4 mark/error) will be deducted for spelling errors in dental terminology. A weighted penalty of 5% per calendar day will be deducted from an assignment/project for a late submission. NOTE: Test and assignment due dates, etc. will be provided by the professor at the beginning of the course. Consult the Program Division Policy for additional information on course evaluation and progression. Grade Range Comment Grade Point A+ 90-100 Distinguished 4.2 A 80-89 4.0 B+ 75-79 3.5 B 70-74 3.0 C+ 65-69 2.5 C 60-64 2.0 D+ 55-59 1.5 D 50-54 Marginal 1.0 F 0-49 Unsatisfactory 0 P greater than 50 Pass N/A I N/A Incomplete N/A N N/A No Credit Achieved N/A W N/A Withdrawn N/A X N/A Audit N/A

CHEATING - All forms of cheating are considered an academic offence and the College has a clear

policy on cheating. Please refer to Policy 2-G-04 on Fanshawe Online or in the Student Handbook. PLAGIARISM - Plagiarism is cheating and an appropriate penalty will be applied and a report will be placed in the student's file in conformance with College Policy 2-G-04 on cheating. Plagiarism (the intellectual dishonesty resulting from a student's failure to acknowledge indebtedness to sources used) is a serious academic offence that shall result in appropriate penalties, to be determined at the discretion of the course professor in consultation with the Divisional Chair. Plagiarism includes, but is not limited to, submitting the same work to more than one professor for credit in different courses without prior written permission from the professors. Penalties shall range from failure of an assignment to possible failure of the course. REWRITES - Students cannot make the assumption that any provision will be made by the professor to permit a student to rewrite failed assignments or tests. As part of Fanshawe College's commitment to fostering excellence in student assignments, this course may require students to submit their papers to This Web service is designed to help students understand the importance of identifying borrowed work in their essays, and how to correctly cite research sources. Instructions for how to use will be provided by the professor, and additional information is available at Additional Information: Consult your Program Outline for information concerning the minimum passing grade needed for this course.

Prepared By: Paula Malcolmson, B.A., R.D.H.

The following applies for course offerings consistent with the Standard Academic Calendar: Internal/External Course Credit Application Deadline Applications for Internal/External Course Credit are available from the Office of the Registrar. Check college calendar for deadlines. Course Add/Drop Deadline You may withdraw from a course without academic penalty during the first 70% of the course duration. Application is made through the Office of the Registrar. Academic Assistance The primary resource for students experiencing difficulty with course material is the course professor. In addition, students who wish to attend study skills workshops or who require further assistance, can contact the Learning Centre in A2019 (519 452 4265) for one-to-one tutoring from staff in math, physics, chemistry and english, or they can contact Counselling and Student Life in F2010 (519 452 4282) for information about receiving peer tutoring. Student Success Advisors are available to assist students with academic concerns or other problems they may face while at Fanshawe. They can either assist you directly, or refer you to the appropriate resource on campus to get the help you need. Contact information for your Student Success Advisor can be found on the Web at

Students who have been identified as having (or who wish to be assessed for) a specific learning disability, should contact Disability Services F2010 (519 452 4282) in Counselling and Student Life for information about available support services. Re-taking a Course: Subject to meeting any pre-requisite or co-requisite requirements, a student may retake a course. The second re-take must be approved by the Academic Manager or designate and will be granted based on extenuating circumstances and with recommended interventions such as counselling or a learning contract. Subsequent re-take opportunities will only be available as part of an overall success strategy developed in consultation with the student, program co-ordinator and the Academic Manager. The best grade achieved will be used in calculating the cumulative GPA. Related Policies Course Grade System - See College Policy 2-C-04 Prior Learning Assessment and Recognition - See College Policy 2-A-10 Evaluations - See College Policy 2-C-02 Academic Standing - See College Policy 2-C-05 Student Appeal of a Grade or Other Academic Decision - See College Policy 2-G-02 Academic Withdrawal and Termination - See College Policy 2-C-06 Academic Offences - See College Policy 2-G-04 Student Code of Conduct Policy - See College Policy 2-G-01 Respectful College Community Policy - See College Policy 1-B-46

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