MCCCD Program Description

Periodontics

Course: DHE225

First Term: 2000 Spring

Lecture 3 Credit(s) 3 Period(s) 3 Load
Subject Type: Occupational
Load Formula: S

Description: Principles of periodontology; etiology, microbiology, pathogenesis, classification and characteristics of healthy and diseased periodontal tissues. Surgical treatment of periodontal disease and the effects of dental hygiene therapy, surgical techniques and maintenance therapy. Evaluation of the scientific literature and multi-media resources are used extensively

MCCCD Official Course Competencies
1. Describe and diagram the histological structures of the periodontium and its supporting structures in health and disease. (I) 2. Describe the microbiological composition and major pathogens of dental plaque and its role in the development of gingivitis and periodontal disease. (II) 3. Explain the systemic processes of inflammation, immunity, repair and regeneration within the context of total health, including their specific roles in periodontal disease. (III) 4. Compare the immune system in healthy and immunocompromised individuals and its role in the etiology of gingivitis and periodontitis. (IV) 5. Explain the pathogenesis and indices of gingivitis and periodontal disease. (V) 6. Explain reattachment and new attachment as goals of periodontal therapy. (VI) 7. Specify the rationale for supportive periodontal therapy. (VII) 8. Differentiate the clinical, radiographic and microscopic features of the various forms of periodontal disease. (VIII) 9. Explain the role of chemotherapeutic agents in the treatment of periodontal disease. (IX) 10. Assess the status of a periodontally-involved clinic client on a cellular level, detailing their status from health to disease. (I,-IX) 11. Explain periodontal surgical procedures and treatment plans which may be necessary subsequent to dental hygiene therapy. (X, XI)
MCCCD Official Course Competencies must be coordinated with the content outline so that each major point in the outline serves one or more competencies. MCCCD faculty retains authority in determining the pedagogical approach, methodology, content sequencing, and assessment metrics for student work. Please see individual course syllabi for additional information, including specific course requirements.

MCCCD Official Course Outline
I. Anatomy of the Periodontium and Surrounding Structures A. Composition B. Microscopic Anatomy C. Aging Process II. Microbiology of Plaque-Associated Periodontal Disease A. Host-bacterial Relationship B. Microbiological Composition C. Host Defense D. Microbial Diagnosis Techniques III. Inflammation A. The Vascular Response to Injury B. Chemical Mediators of Vascular Response C. Chronic vs. Acute Inflammation D. Repair/regeneration E. Inflammation in Periodontal Disease IV. The Immune System A. Components of Immune System B. Primary/Secondary Immune Response C. The Role of the Immune System in Periodontal Disease V. Pathogenesis of Plaque-Associated Periodontal Disease A. Episodic Phenomenon B. Site Specificity C. Histopathology D. Bone Resorption E. Local and Systemic Contributing Factors 1. Diabetes 2. Iatrogenic Factors 3. Others F. Gingival and Periodontal Indices VI. Reattachment/New Attachment A. Healing in the Periodontium B. Gingival Curettage C. Guided Tissue Regeneration D. Root Conditioning E. Problems in Assessing New Attachment VII. Supportive Periodontal Therapy A. Objectives of Periodontal Therapy and Re-care B. Microbiological Basis for Re-care Interval C. Identification of Failing Cases VIII. Types of Periodontitis A. Chronic B. Prepubertal C. Juvenile D. Rapidly Progressive E. Refractory F. Necrotizing Ulcerative IX. Chemotherapeutic Agents A. Antibiotics 1. Tetracycline 2. Metronidazole 3. Penicillin B. Antibiotic Delivery Systems C. Chlorhexadine Products D. Anti-inflammatory Medications E. Others X. Treatment Planning and Case Management for Periodontal Surgery A. Sequence of Therapeutic Procedures B. Preliminary Phase Through Phase IV Therapy C. Evaluation of Response D. Communicating Treatment Plan to Patient XI. Surgical Procedures A. Diagnosis and Treatment Planning 1. Endo/Perio Differential Diagnosis 2. Preparation of Periodontium for Restorative Dentistry B. Gingivoplasty C. Gingivectomy D. Gingival Flaps E. Periodontal Flaps F. Osteoplasty G. Ostectomy H. Furcation Plasty I. Root Amputation J. Others

MCCCD Governing Board Approval Date: 11/23/1999

All information published is subject to change without notice. Every effort has been made to ensure the accuracy of information presented, but based on the dynamic nature of the curricular process, course and program information is subject to change in order to reflect the most current information available.