Jordan University of Science and Technology Faculty of Dentistry Department of Preventive Dentistry First Semester, Year 2013-2014 Course

Syllabus Course Information Course Title Periodontology 2 Course Code Dent 471 Prerequisites Dent 371 Course Website E-learning Course coordinator Dr.Malik Ismail Hudieb
Office Location Office Phone Office Hours E-mail Instructors

Monday 9:00-11:00am mihudieb@just.edu.jo Dr. Rola Al-Habashneh, Dr. Hisham Al-Shorman , Dr. Wesam Azar , Dr. Mohammad Al-Zoabi, Dr. Sami Khairullah Course Description

This course aims at giving dental students a review of the structure and function of the periodontuim and of microbiological considerations. It also aims at developing their knowledge of the principles of examination, diagnosis, treatment planning, and treatment. In addition it should expose the dental student to the most common forms of periodontal diseases and emergencies, the local and systemic predisposing factors, and the influence of traumatic occlusion on the periodontium.

Title Author(s) Publisher Year Edition Book Website Other References

Text Book Carranzas Clinical Periodontology Michael G Newman, Henri H. Takei and Fermin A. Carranza Saunders 2006/ 2011 10th /11th edition Clinical Periodontology and Implant Dentistry Lindhe, Lang, Karing 5th edition - Blackwell Monsgaard /2008.

Assessment Policy
Assessment Type Semester grade (out of 40) Final Exam at the end of the second semester ( out of 60)

Written, OSCE/Oral, clinical and continuous assessment

Theory: 20 marks - online MCQ type exam Practical: 20 marks )as explained in the additional notes below)

Theory: 30 marks for online MCQ type exam Practical: 30 marks (OSCE/ Oral and clinically oriented online MCQ) Course Objectives

To build students knowledge in the basic principles of periodontics, including knowledge of different periodontal conditions, etiologic factors, risk factors, epidemiology and clinical aspects of disease diagnosis and treatment. To build the student skills in the diagnosis and management of different periodontal conditions at the general practitioner level.

Teaching & Learning Methods

Duration: 14 weeks each semester, (32 contact hours in total) Lectures: 14hours each semester, 1 hour per week. Clinical : One clinic/every other week

Learning Outcomes: Upon successful completion of this course, students will be able to: Related Reference Objective(s)
1. Perform history taking, examination and charting the records for patients with different periodontal diseases. 2. Carry out patient education and oral hygiene instruction. 3. Identify the different types of periodontal instruments and learn the rules of correct application of each one. 4. Determine the diagnosis, treatment plan and prognosis of most common forms of plaque induced and non-plaque periodontal diseases. Knowledge and Understanding 3. Determine the diagnosis of different acute periodontal diseases and how to deal with them as emergencies. 5. Identify the different patterns of bone loss and types of periodontal pockets 6. Understand the pathology and pathogenesis of periodontal diseases. 7. Have an understanding of occlusal trauma, and its effect on the periodontium in health and disease. 8. Have an appreciation of the new evidence about considering periodontal diseases as a risk factor for systemic diseases.

1. Master the clinical skills and applications of instruments, materials and medications used in prevention and treatment of periodontal diseases. Skills (intellectual, and manual) 2. Understand and apply the role of periodontal therapy in comprehensive dental care and design comprehensive treatment plans. 3. Link periodontal therapy to biological, medical and dental principles of periodontal disease pathogenesis.

Useful Resources
American Academy of Periodontology, Journal of Periodontology: www.perio.org. European Federation of Periodontology: www.efp.net British Society of Periodontology: www.derweb.ac.uk. The UCLA Periodontics Information Centers:www.dent.ucla.edu

Course Content
Week Topics Introduction. Classification of Diseases and Conditions Affecting the Periodontium Periodontal Examination and Periodontal Indices Plaque Control for Periodontal Patients and Oral Hygiene instructions. Periodontal Instrumentation Microbial interaction with the host in periodontal diseases The Periodontal Pocket Bone loss and Pattern of Bone Destruction Clinical features of gingivitis and gingival inflammation Gingival Enlargement Chronic Periodontitis Aggressive Periodontitis Acute periodontal conditions Diagnosis and Management of Periodontic-Endodontic lesions Textbook Chapter 10th
Edition

11th
Edition

Lecturer

1 2 3 4 5 6 7 8 9 10 11 12 13 14

Dr.Hudieb Dr. Alshorman

50 51 13 27, 28 21, 22 23 31 33 24, 32 58

44 45 25 13, 14 7, 8 9 16 18 10, 17 51

Dr. Azer Dr.Hudieb Dr.Hudieb Dr. Alshorman Dr.Hudieb Dr.Hudieb Dr. Azer Dr. Alshorman Dr. AlHabashneh Dr.Hudieb Dr.Hudieb

Midterm exam
Trauma from Occlusion 56 49

Additional Notes To pass this course each fourth year dental student should: 1- Attend clinical sessions regularly in accordance with University regulations. 2- Attend lectures regularly in accordance with University regulations. Being punctual is important and coming late to lectures or clinical sessions is unacceptable. 3- Fulfill the clinical requirements of the course. 4- Attend the announced exams 5- Surpass overall passing grade (50%)
Final exam is at the end of the second semester as this course is a continuous course with 472 on the second semester. 1. 2. 3. 4. 5. 6. Course requirements for 4th Year students: Complete cases---- 2 Periodontal examination and diagnosis and treatment plan----5 Scaling------5 Scaling test. Assistance. Quizzes and assignments. Regarding the rules of the periodontal clinics, the student should read the manual which will be provided and the student may be dismissed from the clinic if he/she does not follow these rules. The first three sessions for each student, he/she will be familiarized with the periodontal examination sheet and how to receive a patient, how to carry out history taking, examination and periodontal charting, will be trained to identify and work with periodontal instruments and to give oral hygiene instructions. In addition each student will practice handling, grasping, correct positioning and use of these instruments on study models with simulated calculus deposits. The requirements listed above are to be done by the student during the first semester, each requirement will have a certain mark account, and the student should do more than what is required so as to compete with his colleagues in the sub group. Each student is responsible for the signature of the instructor to be present in his complete sheet & record for each procedure. Each student should undergo one scaling test at any session during the 2nd semester after he/she inform the instructor that he/she wants to have the scaling test now and he prepare himself for test in which it's mark will be considered for the students total for the second semester, the case recommended for scaling test should have 1 or 2 quadrants with abundant amount of dental plaque and calculus that need SRP. Each student should perform good continuous assistant work and should be fully involved during the two semesters with his/her partner and he/she should get the sheet of assistance signed by the instructor at the end of

each case. Quizzes and assignments may be allocated during clinic on relevant topics and should be submitted duly following your instructors guidance.

Clinical/Practical: Before attending the clinics, students should follow the clinic regulations as provided and explained regarding their behavior, personal appearance, attendance and risk of cross infection. The students in these clinical sessions will be working on patients, doing: 1. Full history and periodontal examination and treatment planing. 2. Manual and ultrasonic scaling and root planing. 3. Other procedures such as administration of antimicrobials and fluoride application. 4. In this course each student is expected to be responsible for the full care of two cases with slight to moderate complexity. (The student is expected to finish phase one of the periodontal treatment and re-evaluate the condition after 4-6 weeks). The average of each clinical session will be summed and a mark out of 10 will be calculated for each semester

The students mark at the end of each clinical session will be based on the following general scheme for grading:
1. 2. 3. 4. CRITICAL ERROR = ZERO FOR DAILY GRADE (F) Treating a patient without taking proper medical precautions. Failure to obtain faculty permission before starting treatment (even at the second appointment) Gross infractions of the clinic policy Rude, disrespectful, or unprofessional conduct to faculty, staff, or patient.

MAJOR ERRORS = the mark between 3 6(D-C) 1. Failure to recognize the diagnosis of the case 2. Miss to write a suitable applicable treatment plan for the patient. 3. Missed obvious emergency treatment or other dental specialty referral 4. Failure to examine and perform periodontal examination through the different indices and parameters. 5. Failure to give OHI when indicated. 6. Anesthetizing both sides of either arch during one appointment without faculty permission. 7. Gross or multiple cross contamination incidents MINOR ERRORS = the mark between 7-9 (B-A) 1- leaving plaque, calculs or unfinished requested area ( but using the suitable instrument) 2-Violation of proper clinic attire. Gross violations of the formal codes are governed by University laws, which delineate the procedures to determine whether a violation of the code of ethics occurred and, if so, what remedies should be imposed. We encourage students to abide with the more sensitive approach to this by allowing the practice of a high Morality (or proper behavior), which defines right and wrong by the society, philosophy, religion, and individual conscience. Students and their instructors often make ethical choices reflexively/ But ethically sensitive

Professionalism

Makeup Exams Drop Date Cheating Attendance Absenteeism

situations, where time, emotions and marks are pressured, it becomes all too easy to be blindsided by temptation/ The best antidote to ethical lapses is to commit in advance to a set of ethical principles - your personal ethical code that follows or grows to it. Any difficulty or concern during the course should be passed directly to the course coordinator. It is applicable when an acceptable and valid excuse is presented at the applicable time N/A It is unethical and illegal by any means JUST regulations will be applicable It is mandatory for all lectures To receive course credit, a student should attend a minimum of 90% of the contact hours of the class. Students who are absent for the lecture must contact the course coordinator prior to the class. If absent from lectures, then the course coordinator will refer to related guidelines set by the university. Any student who is absent on a test day, will have to demonstrate an acceptable medical or social statement explaining the illness or personal crisis as instructed by their faculty. Individual instructors may accommodate by arrangements for a make-up test only when a written request is sent to and approved by the Dean. Any student who feels that s/he may need accommodation for any type of disability is encouraged to contact the course coordinator who will be happy to help in any way. Accommodations to the course plan can be tailored to the needs of specific individuals after consultations with the dean. All students are highly encouraged to participate in the classes.

Students with Special needs

Participation Individual conferencing and consultations

Course changes

The course coordinator is always available to talk with the student when problems arise. If you have any problems that require the attention of an instructor, do not wait until the problem is insurmountable. If a student must talk with the course coordinator after office hours, an appointment can be made for that time. Do not allow tension to build-up to unsolvable proportions. Information contained in this course outline is correct at the time of publication. Content of the courses is revised on an ongoing basis to ensure relevance to changing educational, employment needs. The course coordinator reserves the right to add or delete material from courses and will endeavor to provide notice of changes to students as soon as possible. The timetable may also be revised accommodating to holidays and unexpected off days.