Course Syllabus

Course & Number:     DH 79 
Section:                        0666 

Full Title:        Periodontics for the Dental Hygienist

Semester:                     Fall 2021

Course Description:

Fundamental foundations for periodontal assessment and scope of therapy by the dental hygienist. Understanding of the biological, immunological, clinical and behavioral aspects of the periodontal patient. A review of the anatomical features of the healthy, periodontium, the etiology, epidemiology and risk factors of periodontal diseases, the rationales for mechanical and chemotherapeutic techniques.

Contact Hours:      2-Lecture

Weeks:                    17.5

Days and Time:    Tuesday: 12 noon to 2pm Plover Building Room 530

Units:                     2 units; 2 hours

Lecture Ratio:       1:24

Instructor:             Professor Hellums (Susan), CDA, RDA, RDH, RDHAP, MS

Email:                      shellums@santarosa.edu 

(Monday-Friday 7:30-4:00, no evening or week-end hours) All electronic communication will be conducted through the email address you have registered with the school

Phone:                     707-321-1231

Office Phone:         707-522-2828

Office Hours:          20 minutes prior to class (Tue. 11:40-12) and 20 minutes after class (Tue. 2-2:20)

**Additional time available upon appointment

Faculty Consultation Hours: ​
Obligation for Faculty of Record equals 40 minutes/week. My hours are posted on Canvas and the bulletin board adjacent to the faculty office 4070 on third floor.

PREREQUISITES:​ Course completion of DH 74

COREQUISITES:​ Concurrent enrollment in DH 71D, DH 80

Course Web Site

Students will use the Canvas course web site for assignment instructions, submitting assignments, viewing classmate's work, sharing resources, and viewing grades.

Required Textbook

Foundations of Periodontics for the Dental Hygienist. Jill S. Gehrig, Daniel E. Shin, and Donald E. Willmann, 5th  Edition 

Dental Hygiene Theory and Practice. Darby and Walsh, Bowen & Pieren 5th Edition

Syllabus (course material found on the CANVAS system) 

Dental Hygiene Policy Manual (found on the CANVAS system)

You can locate and order textbooks online via Amazon. 

Required Software

You will need the following software for this course. [If linking to PDF or Word documents, QuickTime or Flash videos, put in a link to the helper applications in your Syllabus or Getting Started section of your course materials.]

Assignments will be posted on Canvas weekly.

Refer to your Dental Hygiene Policy Manual and Class Syllabus for protocols and guidelines.

LECTURE ONLINE MATERIALS:

All lecture materials are found on the SRJC distance learning website CANVAS AND WILL BE DELIVERED VIA TECHNOLOGY

A CANVAS online site will be utilized for this class. Students are responsible for checking the site daily for announcements and helpful supplemental materials. Students must also maintain a valid e-mail address with the College so that communications issued through this site are received. Course handouts are for the purpose of directing self-study and note taking. PowerPoint presentations are provided on CANVAS as a courtesy only for study and review.  They will be heavily loaded with color graphics and photographs that can be time and ink intensive to print. Students are encouraged to use a variety of note taking strategies and should consider printing only what they individually wish to have “on hand” in class. Using “draft” and “grayscale” print modes can conserve ink.  It is not considered a requirement for any instructor to provide a PowerPoint presentation nor is it a requirement to print all presentations for class. Faculty are not required to post multiple versions for convenience as these are to be considered supplemental to class and an “added benefit”. 

Student Learning Outcomes

1.Evaluate each component of a comprehensive periodontal assessment and apply this knowledge        to patient care planning.

2.Describe healthy and diseased periodontium and the factors that influence the progression of           periodontal disease.

TOPIC OBJECTIVES

Periodontium: The Tooth-Supporting Structures

  1. List and recognize the clinical features of periodontal health

  2. Describe the function that each tissue serves in the periodontium, including the gingiva, periodontal ligament, cementum, and alveolar bone

  3. Identify the following anatomical areas of the gingiva in the oral cavity: free gingiva, gingival sulcus, interdental gingiva, and attached gingiva

  4. Identify the following boundaries of the gingiva in the oral cavity: gingival margin, free gingival groove, and mucogingival junction. If the free gingival groove is not visible clinically, determine the apical boundary of the free gingiva by inserting a probe to the base of a sulcus on an anterior tooth

  5. Describe the nerve and blood supply to the periodontium

  6. Explain the role of the lymphatic system in the health of the periodontium

Microscopic Anatomy of the Periodontium

  1. Define the term epithelial tissue and describe its function in the body

  2. List and recognize the histologic features of periodontal health

  3. Define the term oral epithelium and describe its location and function in the gingival epithelium

  4. Define the term sulcular epithelium and describe its location and function in the gingival epithelium

  5. Define the term junctional epithelium and describe its location and function in the gingival epithelium

  6. Describe the function of the gingival connective tissue.

The Progression of Periodontal Disease

  1. Define the term pathogenesis.

  2. Define the term periodontal disease and contrast it with the term periodontitis.

  3. Name and define the two types of periodontal disease.

  4. Compare and contrast the clinical and histologic characteristics of the periodontium in health, gingivitis, and periodontitis.

Classification of Periodontal Diseases and Conditions

  1. List, describe, and differentiate the various periodontal diseases according to the 1999 classification system & 2018 classification system established by the American Academy of Periodontology.

  2. Define and contrast the terms plaque-induced gingival diseases and non–plaque-induced gingival lesions

  3. Define and contrast the terms chronic periodontitis and aggressive periodontitis

Oral Biofilms and Periodontal Infections

  1. Define the terms innocuous, pathogenic, virulent, Gram-positive, and Gram-negative

  2. Define the term biofilm and explain the advantages to a bacterium of living in a biofilm

  3. Name the three bacteria designated by The World Workshop in Periodontology as periodontal pathogens

  4. Identify bacteria associated with health, gingival diseases, and periodontitis

  1. Describe how the numbers of bacteria vary from health to disease in the periodontium

  2. Name and describe the components of the biofilm structure

  3. State the most effective ways to control dental plaque biofilms

  4. Explain why frequent periodontal instrumentation is vital in the control of dental plaque biofilms located within periodontal pockets

  5. Explain to a patient how to prevent and delay the development of dental plaque biofilms

Local Contributing Factors

  1. Define the terms pathogenicity and local contributing factors

  2. Identify local etiologic factors that contribute to the retention and accumulation of microbial plaque biofilm

  3. Describe the role of trauma from occlusion as a contributing factor in periodontal disease

Basic Concepts of Immunity and Inflammation

  1. Define the term immune system and name its primary function

  2. Define the term inflammation and name two events that can trigger the inflammatory response

  3. Compare and contrast acute inflammation and chronic inflammation

  4. Define the term phagocytosis and describe the steps in this process

  5. Describe the role of polymorphonuclear leukocytes in the immune system

  6. Describe the role of macrophages in the immune system

  7. Contrast the terms macrophage and monocyte

  8. Describe the role of B lymphocytes in the immune system

  9. Describe the role of T lymphocytes in the immune system

  10. Describe the three ways that antibodies participate in the host defense

  11. Define the term inflammatory mediator

  12. Define complement system and explain its principle functions in the immune response

Host Immune Response to Periodontal Pathogens

  1. Define the term immune system and name its primary function

  2. Describe the tissue destruction that can be initiated by the biochemical mediators secreted by the immune cells

  3. Describe the role of the host response in the severity and tissue destruction seen in periodontitis

  4. Explain the immunologic interactions of the host in periodontal diseases

  1. Describe and differentiate the mechanisms of tissue destruction in periodontal disease

  2. Describe and discuss current knowledge of the immunopathology of periodontal disease

Clinical Periodontal Assessment

  1. Explain which members of the dental team are responsible for the clinical periodontal assessment

  2. Compare and contrast a periodontal screening examination and a comprehensive periodontal assessment

  3. Describe how to evaluate each component of a comprehensive periodontal assessment

  4. Explain how to calculate the width of attached gingiva

  5. Explain how to calculate clinical attachment level given several different clinical scenarios

Nutrition and Periodontal Disease

  1. List some oral symptoms that can be seen in chronic or severe vitamin C deficiency.

  2. List several nutrient deficiencies that may increase the risk for periodontal disease.

  3. Name two dietary factors that may increase the risk for periodontal disease in addition to specific nutrient deficiencies.

  4. Explain how nutritional counseling might be accomplished with a patient.

Radiographic Analysis of the Periodontium

  1. Recognize the radiographic characteristics of normal and abnormal alveolar bone

  2. Recognize and describe early radiographic evidence of periodontal disease

  3. Distinguish between vertical and horizontal alveolar bone loss

  4. Recognize potential etiologic agents for periodontal disease radiographically

  5. Gain practical experience in radiographic assessment by applying information from this chapter in the clinical setting

Nonsurgical Periodontal Therapy

  1. Explain the term nonsurgical periodontal therapy

  2. Describe the type of healing to be expected following successful instrumentation of root surfaces

  3. Explain the origin of the condition called dentinal hypersensitivity

  1. Describe a strategy for managing dentinal hypersensitivity during nonsurgical therapy

  2. Explain why reevaluation is a critical step during nonsurgical therapy

  3. Explain current American Academy of Periodontology recommendations for deciding which patients should be managed by a periodontist

CONTENT, TOPICS AND SCOPE

A. ​Periodontium: The Tooth-Supporting Structures ​(4 hours)

     1. List and recognize the clinical features of periodontal health

     2. Describe the function that each tissue serves in the periodontium, including the gingiva,               

         periodontal ligament, cementum, and alveolar bone

     3. ​Explain the role of the lymphatic system in the health of the periodontium

B. ​Microscopic Anatomy of the Periodontium ​(4 hours)

     1. Define the term epithelial tissue and describe its function in the body

     2. List and recognize the histologic features of periodontal health

C. ​The Progression of Periodontal Disease ​(2 hours)

     1. Define the term periodontal disease and contrast it with the term periodontitis

     2.Compare and contrast the clinical and histologic characteristics of the periodontium in health,   

         gingivitis, and periodontitis​

​D. ​Classification of Periodontal Diseases and Conditions ​(2 hours)

     1. List, describe, and differentiate the various periodontal diseases according to the

         2018 classification system established by the American Academy of Periodontology

     2. Define the terms innocuous, pathogenic, virulent, Gram-positive, and Gram-negative

E. ​Oral Biofilms and Periodontal Infections ​(4 hours)

     1. Define the terms innocuous, pathogenic, virulent, Gram-positive, and Gram-negative

     2. Define the term biofilm and explain the advantages to a bacterium of living in a biofilm

F. ​Local Contributing Factors (2 Hours)

     1. Define the terms pathogenicity and local contributing factors

     2. Identify local etiologic factors that contribute to the retention and accumulation of microbial   

         plaque biofilm

G. ​Basic Concepts of Immunity and Inflammation​ (4 hours)

     1. Define the term immune system and name its primary function

     2. Define the term inflammation and name two events that can trigger the inflammatory response

     3. Compare and contrast acute inflammation and chronic inflammation

H. ​Host Immune Response to Periodontal Pathogens​ ​(2 hours)

     1. Define the term immune system and name its primary function

     2. Describe the role of the host response in the severity and tissue destruction seen in periodontitis

I. ​Clinical Periodontal Assessment ​(4 hours)

     1. Describe how to evaluate each component of a comprehensive periodontal assessment​

     2. Explain how to calculate clinical attachment level given several different clinical scenarios

J. ​Radiographic Analysis of the Periodontium​ ​(2 hours)

     1. Recognize the radiographic characteristics of normal and abnormal alveolar bone

     2. Recognize and describe early radiographic evidence of periodontal disease

K. ​Nonsurgical Periodontal Therapy ​(4 hours)

     1. Explain the term nonsurgical periodontal therapy

     2. Describe the type of healing to be expected following successful instrumentation of root surfaces

     3. Explain why reevaluation is a critical step during nonsurgical therapy

 

General Guidelines     

When communicating online with your Professors, Advisors, and Peers, you should always:

  • Treat your instructor, advisor, and classmates with respect in an e-mail or any other communication. 

  • Always use your professors’ proper title: Dr. or Prof., or if in doubt use Mr. or Ms.

  • Unless specifically invited, don’t refer to your instructor by the first name. 

  • Use clear and concise language. 

  • Remember that all college-level communication should have correct spelling and grammar (this includes discussion boards). 

  • Avoid slang terms such as “wassup?” and texting abbreviations such as “u” instead of “you.” 

  • Use standard fonts such as Ariel, Calibri or Times New Roman and use a size 10 or 12 pt. font
  • Avoid using the caps lock feature AS IT CAN BE INTERPRETED AS YELLING. 

  • Limit and possibly avoid the use of emoticons like :) 

  • Be cautious when using humor or sarcasm as the tone is sometimes lost in an e-mail or discussion post, and your 
message might be taken seriously or sound offensive. 

  • Be careful with personal information (both yours and other’s). 

  • Do not send confidential information via e-mail. 


E-mail Netiquette 


When you send an e-mail to your instructor, advisor, or classmates, you should: 


  • Use a descriptive subject line. 

  • Be brief. 

  • Avoid attachments unless you are sure your recipients can open them. 

  • Avoid HTML in favor of plain text. 

  • Sign your message with your name, return e-mail address, and contact number. 

  • Think before you send the e-mail to more than one person. Does everyone really need to see your message?
  • Be sure you REALLY want everyone to receive your response when you click, “reply all.” 

  • Be sure that the message author intended for the information to be passed along before you click the “forward” 
button. 


Message Board Netiquette and Guidelines 


When posting on the Discussion Board in your online class, you should:

  • Make posts that are on-topic and within the scope of the course material. 

  • Take your posts seriously and review and edit your posts before sending. 

  • Be as brief as possible while still making a thorough comment. 

  • Always give proper credit when referencing or quoting another source. 

  • Be sure to read all messages in a thread before replying. 

  • Don’t repeat someone else’s post without adding something of your own to it. 

  • Avoid short, generic replies such as, “I agree.” You should include why you agree or add to the previous point. 

  • Always be respectful of others’ opinions even when they differ from your own. 

  • When you disagree with someone, you should express your differing opinion in a respectful, 
non-critical way. 

  • Do not make personal or insulting remarks. 

  • Be open-minded.

Security

Remember that your password is the only thing protecting you from pranks or more serious harm.

  • Don't share your Student Portal or CUNYFirst passwords with anyone. 

  • Change your password if you think someone else might know it. 

  • Always log out when you are finished using the system, especially when using a public computer. 

  • Overall, you should use common sense when communicating electronically. In the same way that you would present yourself in person to make a positive and constructive impression, you should always do the same when taking an online course. Remember that the majority of what we communicate to others is in non-verbal ways (body language, voice inflection, etc.), and all you have in online courses is in a text form. Make sure your digital impression is a clear and positive one.

Instructor Announcements and Q&A Forum

The instructor will post announcements on the “Instructor Announcements” page in Canvas throughout the semester. Canvas notifies students according to their preferred Notification Preferences as soon as the instructor creates an Announcement. A “Q&A Forum” is also on Canvas to ask for assistance of your classmates or of instructor.

Attendance

Students are expected to attend all sessions of the course in which they are enrolled. Students are expected to be prepared to begin class on time.

Students are expected to be present in the class at the scheduled beginning time and remain until the end of class. Quizzes and tests are given at the beginning of class. If you are tardy to a class you will have less time to take the scheduled quiz or test.

The total amount of time tardy or early leaving cannot exceed the 10% attendance maximum. Arriving late for lecture or lab disrupts the instructor and your fellow classmates. Students will not be allowed to enter the class late if it interrupts class instruction, if the door is closed please wait until the instructor opens it at a natural break in the instruction.

A student may be dropped from the class when that student’s absences exceed 10% of the total hours of class time; for this class that means:

DH 79 Lecture has 35.0 total contact hours. Missing 3.5 total hours in DH 85 will result in the student being dropped from the class.

Unless state or federal law requires that the absence be deemed excused, no instructor shall be required to make a distinction between excused and unexcused absences. Refer to Dental Hygiene Policy Manual.

Holiday Policy: Students are to follow the college holidays/vacation schedules as published in the current academic calendar.

Late Policy

All assignments are due by the beginning of class on the due date. No late assignments are accepted. 

Exams

There will be quizzes, midterm and final exams. The material comes from the textbook, class lectures and supplemental materials. If any exam is missed, a zero will be recorded as the score. It is your responsibility to take the online exams by the due date.

Grading Policy

Visit the “Grades” in Canvas to keep track of your grades. I grade [once a week] and post grades and comments on the online Canvas grade-book.

COMPETENCY AND CURRICULUM MAPPING

Refer to the Competency Statements and Curriculum Mapping found in your Dental Hygiene Policy Manual to determine the program competency and the level (novice, beginner, competent) you will achieve in this course.

COURSE REQUIREMENTS AND GRADING INFORMATION:

Methods of Instruction:
Reading assignments (RAE)

Lecture with power point and Discussion

Color photos and videos

Case-based exercises
Inter-active student group activities

Possible Guest Speakers

Methods of Evaluation:

Assignments:

1. Completion of weekly reading and/or outside homework assignments ​( homework assignments are due at the beginning of class, no late homework assignments accepted.)

2. Power-point presentation of Moderate Periodontitis Case Study: presenting assessments, treatment plan,  non-surgical treatment results, and a post surgical treatment plan including projected outcomes

Course Evaluation Criteria

Quizzes (4-8) 20 pts. each                            = 60-100         points 

RAE’S 1-4                                                       = 20                  points

Case-study presentation                              = 100                points

Midterm                                                         = 50                  points

Comprehensive Final Exam                          = 100               points

Participation/attendance *                           = 15                  points

Total Points                                                    = 345-403        points

*There will be 15 points available to earn for the semester for class participation and attendance on the days when no quizzes, midterm, or finals are scheduled, ( 3 points each session NOT including classes with quiz, midterm, or Final). These points cannot be used to bring a students failing grade to a passing grade.

*Quizzes, midterms and final (graded) exams will be available for review and discussion only. The instructor will keep these exams.

Quizzes: will be given regularly in order to assist you and to help you with keeping up with the course materials. ​NO make-up quizzes​ will be given in the event of an absence. Quizzes will consist of multiple-choice, true/false, and short answer questions. The quiz with the lowest grade will be averaged in.

Grades will be assigned as follows:

A

 93%-100%
B

83%-92%

C

75%-82%

D

65%-74%

 

Standards:

75% of the points possible for a grade of “C” to be considered passing the course Stated  standards of performance on objectives.

Unless otherwise specified, all assignments are expected to be the individual student’s work

ALL requirements for this course must be met; failing to meet any requirement will result in a failing grade for the course.

Standards of Conduct

The best way to learn is through active participation; therefore, we respect others by being on time, listening actively and by being polite even when we disagree with another’s viewpoint. 

Students who register in SRJC classes are required to abide by the SRJC Student Conduct Standards. Violation of the Standards is basis for referral to the Vice President of Student Services or dismissal from class or from the College. See the Student Code of Conduct page.

Collaborating on or copying of tests or homework in whole or in part will be considered an act of academic dishonesty and result in a grade of 0 for that test or assignment. I encourage students to share information and ideas, but not their work. See these links on Plagiarism:
SRJC Writing Center Lessons on avoiding plagiarism
SRJC's policy on Academic Integrity

 INSTRUCTOR ASSISTANCE

All students are encouraged to seek assistance from the course instructor.  If you have any questions concerning assignments, content, etc, or if a problem arises that warrants instructor help, please do not hesitate to schedule an appointment with the lead instructor at your earliest convenience.

GETTING THE HELP THAT YOU NEED IS YOUR RESPONSIBILITY

REMEDIATION: Any student achieving less than 75% on a quiz is strongly encouraged to arrange a meeting with the instructor to discuss deficiencies in their grade and arrange potential remediation. 

QUALITY ASSURANCE​: Refer to the Quality Assurance plan found in your Dental Hygiene Manual to determine the assurances designed to ensure that the dental programs adhere to the standards of care set by the profession.

HIPPA STATEMENT:​ As a student at the SRJC Dental hygiene Program, you have a legal and ethical responsibility to safeguard the privacy of all patients’ and protect confidentiality and security of all health information. Protecting the confidentiality of patient information means protecting it from unauthorized use or disclosure in any format: oral, FAX, written or electronic. Patient confidentiality is a central obligation of patient care. Any breaches in patient confidentiality or privacy may result in disciplinary action, up to and including dismissal from the dental hygiene program.

Other Important Policies and Practices

Avoid Plagiarism Like the, er, Plague

Although most students have likely heard about plagiarism during their years of schooling, it still is prevalent-even in higher education.

The video below reviews what plagiarism is and how not to do it.

Plagiarism: How to avoid it

This activity tests your knowledge of plagiarism (not graded): Self-check: Plagiarism

INSTRUCTOR ASSISTANCE:

All students are encouraged to seek assistance from the course instructor. If you have any questions concerning assignments, content, etc., or if a problem arises that warrants instructor help, please do not hesitate to schedule an appointment with me at your earliest convenience. Contact: shellums@santarosa.edu

REMEDIATION:

If a student is receiving a failing grade during the semester course, it’s the student’s responsibility to make an appointment with the instructor to discuss grades and develop an action plan.

Netiquette, or Why Is It Harder to Be Polite Online?

Netiquette refers to using common courtesy in online communication. All members of the class are expected to follow netiquette in all course communications. Use these guidelines:

  • Use capital letters sparingly. THEY LOOK LIKE SHOUTING.
  • Forward emails only with a writer's permission.
  • Be considerate of others' feelings and use language carefully.
  • Cite all quotations, references, and sources (otherwise, it is plagiarism).
  • Use humor carefully. It is hard to "read" tone; sometimes humor can be misread as criticism or personal attack. Feel free to use emoticons like :) for a smiley face to let others know you are being humorous.
  • Use complete sentences and standard English grammar to compose posts. Write in proper paragraphs. Review work before submitting it.
  • Text speak, such as "ur" for "your" or "ru" for "are you" etc., is only acceptable when texting.

COURSE ETHICS: Please refer to your Dental Hygiene Policy Manual for this information.

ACADEMIC GRIEVANCES: Please refer to your Dental Hygiene Policy Manual for this information.

PROFESSIONALISM CRITERIA: Please refer to your Dental Hygiene Policy Manual for this information.

DISMISSAL POLICY: Please refer to you Dental Hygiene Policy Manual for this information.

Special Needs

Students with disabilities who believe they need accommodations in this class are encouraged to contact Disability Resources (527-4278), as soon as possible to better ensure such accommodations are implemented in a timely fashion.

DISABILITY RESOURCE DEPARTMENT​: ​If you need disability-related accommodations for this class, such as access to notes, test taking services, special furniture, etc., please provide the Authorization for Academic Accommodations (AAA letter) from the Disability Resources Department (DRD) to the instructor as soon as possible. You may speak with the instructor privately during office hours about your accommodations. Please contact DRD if you have not received authorization for accommodations. DRD is located in the Bertolini Student Center on the Santa Rosa campus.​ Please refer to your student handbook for more information.

COURSE ETHICS: ​Please refer to your Student Handbook for this information. ACADEMIC GRIEVANCES: ​Please refer to your Dental  Hygiene Manual for this information.

PROFESSIONALISM CRITERIA: ​Please refer to your Dental Hygiene Manual for this information.

DISMISSAL POLICY: ​Please refer to your Dental Hygiene Manual for this information.

***AGREEMENT WITH STUDENT: This syllabus is an agreement; continued registration in this course means that you agree to the policies and procedures outlined in this syllabus. The syllabus is intended to give the student guidance to what may be covered during the semester and will be followed as closely as possible. However, the instructor reserves the right to modify, supplement and make changes as the course needs arise

Revised 7/2021 Professor Hellums