D H 316B: PERIODONTICS II
Foothill College Course Outline of Record
| Heading | Value |
|---|---|
| Effective Term: | Fall 2026 |
| Units: | 2 |
| Hours: | 2 lecture per week (24 total per quarter) |
| Advisory: | Not open to students with credit in D H 57B. |
| Degree & Credit Status: | Degree-Applicable Credit Course |
| Foothill GE: | Non-GE |
| Transferable: | CSU |
| Grade Type: | Letter Grade Only |
| Repeatability: | Not Repeatable |
Student Learning Outcomes
- Formulate a comprehensive periodontal treatment plan that addresses the patient's individual needs by integrating assessment findings with knowledge of periodontal disease etiology, classification, and progression.
- Rationalize the selection of non-surgical and surgical periodontal therapies based on patient assessment data, clinical indications, and evidence-based practice.
Description
This is the second of two courses in periodontics designed for dental hygiene students. The course focuses on developing evidence-based periodontal care plans for the treatment of periodontal disease. Topics include nonsurgical periodontal therapy, periodontal surgical procedures, dental implants, peri-implant disease, and the management of periodontal emergencies. Students will also learn patient-centered approaches for assessing motivation and risk management strategies for documentation of patient care. Intended for students in the Dental Hygiene Baccalaureate Degree Program; enrollment is limited to students accepted in the program.
Course Objectives
The student will be able to:
- Evaluate the role of evidence-based resources to support periodontal treatment decisions.
- Explain the process of developing an individualized periodontal treatment plan and obtaining informed consent through clear patient communication.
- Differentiate the nonsurgical periodontal therapies to determine appropriate patient care strategies.
- Explain the steps in motivational interviewing to support oral health behavior change.
- Compare chemical agents and procedures for irrigation, differentiating between home-use and professional methods.
- Outline the steps involved in the periodontal maintenance visit.
- Identify the anatomy of dental implants, recognize peri-implant diseases, and describe maintenance protocols for dental implants.
- Describe acute periodontal conditions and outline appropriate management strategies.
- Explain basic concepts of periodontal surgery and the dental hygienist's role in care.
- Document the legal and ethical considerations involved in periodontal care.
- Apply current research in periodontal disease to improve patient care and treatment outcomes.
Course Content
- Best practices in periodontal care
- Utilization of research and evidence-based guidelines
- Components of evidence-based decision making
- Patient engagement in evidence-based decision making
- Commitment to lifelong learning skills
- Implementation of periodontal care
- Periodontal diagnosis and collaboration with dentist
- Decisions related to sequencing care
- Informed consent
- Communication strategies for treatment planning
- Patient-centered considerations
- Nonsurgical periodontal therapy (NSPT)
- Indications and goals of NSPT
- Instrumentation
- Rationale
- Hand instrumentation vs. power instrumentation
- Expected healing outcomes and tissue response
- Nonsurgical procedures performed by the dental hygienist
- Indications and contraindications
- Use of antimicrobial agents
- Correction of local contributing factors
- Addressing systemic risk factors
- Host modulation
- Management of dentinal hypersensitivity
- Establishing a periodontal maintenance interval
- Patient motivation and home care
- Principles of motivational interviewing
- Core skills (OARS)
- Open-ended questions
- Affirmations
- Reflective listening
- Summaries
- Patient's role in nonsurgical periodontal therapy
- Chemical agents in periodontal care
- Plaque biofilm control
- Patient applied chemical agents (home use)
- Professionally applied or prescribed agents
- Irrigation
- Systemic antibiotics to control bacterial plaque biofilm
- Topically delivered agents
- Maintenance for the periodontal patient
- Components of periodontal maintenance
- Who provides periodontal maintenance
- Maintenance interval
- Disease recurrence
- Patient compliance
- Implant maintenance
- Implant anatomy
- Peri-implant mucositis
- Peri-implantitis
- Signs of a failing implant
- Treatment modalities for failing implant
- Components of implant maintenance
- Acute periodontal conditions
- Abscesses
- Periodontal abscess
- Endodontic abscess
- Endo-perio lesion
- Management
- Necrotizing periodontal diseases
- Necrotizing ulcerative gingivitis (NUG)
- Necrotizing ulcerative periodontitis (NUP)
- Management
- Primary herpetic gingivostomamitis
- Management
- Abscesses
- Periodontal surgical concepts for the dental hygienist
- Periodontal surgery
- Periodontal flap procedure
- Free gingival graft
- Bone grafting
- Osseous resective surgery
- Crown lengthening
- Dental implant placement
- Guided tissue regeneration
- Gingivectomy
- Sutures, periodontal dressing
- Post surgical instructions and follow-up visits
- Registered Dental Hygienist (RDH) considerations
- Documentation and reporting
- Documentation of periodontal care
- Computer-based patient records
- Insurance codes for periodontal procedures
- Legal responsibilites
- Ethical principles
- Future directions in periodontal disease management
- Advances in diagnostic technology
- Oral and systemic disease connections
- Dental implants
- Emerging treatment modalities
- Patient case studies
- Application of course content to comprehensive patient cases
- Research evidence-based practices
- Create dental hygiene treatment plan for case studies
Lab Content
Not applicable.
Special Facilities and/or Equipment
1. Multimedia classroom.
2. When taught online, on-going access to computer with email software and hardware; email address.
2. When taught online, on-going access to computer with email software and hardware; email address.
Method(s) of Evaluation
Methods of Evaluation may include but are not limited to the following:
Quizzes
Mid-term and final examination
Objective Structured Clinical Examination (OSCE)
Method(s) of Instruction
Methods of Instruction may include but are not limited to the following:
Lecture
Discussion
Oral presentations
Patient case studies
Representative Text(s) and Other Materials
Nield-Gehrig, J., et al.. Foundations of Periodontics for the Dental Hygienist, 6th ed.. 2024.
Types and/or Examples of Required Reading, Writing, and Outside of Class Assignments
- Weekly reading assignments
- Chapter-specific assignments and review questions
- Case studies
Discipline(s)
Dental Technology
