Academic Catalog

D H 316B: PERIODONTICS II

Foothill College Course Outline of Record

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:

  1. Evaluate the role of evidence-based resources to support periodontal treatment decisions.
  2. Explain the process of developing an individualized periodontal treatment plan and obtaining informed consent through clear patient communication.
  3. Differentiate the nonsurgical periodontal therapies to determine appropriate patient care strategies.
  4. Explain the steps in motivational interviewing to support oral health behavior change.
  5. Compare chemical agents and procedures for irrigation, differentiating between home-use and professional methods.
  6. Outline the steps involved in the periodontal maintenance visit.
  7. Identify the anatomy of dental implants, recognize peri-implant diseases, and describe maintenance protocols for dental implants.
  8. Describe acute periodontal conditions and outline appropriate management strategies.
  9. Explain basic concepts of periodontal surgery and the dental hygienist's role in care.
  10. Document the legal and ethical considerations involved in periodontal care.
  11. Apply current research in periodontal disease to improve patient care and treatment outcomes.

Course Content

  1. Best practices in periodontal care
    1. Utilization of research and evidence-based guidelines
    2. Components of evidence-based decision making
    3. Patient engagement in evidence-based decision making
    4. Commitment to lifelong learning skills
  2. Implementation of periodontal care
    1. Periodontal diagnosis and collaboration with dentist
    2. Decisions related to sequencing care
    3. Informed consent
    4. Communication strategies for treatment planning
    5. Patient-centered considerations
  3. Nonsurgical periodontal therapy (NSPT)
    1. Indications and goals of NSPT
    2. Instrumentation
      1. Rationale
      2. Hand instrumentation vs. power instrumentation
      3. Expected healing outcomes and tissue response
    3. Nonsurgical procedures performed by the dental hygienist
      1. Indications and contraindications
      2. Use of antimicrobial agents
      3. Correction of local contributing factors
      4. Addressing systemic risk factors
      5. Host modulation
      6. Management of dentinal hypersensitivity
      7. Establishing a periodontal maintenance interval
  4. Patient motivation and home care
    1. Principles of motivational interviewing
    2. Core skills (OARS)
      1. Open-ended questions
      2. Affirmations
      3. Reflective listening
      4. Summaries
    3. Patient's role in nonsurgical periodontal therapy
  5. Chemical agents in periodontal care
    1. Plaque biofilm control
    2. Patient applied chemical agents (home use)
    3. Professionally applied or prescribed agents
    4. Irrigation
    5. Systemic antibiotics to control bacterial plaque biofilm
    6. Topically delivered agents
  6. Maintenance for the periodontal patient
    1. Components of periodontal maintenance
    2. Who provides periodontal maintenance
    3. Maintenance interval
    4. Disease recurrence
    5. Patient compliance
  7. Implant maintenance
    1. Implant anatomy
    2. Peri-implant mucositis
    3. Peri-implantitis
    4. Signs of a failing implant
    5. Treatment modalities for failing implant
    6. Components of implant maintenance
  8. Acute periodontal conditions
    1. Abscesses
      1. Periodontal abscess
      2. Endodontic abscess
      3. Endo-perio lesion
      4. Management
    2. Necrotizing periodontal diseases
      1. Necrotizing ulcerative gingivitis (NUG)
      2. Necrotizing ulcerative periodontitis (NUP)
      3. Management
    3. Primary herpetic gingivostomamitis
      1. Management
  9. Periodontal surgical concepts for the dental hygienist
    1. Periodontal surgery
    2. Periodontal flap procedure
    3. Free gingival graft
    4. Bone grafting
    5. Osseous resective surgery
    6. Crown lengthening
    7. Dental implant placement
    8. Guided tissue regeneration
    9. Gingivectomy
    10. Sutures, periodontal dressing
    11. Post surgical instructions and follow-up visits
    12. Registered Dental Hygienist (RDH) considerations
  10. Documentation and reporting
    1. Documentation of periodontal care
    2. Computer-based patient records
    3. Insurance codes for periodontal procedures
    4. Legal responsibilites
    5. Ethical principles
  11. Future directions in periodontal disease management
    1. Advances in diagnostic technology
    2. Oral and systemic disease connections
    3. Dental implants
    4. Emerging treatment modalities
  12. Patient case studies
    1. Application of course content to comprehensive patient cases
    2. Research evidence-based practices
    3. 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.

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

  1. Weekly reading assignments
  2. Chapter-specific assignments and review questions
  3. Case studies

Discipline(s)

Dental Technology