DHE 213 - Advanced Periodontal Services

1. Assess key elements of a periodontal exam to develop accurate diagnostic and therapeutic plans.
2. Demonstrate understanding of the AAP periodontal classifications to support diagnosis and treatment decisions.
3. Recognize oral conditions that necessitate specific periodontal treatments, distinguishing between surgical and nonsurgical approaches.
4. Develop tailored treatment and ongoing care plans that address the unique needs of each patient.
5. Explain the biological processes involved in tissue formation and reattachment in periodontal care.

1. Evaluate the components of the periodontal examination and explain how they serve as diagnostic aids for therapeutic planning.
2. Integrate, synthesize and evaluate an individualized dental hygiene treatment plan for the periodontal patient.
3. Apply the American Academy of Periodontology (AAP) periodontal classifications to patient cases.
4. Explain oral conditions indicative for surgical and nonsurgical periodontal procedures.
5. Describe the different types of periodontal surgical procedures and their purposes.
6. Explain appropriate instrumentation techniques on patients with periodontal disease.
7. Design and evaluate an individualized dental hygiene treatment  and maintenance plan.
8. Describe the physiological process of the reattachment of periodontal tissues as well as the formation of new fiber attachment.
9. Describe the use of lasers in dentistry, safety precautions and steps in apply lasers for bacterial reduction
10. Identify the indications for use of antimicrobials, antibiotics and technologies used in periodontal therapy.

1. Periodontal Exam and Initial Phase
   1. Classification of periodontal and peri-implant diseases
   2. Clinical periodontal assessment
2. Periodontal health
   1. Gingival diseases and conditions
   2. Other conditions affecting periodontium
   3. Local factors contributing to disease
   4. Systemic risk factors contributing to periodontal disease
   5. Peri-implant health
   6. Acute periodontal conditions
   7. Periodontal disease in pediatric population
3. Immune response
   1. Host immune response to biofilm
   2. Plaque Control for the periodontal patient
   3. Impact of periodontitis on systemic health
4. Treatment planning for periodontal care
   1. Clinical decision-making
   2. Shared decision-making
   3. Best practices for care
   4. Periodontal maintenance 
5. Antimicrobials, antibiotics and technologies used in periodontal therapy
   1. Chemical agents
   2. Host modulation therapy
   3. Supra and subgingival irrigation
   4. Laser therapy
   5. Application of saliva testing
6. Nonsurgical Periodontal Therapy (NSPT)
   1. Scaling and Root Planing Indications and Limitations
   2. Sonic and Ultrasonic Therapy in Periodontal Services
   3. Hand Instrumentation
7. Periodontal surgery
   1. Concepts for the dental hygienist
8. Periodontal patient education and patient management
   1. Inflammation education
   2. Nutritional impact counseling
   3. Tobacco use and smoking education
   4. Patient’s role in nonsurgical periodontal therapy
   5. Iatrosedation and patient fear management
   6. Motivational interviewing
   7. Future management of periodontal patients
9. Documentation
   1. Clinical documentation
   2. Insurance reporting