DHE 213CA - Advanced Periodontal Services Clinical - A

1. Identify oral conditions indicative of the need for scaling and root planning and outline the purpose of the initial phase of therapy.
2. Synthesize an individualized dental hygiene treatment plan for the periodontal patient.
3. Demonstrate advanced fulcrum techniques, advanced instrumentation, powered instrumentation, techniques for heavy calculus removal, and advanced techniques for root surface debridement at the level of competency for patients with advanced periodontal disease.
4. Demonstrate the use of laser technology at the level of competency.

1. Demonstrate proper patient classification using the American Academy of Periodontology (AAP) periodontal classifications.
2. Demonstrate appropriate instrumentation techniques on patients with periodontal disease.
3. Create an individualized comprehensive dental hygiene care plan and maintenance program for the periodontal patient
4. Evaluate assessment outcomes after periodontal treatment on a clinical patient.
5. Demonstrate the use of a periodontal medicament and laser therapy.

1. Periodontal Exam and Initial Phase
   1. Periodontal Classifications
   2. Occlusion evaluation
   3. Dental hygiene diagnosis
2. Treatment Plan
   1. Scaling and Root Planning Indications and Limitations
3. Implementation of treatment
   1. Nonsurgical periodontal therapy
   2. Advanced hand instrumentation and fulcrums
   3. Sonic and Ultrasonic Therapy in Periodontal Services
4. Patient Education
   1. Plaque Control
   2. Disease education
   3. Nutritional counseling
   4. Motivational interviewing
5. Documentation
   1. Comprehensive patient care plan
   2. Clinical documentation
6. Reevaluation of Treatment and Maintenance
   1. Assessment of periodontal Healing
   2. Reattachment/new attachment
7. Antimicrobials, Antibiotics, and Soft Tissue Dental Lasers in Periodontal Therapy
   1. Saliva testing
   2. Arestin
   3. Use of lasers
   4. Safety procedures
   5. Steps for bacterial reduction