Official Course Description:   MCCCD Approval:  12/14/99
DHE222      19936-20006	LEC	3 Credit(s)	3 Period(s)
Periodontics I
Fundamental principles of periodontology. Etiology, microbiology, pathogenesis, classification and characteristics of healthy and diseased periodontal tissues. Intensive study of processes of inflammation, repair, and immunity. Prerequisites: DHE102 or permission of instructor.

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MCCCD Official Course Competencies:
DHE222   19936-20006	Periodontics I

1.	Describe the American Academy of Periodontology Disease Classifications. (I)
2.	Describe and diagram the macroscopic and microscopic anatomy of the periodontium and its supporting structures in health and disease. (II)
3.	Describe the role of nutrition in the maintenance of gingival and periodontal health. (II) (III)
4.	Describe the microbiological composition and major pathogens of dental plaque and its role, along with calculus, in the development of gingivitis and periodontal disease. (III)
5.	Describe the systemic processes of inflammation, repair, and regeneration and their specific roles in gingivitis and periodontal disease. (IV)
6.	Describe the immune system in healthy and immunocompromised individuals and its role in the etiology of gingivitis and periodontitis. (V)
7.	Explain the microbiology and pathogenesis of gingivitis and periodontal disease. (VI) (VII)
8.	Explain reattachment and new attachment as goals of periodontal therapy. (VIII)
9.	Describe conservative periodontal therapy on a microscopic level. (VIII)
10.	Explain the maintenance phase of periodontal therapy. (IX)
11.	Describe the clinical and radiographic features of prepubertal, juvenile, refractory, and rapidly progressive periodontitis and necrotizing gingivitis. (X)
12.	Explain the role of antibiotics and chemotherapeutic agents in the treatment of periodontal disease. (XI) (XIV)
13.	Identify the clinical and microscopic characteristics of the periodontium during the process of aging. (XII)
14.	Describe the clinical appearance, pathogenesis, oral microbiology, management, and treatment of HIV-gingivitis and HIV-periodontitis. (XIII)
15.	Identify from a written case history (including a photograph or radiograph) the type of periodontal disease present, classification according to the American Academy of Periodontology, prominent clinical features, and the prognosis. (I) (V) (VI) (VII) (VIII) (IX) (X) (XI) (XII) (XIII)
16.	Assess the status of a periodontally-involved clinic patient on a cellular level, detailing patient status from health to disease and the histological results present after periodontal therapy. (I) (II) (III)(IV) (V) (VI) (VII) (VIII) (IX) (XIV)

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MCCCD Official Course Outline:
DHE222   19936-20006	Periodontics I

I. American Academy of Periodontology Disease Classification A. Case Type I B. Case Type II C. Case Type III D. Case Type IV E. Case Type V II. Anatomy of the Periodontium and Surrounding Structures A. Composition B. Function C. Macroscopic anatomy D. Microscopic anatomy E. Nutrition considerations III. Dental Plaque and Calculus A. Clinical appearance B. Distribution C. Microbiological composition D. Structure E. Colonization and formation F. Diet and plaque formation G. Attachment to tooth H. Role in periodontal disease IV. Inflammation in Gingivitis and Periodontitis A. Definition 1. Acute 2. Chronic 3. Wound healing B. Vascular response to injury C. Lymphatic system D. Chemical mediators of vascular response E. Blood leukocytes F. Lymphocytes G. Platelets H. Chronic inflammatory processes I. Repair and regeneration V. The Immune System in Gingivitis and Periodontitis A. Components of immune system B. Primary immune response C. Secondary immune response D. Duration of antibody response E. Immunocompromised status--HIV infection VI. Microbiology of Plaque-Associated Periodontal Disease A. Bacterial adherence B. Bacterial nutrition 1. Aerobic environment 2. Anaerobic environment C. Type of oral bacteria D. Host defense VII. Pathogenesis of Plaque-Associated Periodontal Disease A. Episodic phenomenon B. Site specificity C. Gingivitis progression to periodontitis D. Histopathology E. Endogenous mediators of inflammation F. Immune reactions in gingival inflammation G. Bone resorption H. Rationale for therapy VIII. Reattachment/New Attachment A. Goal of periodontal therapy B. Root planing and soft tissue curettage C. Wound healing in the periodontium D. Guided tissue regeneration: Gore-Tex E. Citric acid--root conditioning F. Problems in assessing new attachment IX. Maintenance Phase of Periodontal Therapy A. Objectives of periodontal therapy and maintenance care B. Preventive maintenance C. Effects of maintenance care D. Maintenance appointments--frequency E. Healing phase F. Treatment of recurrent periodontitis X. Other Types of Periodontitis and Gengivitis A. Prepubertal periodontitis 1. Localized vs. generalized 2. Microbiology and host response 3. Treatment 4. Radiographic appearance B. Juvenile periodontitis 1. Localized vs. generalized 2. Microbiology and virulence factors 3. Host response 4. Treatment 5. Radiographic appearance C. Necrotizing gingivitis 1. Acute vs. chronic 2. Factors related to increased frequency 3. Clinical characteristics 4. Histology 5. Relationship to HIV 6. Treatment D. Rapidly progressive periodontitis 1. Characteristics 2. Radiographic appearance E. Refractory periodontitis 1. Characteristics 2. Radiographic appearance XI. Antibiotics in Periodontics A. Tetracycline B. Metranidazole C. Other antibiotics prescribed XII. Gerodontic Patient A. Characteristics of periodontium B. Generalities XIII. HIV-Associated Periodontal Diseases A. Clinical features 1. HIV-gingivitis 2. HIV-periodontitis B. Microbiology C. Relationship to habits D. Immune system E. Management and treatment of HIV-associated periodontal diseases XIV. Chemotherapeutic Agents A. Chlorhexidine 1. Mechanism of action 2. Results attained 3. Safety 4. Efficacy 5. Patient concerns 6. Patient selection and dosage/administration 7. Use for HIV patients 8. Supplemental B. Other over-the-counter and prescription chemotherqpeutic agents presently available

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