Study-Unit Description

Study-Unit Description


TITLE Clinical Periodontology

LEVEL 03 - Years 2, 3, 4 in Modular Undergraduate Course


DEPARTMENT Oral Rehabilitation and Community Care

DESCRIPTION This study-unit 'clinical periodontology' looks at the theory, processes and evidence behind periodontal diagnosis and treatment. Periodontitis is the principal disease which will be treated by hygienists during their practicing professional career. Clinical Periodontology encompasses the diagnosis, treatment planning and treatment of patients with periodontitis. This study-unit will build on the student's existing knowledge which would have been acquired up to this time point. This study-unit will broaden the student's understanding of clinical disease and by bringing together material learned in previous study units and building on it. This unit also intends to provide a theoretical background against which the student can place learning based in the clinic into perspective and therefore inform their future everyday practice.

Study-unit Aims:

This unit aims to provide a theoretical background in the clinical management ofperiodontitis by reinforcing and expanding the scientific and clinical evidence base. This will allow students to further develop their decision-making and clinical reasoning skills enabling them to undertake the complete treatment planning process and well as being knowledgeable about diagnostic, treatment and maintenance methodologies. This is essential for their future work as dental hygienist especially where they are participating in holistic care of dental patients together with a larger clinical team.

By giving a clear understanding of the evidence base for clinical treatments, including behavioural, non-surgical, surgical and advanced and novel therapies the main aim here is to enable the future professional to be critical about which treatment to choose for their patients.

Learning Outcomes:

1. Knowledge & Understanding
By the end of the study-unit the student will be able to:

1. interpret both normal and pathological signs of periodontal tissues;
2. describe periodontal probing techniques as well as other clinical approaches available for detecting changes in periodontal tissues;
3. interpret both normal and pathological structures to be found on radiographs of the oral cavity;
4. discuss techniques available for detecting changes in bone height on radiographs;
5. discuss new diagnostic approaches available to detect changes in subgingival microflora in host response and changes in the biochemical profile of the gingival crevicular fluid;
6. understand the science and techniques behind the alteration of behavioural patterns and how to use these techniques to modify oral health behaviour;
7. discuss and evaluate the literature pertaining to the effects of oral hygiene, scaling and root surface debridement or inflammatory gingival and periodontal diseases;
8. describe the availability and indications of oral hygiene and, scaling and root surface debridement techniques (both with hand and power scaling instruments);
9. discuss the effects and limitations of antimicrobials and antibiotics on the bacteria associated with inflammatory periodontal diseases and be acquainted with the use of these agents in the treatment of gingivitis and periodontitis;
10. discuss the treatment of furcation problems and have a brief understanding of the biology of regenerative procedures and their indications in periodontal therapy;
11. discuss the importance of maintenance therapy and evaluation of aftercare;
12. have an overview of surgical periodontology and its use in the management of periodontitis and periimplant disease;
13. understand the aetiology of recession and its conservative and surgical management.

2. Skills
By the end of the study-unit the student will be able to:

1. identify both healthy(normal) and pathological signs of periodontal tissues;
2. accurately carry out periodontal probing techniques;
3. interpret their findings and write a radiographic report;
4. formulate a diagnosis and treatment plans from clinical data;
5. instruct the patient on the use of the appropriate oral hygiene aid(s) and correct technique(s);
6. carry out initial therapy using the correct scaling and root surface debridement techniques (both with hand and power scaling instruments);
7. identify the need for adjunctive therapies;
8. identify the need for referral to a dentist/periodontist;
9. evaluate the results of periodontal therapy;
10. design and implement an appropriate maintenance therapy programme and evaluation of aftercare;
11. identify patients that may benefit from surgical intervention/ referral.

Main Text/s and any supplementary readings:

- Periodontology at a glance. V Clerehugh, A Tugnait & J Genco.
- Clinical problem solving in Periodontology & Implantology. Francis J. Hughes, Kevin G. Seymour, Wendy turner, Shakel Shahdad, Francis Nohl.
- Reference/ supplementary reading. Clinical Periodontology and Implant Dentistry. 5th ed. J Lindhe, NP Lang & T Karring.
- Carranza's Clinical Periodontology. 11th ed. by MG Newman, H Takei, PR. Klokkevold, MS Fermin & A Carranza.


EFP- European federation of periodontology
BSP- British Society for periodontology
AAP- American academy of periodontology
IFDH0 Internation federation of dental hygienists

ADDITIONAL NOTES Pre-requisite Study-units: DNS2002, DNS2113

Attendance to scheduled sessions, inclusive of lectures/tutorials, practical, laboratory and clinical components is compulsory. Students who do not attend at least 90% of the scheduled sessions will not be allowed to sit for any of the assessment components mentioned below.

STUDY-UNIT TYPE Lecture and Independent Study

Assessment Component/s Assessment Due Resit Availability Weighting
Examination (2 Hours) SEM2 Yes 100%

LECTURER/S Elizabeth Martinelli
Edward Sammut

The University makes every effort to ensure that the published Courses Plans, Programmes of Study and Study-Unit information are complete and up-to-date at the time of publication. The University reserves the right to make changes in case errors are detected after publication.
The availability of optional units may be subject to timetabling constraints.
Units not attracting a sufficient number of registrations may be withdrawn without notice.
It should be noted that all the information in the description above applies to study-units available during the academic year 2020/1. It may be subject to change in subsequent years.