PER803: Introduction to Periodontics & Prevention
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1 PER803 Introduction to Periodontics & Prevention / Spring Extension Year 1 PER803: Introduction to Periodontics & Prevention 1. Course Directors 2. Administrative Details Dr. Othman Primary Course Designation: Clinical 250 Squire Hall Course Type: Required Department of Periodontics and Endodontics Year/Semester: D1/3 (1 st year/spring Extension) Credit Hours: 2 shibly@buffalo.edu Office Hours: Mondays from 3 to 4 pm and Fridays from 12 to 1 pm 3. Participating Faculty Sebastian G. Ciancio DDS, MS 250 Squire Hall ciancio@buffalo.edu Joseph J. Zambon, DDS, PhD 222 Foster Hall jjzambon@buffalo.edu Michael Hatton DDS 355 Squire Hall hatton@buffalo.edu Bing Yan Wang DMD, PhD B22 Squire Hall bwang@buffalo.edu Clinical Faculty: Drs. Lazarus, Nylander, Schroeder,, Wang, Mrs. Roncone 4. Keywords Periodontics, Preventive dentistry, Dental scaling, Root planning, Alveolar bone loss, Periodontitis, Gingivitis 5. Course Meeting Days, Times & Locations Lectures are on Mondays and Fridays from 8:00 to 10:00 am in DFN 146. However, on Monday May 10 there will be extra lecture from 1 to 3 pm. Labs are on Mondays from 1 to 4 pm and Fridays from 10 to 12 pm in the third floor clinic. Additionally each student will receive one hour hands on training on extra and intra oral examinations. This hands on training will be on Wednesdays 1 to 4 pm. 6. Course Description Periodontal diseases are among some of the most common infectious diseases that afflict people. These diseases are caused by microbial colonization of the tooth surface and subsequent gingival inflammation and destruction of host tissues. Elimination of the bacteria on the tooth surfaces may results in complete resolution of gingival inflammation. However, microbial deposits left undisturbed leads to chronic gingivitis and, in some instances, irreversible loss of supporting bone around the tooth (periodontitis) and tooth loss. Although the loss of bone is irreversible in periodontitis, it can be arrested by elimination of microbial deposits. Course Information Site Ublearns.buffalo.edu 7. Course Purpose This clinical dental course is designed to introduce the participants to recognize periodontal health and periodontal disease diagnosis, management and prevention. It is offered in the summer extension of the second semester of the first year of dental school, after a semester of basic sciences. PER803 is a continuation of Preventive dentistry that you received back in the fall with main focus on periodontology. PER803 is an essential element in the clinical dentistry curriculum as it is one of the first courses in which participants learn about and practice clinical techniques. 8. Course Goals a. Patient examination. 1. To demonstrate aspects of patient evaluation medical history, dental history, B/P and pulse. PER803 Introduction to Periodontics & Prevention / Page 1 of 7 June 15, 2010
2 PER803 Introduction to Periodontics & Prevention / Spring Extension Year 1 2. To demonstrate clinical (mainly periodontal probing pocket depth, calculus detection and identification) and radiographic periodontal evaluation 3. To demonstrate a periodontal examination and formulation of a periodontal diagnosis, prognosis, treatment plan and maintenance. b. Patient treatment. 1. Introduce concepts of etiology of periodontal disease and etiologic co-factors 2. Identify risk factors for periodontal disease 3. Demonstrate how to remove etiologic factors from the tooth surface 4. Demonstrate Oral hygiene practices, motivation and preventive methods 5. Demonstrate entries into the patients chart 9. Learning Objectives To be able to a. recognize normal and abnormal periodontium b. identify risk factors for gingivitis and periodontitis c. diagnose and treat gingivitis and early periodontitis d. Perform oral hygiene instruction e. perform periodontal recall examination and record the findings in the chart f. perform supportive (maintenance) periodontal therapy g. recognize the influence of systemic factors on periodontal disease progression 10. Associated Competencies Learning Objective SDM Competency from Appendix 1 See Section 9 11, 18, 27, Student Evaluations Methods Performance in this course will be judged on the basis of: attendance and participation in all scheduled sessions, satisfactory completion of the recall record and notations signed by preceptor and student Dr. for each clinic encounter in the patient chart, grades on examinations and quizzes. Grading: A= B=89-80 C=79-70 D=69-65 F=below 65 Grading Criteria Evaluation Types* % Weight Midterm Examination Written examination 30% Final Examination Written examination 30% Class participation 1 Class participation/attendance 10% Clinical exam 2 30% *Evaluation Types (see Appendix 2 for full descriptions) 100% 1 Class participation, including attendance in clinic sessions, labs and completion of patient chart, quizzes 2 Clinical exam - Note: clinical exam should be more than 25% of the total grade in order to pass the clinical exam. Anyone who did not get minimum of 25 will not be allowed to do the next course PER 820. Students must be competent in using perio instruments before starting seeing the first patient in their training. 12. Learning Resources Primary Textbook CARRANZA'S CLINICAL PERIODONTOLOGY, (10/e) Newman, M. G., Takei, H. H., Carranza, F. A., 2006 W.B. Saunders Co ISBN: PER803 Introduction to Periodontics & Prevention / Page 2 of 7 June 15, 2010
3 PER803 Introduction to Periodontics & Prevention / Spring Extension Year 1 Supplementary Texts Color Atlas of Dental Medicine (2nd ed.) / editors, Klaus H. Rateitschak and Herbert F. Wolf; 1989; Thieme Medical Publishers, Inc., New York (ISBN ) Infection and Hazard Control Manual from the School intranet Instructional Media a. Instructional Modes: Verbal auditory 30% Visual 30% Psychomotor/Tactile 40% b. Instructional Tools: Handouts/Manuals, Video, Slideshow (i.e. PowerPoint) c. Instructional Methods: Lecture, Discussion, Live Demonstration 14. Course Schedule See attachment 15. Course Policies & Procedures Policies and procedures of the course are written in accordance with the Faculty Handbook and Academic Policies. Course Policies are written to clarify expectations of the course director regarding attendance, behavior, grading, academic integrity, professionalism, disabilities, remediation, etc. Refer to the student handbook for more detailed information A. Course Failure and Remediation Students who earn an "F" grade in this course may be given the opportunity to remediate. Remediation will be permitted only at the discretion of the School of Dental Medicine's Executive Council. If permitted, remediation will take the form of a clinical exam. A grade of % on this exam will be required to remediate this course. The resulting grade will be listed on the transcript as "F/P". Incomplete grades will be awarded under those conditions as described in the student handbook B. Disabilities This institution supports the goals and requirements of Section 504 of the Rehabilitation Act of 1973, which mandates academic adjustments, commonly called reasonable accommodations, be provided for students with documented disabilities. If you have a disability and may require some type of instructional and/or examination accommodation, please contact me early in the semester so that I can provide or facilitate in providing accommodations you may need. If you have not already done so, you will need to contact the Disability Services office, the designated office on campus to provide services for students with disabilities. The office is located at 25 Capen Hall and the telephone number is (716) C. Attendance As described in the student handbook, "attendance at scheduled classes, laboratory sessions, clinical assignments and examinations is mandatory. Absence can negatively affect both knowledge and grades. Students are expected to arrive on time to class. Late arrival is disruptive for both students and faculty, and interferes with effective learning. Absences fall into two general categories: planned and unplanned. Please review the student handbook for how to proceed in these instances, and advise me accordingly, or the Office of Student Affairs if there is an emergency or medical illness. PER803 Introduction to Periodontics & Prevention / Page 3 of 7 June 15, 2010
4 PER803 Introduction to Periodontics & Prevention / Spring Extension Year 1 D. Canceled Classes If, for any reason, a scheduled session is not held, the scheduled event will occur at the next session unless otherwise announced. E. Course Evaluation Comprehensive evaluation of this course will be administered online at the end of the course through the Office of Academic Affairs. Eliciting feedback and constructive criticism is important so that Course Directors may take action to improve the course. Students are expected to participate fully in this important process. F. Changes in the Course No changes have occurred in this course since the last time it was offered. G. Distractions in the Classroom/Behavioral Expectations As students in a health professions school, students are expected to display conduct consistent with their status as entering members of the profession. Specifics of expected conduct are listed in both the university "Student Conduct Rules, University Standards and Administrative Regulations" and in the School of Dental Medicine "Student Handbook". In recent years, cell phones, pagers, and other electronic devices have been sources of disruption in classrooms. All electronic devices except those specifically required by the course director or lecturer are not permitted in class. If these devices go off during class, the student with the device will be asked to leave. H. Professional Conduct The University has a responsibility to promote academic honesty and integrity and to develop procedures to deal effectively with instances of academic dishonesty. Students are responsible for the honest completion and representation of their work, for the appropriate citation of sources, and for respect for others academic endeavors. By placing their name or student identifier on quizzes and examinations, students certify that the work is theirs and theirs alone. Students may not refer to any material or look at other student's papers during quizzes or examinations. Students observed so doing will receive a grade of zero for that quiz or examination. In addition, such incidents of academic dishonesty will be addressed as described in the university "Student Conduct Rules, University Standards and Administrative Regulations" the complete text of which can be found at and as described in the School of Dental Medicine Student Handbook, the complete text of which can be found at: PER803 Introduction to Periodontics & Prevention / Page 4 of 7 June 15, 2010
5 PER803 Introduction to Periodontics & Prevention 2010 SCHEDULE Locations of lectures: Diefendorf Hall Room 146 DATE TIME/LOCATION TOPIC LECTURER MON 05/10 Introduction to course and clinic; The Healthy Mouth FRI 05/14 9:00AM Vital Signs; Review of Medical Hatton 1:00PM Recognition of Periodontal Disease 2:00PM Dental History Hatton 9:00 Dental plaque formation and related oral diseases Measurement & Control of Plaque Plaque & Gingival Indices; Oral Hygiene Instruction (2A) Wang MON 05/17 Etiology Prevention of Periodontal Disease FRI 05/21 Mon 05/24 Friday 5/28 9:00AM The Patient Record Ciancio 9:00 am Farber 9:00 9:00 AM 10:00AM lab Plaque & Gingival Indices; Oral Hygiene Instruction (2B) Tobacco lesions in the oral cavity Clinical Examination of the Periodontium Periodontal Examination (3A) MID-SEMESTER EXAM Local Factors in Periodontal Disease Periodontal Examination (3B) How to Sharpen Periodontal Instruments Tobacco use: who, what and why? Sharpening of Periodontal Instruments (6A&6B) MON 05/31 MEMORIAL DAY NATIONAL HOLIDAY NO SCHOOL FRI 6/4 9:00 AM Tobacco use and disease risk Principles of Instrumentation Supragingival Scaling (4A) Zambon Zambon Cummings Hyland Ciancio Mon 06/07 Treatment of Periodontal Disease FRI 06/11 9:00AM Radiographic Examination of the Periodontium Wang 9:00AM Supragingival Scaling (4B) Systemic Factors in Periodontal Disease Treating tobacco dependence Scaling & Root Planing (5A) Zambon Cummings MON 06/14 Comprehensive risk assessment 9:00AM Maintenance of Oral Health Scaling & Root Planing (5B) FRI 06/18 9:00AM Final Exam 10:00AM clinic Clinical Examination, Ciancio Clinic 3 rd Floor School Dental Medicine, Clinics are 2 hours in length every Monday at 1PM and Friday at 10AM PER803 Introduction to Periodontics & Prevention / Page 5 of 7 June 15, 2010
6 PER803 - Introduction to Periodontics & Prevention 2010 SCHEDULE Rotation of the head and neck hands on exam 12-May 19-May 26-May 2-Jun 9-Jun 16-Jun Class of 2013 Operatory Provider Provider Provider Provider Provider Provider 1:00 PM E4 Abrams Cyrkin Greenberg Leff, Wachstock Lozier E4 Andolina Danna Guentter Lerner Wang Mayou E18 Bailey, A Danosos Hagan Shah Wenger McDonald E18 Balon Davis, M Heppner Silsby White Murdock 2:00 PM E4 Berry Deitz Hnizda Singh Wilding Nah E4 Bielejewski Dobmeier House Sobey Wong Nguyen, H E18 Bolger Donohue Kim, Ji Won Stott Pham Ollendorf E18 Braunstein Dubrinski Kim, Joo Telehany Poon Osada 3:00 PM E4 Cagino Eaton Kloc Teplitsky Rassi Otvertchenko E4 Calnon Embury Klockowski Tseng Reed Panzok E18 Cappuccio Farr Konz Uddin Riesenberger E18 Carlone Felpo Kruczek Ungaro Rozanski 4:00 PM E4 Carter Froebel Kurtzner Van Meter Salek-Raham E4 Combs Gengo Kwon Vargas Scheff E18 Costanzo Glasgow Lee, Jae Vitelli Sciarrino E18 Cuddy Goodarzi Lee, Sang Vollo Sebro PER803 Introduction to Periodontics & Prevention / Page 6 of 7 June 15, 2010
7 Pairing of Students and Chair Assignments Group A Group B Provider Provider E10 Abrams Cyrkin E11 Andolina Danna E12 Bailey, A Danosos E13 Balon Davis, M E14 Berry Deitz D5 Bielejewski Dobmeier D6 Bolger Donohue D7 Braunstein Dubrinski D8 Cagino Eaton D9 Calnon Embury D10 Cappuccio Farr D11 Carlone Felpo D12 Carter Froebel D13 Combs Gengo D14 Costanzo Glasgow B1 Cuddy Goodarzi B2 Greenberg Leff, B3 Guentter Lerner B4 Hagan Shah B5 Heppner Silsby B6 L Hnizda Singh B7 House Sobey B8 L Kim, Ji Won Stott Group A Group B Provider Provider B9 L Kim, Joo Telehany B10 Kloc Teplitsky B11 Klockowski Tseng B12 Konz Uddin B13 Kruczek Ungaro B14 Kurtzner Van Meter B15 Kwon Vargas B16 Lee, Jae Vitelli B17 Lee, Sang Vollo B18 Wachstock Lozier B19 Wang Mayou B20 Wenger McDonald A9 White Murdock A10 Wilding Nah A11 Wong Nguyen, H A12 Pham Ollendorf A13 Poon Osada A14 Rassi Otvertchenko A15 Reed Panzok A16 Riesenberger Scheff C12 Rozanski Sciarrino C13 Salek-Raham Sebro PER803 Introduction to Periodontics & Prevention / Page 7 of 7 June 15, 2010
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