This course aims at giving dental students a review of the structure and function of the periodontuim and of microbiological considerations. It also aims at developing their knowledge of the principles of examination, diagnosis, treatment planning, and treatment. In addition it should expose the dental student to the most common forms of periodontal diseases and emergencies, the local and systemic predisposing factors, and the influence of traumatic occlusion on the periodontium.
Carranza’s Clinical Periodontology
Michael G Newman, Henri H. Takei and Fermin A. Carranza
Written, OSCE/Oral, clinical and continuous assessment
Semester grade (out of 40)
Theory: 20 marks - online MCQ type exam
Practical: 20 marks )as explained in the additional notes below)
Final Exam at the end of the second semester ( out of 60)
Theory: 30 marks for online MCQ type exam
Practical: 30 marks (OSCE/ Oral and clinically oriented online MCQ)
To build students’ knowledge in the basic principles of periodontics, including knowledge of different periodontal conditions, etiologic factors, risk factors, epidemiology and clinical aspects of disease diagnosis and treatment.
To build the student skills in the diagnosis and management of different periodontal conditions at the general practitioner level.
5- Surpass overall passing grade (50%)
Final exam is at the end of the second semester as this course is a continuous course with 472 on the second semester.
Course requirements for 4th Year students:
Complete cases---- 2
Periodontal examination and diagnosis and treatment plan----5
Quizzes and assignments.
Regarding the rules of the periodontal clinics, the student should read the manual which will be provided and the student may be dismissed from the clinic if he/she does not follow these rules.
The first three sessions for each student, he/she will be familiarized with the periodontal examination sheet and how to receive a patient, how to carry out history taking, examination and periodontal charting, will be trained to identify and work with periodontal instruments and to give oral hygiene instructions. In addition each student will practice handling, grasping, correct positioning and use of these instruments on study models with simulated calculus deposits.
The requirements listed above are to be done by the student during the first semester, each requirement will have a certain mark account, and the student should do more than what is required so as to compete with his colleagues in the sub group.
Each student is responsible for the signature of the instructor to be present in his complete sheet & record for each procedure.
Each student should undergo one scaling test at any session during the 2nd semester after he/she inform the instructor that he/she wants to have the scaling test now and he prepare himself for test in which it's mark will be considered for the students total for the second semester, the case recommended for scaling test should have 1 or 2 quadrants with abundant amount of dental plaque and calculus that need SRP.
Each student should perform good continuous assistant work and should be fully involved during the two semesters with his/her partner and he/she should get the sheet of assistance signed by the instructor at the end of each case.
Quizzes and assignments may be allocated during clinic on relevant topics and should be submitted duly following your instructors guidance.
Clinical/Practical: Before attending the clinics, students should follow the clinic regulations as provided and explained regarding their behavior, personal appearance, attendance and risk of cross infection.
The students in these clinical sessions will be working on patients, doing:
1. Full history and periodontal examination and treatment planing.
2. Manual and ultrasonic scaling and root planing.
3. Other procedures such as administration of antimicrobials and fluoride application.
4. In this course each student is expected to be responsible for the full care of two cases with slight to moderate complexity. (The student is expected to finish phase one of the periodontal treatment and re-evaluate the condition after 4-6 weeks).
The average of each clinical session will be summed and a mark out of 10 will be calculated for each semester The students mark at the end of each clinical session will be based on the following general scheme for grading: CRITICAL ERROR = ZERO FOR DAILY GRADE (F)
Treating a patient without taking proper medical precautions.
Failure to obtain faculty permission before starting treatment (even at the second appointment)
2. Miss to write a suitable applicable treatment plan for the patient.
3. Missed obvious emergency treatment or other dental specialty referral
4. Failure to examine and perform periodontal examination through the different indices and parameters.
5. Failure to give OHI when indicated.
6. Anesthetizing both sides of either arch during one appointment without faculty permission.
7. Gross or multiple cross contamination incidents
MINOR ERRORS = the mark between 7-9 (B-A)
1- leaving plaque, calculs or unfinished requested area ( but using the suitable instrument)
2-Violation of proper clinic attire.
Gross violations of the formal codes are governed by University laws, which delineate the procedures to determine whether a violation of the code of ethics occurred and, if so, what remedies should be imposed.
We encourage students to abide with the more sensitive approach to this by allowing the practice of a high Morality (or proper behavior), which defines right and wrong by the society, philosophy, religion, and individual conscience.
Students and their instructors often make ethical choices reflexively/ But ethically sensitive situations, where time, emotions and marks are pressured, it becomes all too easy to be blind-sided by temptation/ The best antidote to ethical lapses is to commit in advance to a set of ethical principles - your personal ethical code that follows or grows to it.
Any difficulty or concern during the course should be passed directly to the course coordinator.
It is applicable when an acceptable and valid excuse is presented at the applicable time