PERI 741: Fundamentals of Periodontics II (2 units)

Course Director: Ahmed Khocht, DDS, MSD

School of Dentistry
Loma Linda University
Summer Quarter 2017 - CRN 10510
Course Meeting
Day & Time Thursdays, 8:00 a.m. to 9:50 a.m. in Prince Hall Room 1102

Description
Reviews the various periodontitis diseases--including chronic periodontitis, aggressive periodontitis,
necrotizing periodontal diseases, and periodontitis as a manifestation of systemic disease. Reviews
developmental or acquired deformities and conditions, including mucogingival deformities and occlusal
trauma. Reviews the clinical evaluation of the periodontal patient and introduces the diagnostic and
treatment-planning process. Discusses the interactions between periodontics and other dental disciplines.

Instructor Contact
Phone: Our Department Phone Number is (909) 558-4643 or extension 44643.

Email: Dr. Ahmed Khocht at akhocht@llu.edu.

Department Secretary, Debbie Johnson at debjohnson@llu.edu.
Office Location: Our Department Office is located on the 4th floor of Prince Hall in Room 4416.

Office Hours: Our office is open from 7:30 a.m. until 4:30 p.m. Monday through Thursday and from 7:30
a.m. until 1:30 p.m. on Fridays.

Class Learning Objectives:

This course is designed to help students

1. Learn the various periodontitis diseases including chronic periodontitis, aggressive periodontitis,
necrotizing periodontal diseases and periodontitis as a manifestation of systemic disease.
2. Learn the developmental and acquired deformities and conditions affecting the periodontium including
mucogingival deformities and occlusal trauma.
3. Understand the clinical evaluation of the periodontal patient and learn the diagnostic and treatment
planning process.
4. Develop an understanding of the interactions between periodontics and other dental disciplines including
endodontics, orthodontics and restorative dentistry.
5. Understand the rationale and role of orthodontic therapy in the management of the periodontitis patient.
6. Learn the various ways of restoring periodontally compromised teeth.

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Loma Linda Competencies addressed in this course:

SD-01 Critical Thinking: Perform clinical decision-making that is supported by foundational knowledge
and evidence-based rationales
SD-04 Professional Practice: Understand basic principles important in developing, managing, and
evaluating a general dental practice.
SD-06 Patient Management: Apply behavioral and communication skills in the provision of patient
care.
SD-07 Ethics: Apply ethical principles to professional practice and personal life.
SD-08 Examination of Patients: Conduct a comprehensive examination to evaluate the general and
oral health of patients of all ages within the scope of general dentistry.
SD-09 Diagnosis: Determine a diagnosis by interpreting and correlating findings from the examination.
SD-10 Treatment Planning: Develop a comprehensive treatment plan and treatment alternatives.
SD-11 Management of Pain and Anxiety: Manage pain and anxiety with pharmacologic and non-
pharmacologic methods.
SD-12 Emergency Treatment: Manage dental emergencies and medical emergencies that may be
encountered in dental practice.
SD-13 Health Promotion and Maintenance: Provide appropriate preventive and/or treatment
regimens for patients with various dental carious states using appropriate medical and surgical
treatments.
SD-14 Assessment of Treatment Outcomes: Analyze continuously the outcomes of patient treatment
to improve the treatment.
SD-15 Treatment of Periodontal Disease: Evaluate and manage the treatment of periodontal
diseases.
SD-17 Management of Pathologic Changes: Recognize and manage pathologic changes in the
tissues of the oral cavity and of the head and neck area.
Basic Surgical Care: Provide basic surgical care.
SD-19 Management of Occlusal Instability: Recognize and manage problems related to the occlusal
stability.
SD-20 Assessment and Management of Maxillary and Mandibular Skeletodental Discrepancies:
Assess and manage maxillary and mandibular skeletodental discrepancies--including space
maintenance, as represented in the early, mixed and permanent dentitions..
SD-21 Restoration and Replacement of Teeth: Manage the restoration of individual teeth and the
replacement of missing teeth, for proper form, function and esthetics.

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Course Material
Required Text and Material:
Textbook: Newman, Takei, Klokkevold, Carranza: Carranzas Clinical Periodontology, 12th Edition

EACH STUDENT MUST PURCHASE HIS/HER OWN COPY OF THIS TEXT.

Important note: The final exam WILL contain certain number of questions derived directly from the
required textbook. It is your responsibility to read the complete material from the textbook and not
rely solely on the lecture/handouts. Handouts are just helpful tools available to you for REVIEW of
the material. Handouts should NOT be used as the ONLY source of study material.

Recommended Optional Text and Material:

Lindhe, Karring, Lang: Clinical Periodontology & Implant Dentistry
Rateitschak: Color Atlas of Dental Medicine, 2nd Edition

Study Materials:
Reading Assignments (textbook and online material on Canvas)
Material presented during the lecture
Recording of Lectures:

The recording of lectures is not permitted without first obtaining approval from the presenter.

Canvas

Your course material is located on Canvas or https://llu.instructure.com/. Please select Fundamentals of

Periodontics II CRN 10510 under Courses. The majority of your time will be spent on Home, Announcements,
Syllabus, Modules, Assignments, Quizzes and Grades. Home is the main screen for this course.
Announcements will be used to give you updates on this course. Syllabus is used to view your course
calendar and the lectures to be given on that particular day. Your course syllabus, your lectures and any
additional information will be placed in Modules. You will find your homework assignments/quizzes are
located in Quizzes. Your scores for your assignments/quizzes, Midterm and Final Exams are located in
Grades.

Attendance Policy
Attendance is required for all classes.

School policy states that in case of less of 85% of attendance in a course, the achievable grade is either
unsatisfactory or an F.
In case you are ill and miss a class, you will be excused if you provide a note from Student Health Service
or your doctor justifying your absence.

Please call the Perio Department at (909) 558-4643 and let Debbie Johnson, the secretary, know of your
absence. If Debbie does not answer your phone call, please leave a detailed voicemail message. In case
of an unexcused absence, the Schools attendance policy will be applied.
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Examination Policy
Assessment of learning in this course will involve a Midterm examination, a Final examination, the Evidence
Based Decision Making presentation and homework assignments.

Midterm and Final Examinations:

The midterm and final examinations will be 60 minutes in length. Each examination will consist of 50 multiple-
choice or true/false questions worth 2 points each, providing a total potential score of 100 points for each
examination. The midterm will cover lectures 1 to 4, and the final will cover all lectures 1 to 8. Although the
exams are mainly based on the lectures and handouts, the instructor may use the textbook as reference for
exam questions. Therefore, all sources of information should be used in the preparation for the exams. The
course director is responsible for the final content of the examinations and the examination questions with
their correct answers will not be provided to the class prior to administration of the examinations.
The exams must be taken during the scheduled time. No exceptions will be made. There will be no makeup
exams. Students not taking an exam will be given zero points for the exam.
Assignments:
Homework Assignments:

The homework assignments include reading assigned material and may consist of multiple-choice questions,
matching, true/false, fill-in-the-blank, visual interpretation, compiling bibliography (Evidence Based Dentistry)
and/or short answer/essay questions.

Weekly Quizzes:

Every week quizzes will be posted on Canvas relating to the material presented. Quizzes will be available for
6 days from date of posting. Each quiz will be worth 4 points. The total quiz grade is worth 10% of total final
grade.

Evidence Based Topics:

In this assignment, we will attempt to review the following topics based on available evidence:

Group 1: Discuss the role of oral hygiene assessment in the management of periodontitis patients.

Group 2: Discuss the role of periodontal probing in the management of periodontitis patients.

Group 3: Discuss the role of bleeding-on-probing in the management of periodontitis patients.

Group 4: Discuss the role of radiographic assessment in the management of periodontitis patients.

Group 5: Discuss the risk factors associated with periodontitis.

Group 6: Discuss occlusal considerations in the management of periodontitis patients.

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Group 7: Discuss restorative considerations in the management of periodontitis patients.

Group 8: Discuss endodontic considerations the management of periodontitis patients.

Group 9: Discuss orthodontic considerations the management of periodontitis patients.

Group 10: Discuss medical considerations the management of periodontitis patients.

The class will be divided into groups of 10 or 11 students. Each group will be assigned one of the above
topics. Each member of the group will search literature to select an original research article related to the
topic presented. Each student will rate the selected article and write a short abstract of the article (not to
exceed 250 words). The group members should meet, review all the articles selected and write a short review
(not to exceed 1000 words) attempting to present the topic based on the selected evidence (articles). Compile
all the abstracts (with student name, each article and the journal title) and the review into a single WORD
document, and mail the file electronically to Debbie Johnsons email, debjohnson@llu.edu by Wednesday,
August 2, 2017 for Groups 1-5, and Wednesday, August 16, 2017 for Groups 6-10 by noon. Each group
should select a Group Leader to represent the group and review their findings on the scheduled presentation
day.

Abstracts and the review of the articles will be graded based on the rubric attached to this document.

This exercise is worth 10% of total final grade.

The presentations will be utilized in interactive discussions to provide Evidence-Based facts in the
understanding of the pathogenesis of periodontal diseases by emphasizing the use of evidence from well-
designed and conducted research.

Examsoft

The School of Dentistry is using the Examsoft exam system to grade students in their dentistry courses. In
using Examsoft, you will need to use your laptop computer, power cord and ethernet cable. When an exam
is posted, you will receive a message on Canvas giving you instructions to download the exam on your laptop.
On the day of exam, you will be given a password in order for you to take the exam. When you are finished
taking the exam, you should upload your score. When you are finished uploading your score, you will receive
a white check mark on a green screen. Please show your computer screen to the proctors.

Backpacks must be placed in the front of the room for the Midterm Exam and the Final Exam.

No electronic gadgets such as cell-phones, palm-pilots, etc. are allowed (this includes the use of any such
items as clocks). Use of those items will lead to immediate dismissal from the exam and a failing grade.

If you arrive late for the exam after any other students have completed the exam and left the room, you will
not be allowed to take the exam and you will receive a failing grade.

Once you finish your exam, you are not allowed back into the room until the exam is finished.

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Grading Policy

The course grade will be based on the Midterm examination (40%), the Final examination (40%), the Evident
Based Decision Making Presentation (10%) and the homework assignments (10%). The scores obtained
from the homework assignments (10% of total points), the Evident Based Decision Making Presentation
(10%), the Midterm examination (40% of total points) and the Final examination (40% of total points) will then
be added to determine the overall score for the course as follows:

Final Grades will be calculated in accordance with the table listed below:

B+ 87-89.9% C+ 77-79.9% D+ 65-69.9%

Grade allocation

A 93- 100% B 83-86.9% C 73-76.9% D 60-64.9%

A- 90-92.9% B- 80-82.9% C- 70-72.9% F <59.9%

All results from all exams administered by the Department of Periodontics are subject to an objective analysis
by the Course Director. The test questions that are deemed to be confusing and not well structured will not
be counted against your overall score and credit for these questions will be given to all students, rather than
just dropping the question. Additionally, these questions will be removed from the test question bank.

The final percentage scores will be rounded in such way to eliminate bias and allow for fairer grading. If the
percentage score is between 0.1 and 0.4; it will not be rounded up. If the score is between 0.5 and 0.9 it will
be rounded up to the next whole number. For example: score of 69.1% will still be 69.1%, but a score of
69.8% will be rounded up to 70%. We hope this will eliminate the perceived unfairness in cases when final
scores are very close to the cut-off number.

The minimum passing grade is a C-

F is a failing grade. In case of a failing grade, the student would need to repeat the course. There will be no
remediation offered for a failing grade.

The grades which are between the passing grade level (C-) and the failing grade level (F) are considered
to be in the non-passing category and these students need to remediate the course. These are the D+ and
D grades. In case of remediation, the highest attainable grade is a C. If a student fails the remediation, the
student must repeat the course.

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Remediation Policy
1. The sole purpose of the remediation is to help student to achieve an adequate level of competency on
the material that was covered in the course.
2. The Course Director will remediate students that have non-passing (D+ or D) grade as follows:

a. The Course director will analyze the students performance in the class and design an
acceptable remedial teaching program, one that will address the lack of knowledge in certain
areas and help the student achieve the acceptable level of competence in those areas.

b. Remediation Exam for this course is in a form of an oral exam designed by the Course
Director and approved by the Undergraduate Program Director and the Chair of the
Department. At least two faculty members will be involved in the remediation process (oral
examination).

All students remediating MUST be registered in order to be able to remediate. It is students responsibility to
register for this course the next term. Students who fail to register are considered to be not interested in
remediating this course and will be asked to repeat this course whenever course becomes available.

If a student does not successfully complete a prescribed remediation, he/she can appeal to the Chair of the
Department. The decision of the Chair will be final.

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Course Schedule

July 6, 2017 Re-visiting AAP Disease Classification, Chronic Periodontitis

Reading: Chapter 23 - 2 hours

July 13, 2017 Aggressive Periodontitis

Reading: Chapter 25 - 2 hours

July 20, 2017 Necrotizing Periodontal Disease and Periodontal Abscess

Reading: Chapter 24 - 2 hours

July 27, 2017 Periodontitis as a Manifestation of Systemic Disease, Occlusal Trauma

Reading Chapter 50 - 2 hours
Aug 3, 2017 Evidence Based Presentations (groups 1-5)
2 hours

August 10, 2017 Midterm Examination -

1 hour for the Midterm examination

Aug 17, 2017 Evidence Based Presentations (groups 6-10)

2 hours

August 24, 2017 Periodontal Examination and Diagnosis, Case example (Periodontal Forms)
Reading: Chapters 29, 30, 31 and 32 - 2 hours

August 31, 2017 Periodontal Treatment Planning, Restorative Considerations in Periodontics

Reading: Chapters 33, 66 and 67 - 2 hours

September 7, 2017 Endodontic Considerations in Periodontics, Orthodontic Considerations in

Periodontics
Reading: Chapters 43 and 51 - 2 hours
September 14, 2017 Peri 741 Final Examination
Rooms 1101/1102 at 10:00 a.m. to 11:00 a.m.
1 hour for Final Examination

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 Evidence Based Decision-Making Groups

Group 1 Group 2
Box # Last Name First Name Box # Last Name First Name

1 Acob Marcel Evan 11 Chun Ellen

2 Aka Paul Michael 12 Chung Jae C David
3 Akamine Andrew 13 Coyoca Aaron M
4 *Ale Jerdie 14 Cruz Owen R
5 Ashton Bryce 15 DiCiccio Lucas
6 Avakian Norayr 16 Eli Fadi
7 Barkho Maryiam 17 Eshoiee Nathan
8 Beisiegel Bradley 18 Evans Jordan
9 Caldwell Jennie 19 Fermano Nancy
10 Choi Ellin 20 Foust Grant

Group 3 Group 4
Box # Last Name First Name Box # Last Name First Name
21 Gardner Michael J 31 Healy Jasmine
22 Garver Benjamin 32 Henriksen Michael
23 Gazale Samer 33 Hong1 Sungho John
24 Gibbs Spencer 34 Horsley Kent
25 Gillard Trent 35 Humen Liudmyla
26 Green Matthew 36 Jacques Christie
27 Haber Dimitri 37 Jeon Jaeyeon
28 Hahn Brandon 38 Kendall Jeffery
29 Halder Victor 39 Khoury Melissa
30 Harris Alexander 40 Kim Justin Y

Group 5 Group 6
Box # Last Name First Name Box # Last Name First Name
41 Kim Sang Hun 51 Marquez Jessica
David Ochoa
42 Kim Tokin TK 52 Memmott Joseph
43 Kim Yon Uk Justin 53 Messiah George S
44 Kim Youngjoon L 54 Miyauchi Lee
45 Koliadko Katherine 55 Morales- Lilian
Comparini
46 Koo Joanna S 56 Moreno Andrew
47 Lai Gregory 57 Moses Joanna
48 Lampasi Nick 58 Mursic Jacob
49 Lee Joshua 59 Nandy Cyntoia
50 Leeper Sean 60 Narita Charlene

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Group 7 Group 8
Box # Last Name First Name Box # Last Name First Name
61 Narita Matthew 72 Reiakvam Jordyn
62 Nguyen Hung 73 Rios Gonzalez Marytza
63 Nguyen Huy Chris T 74 Ruiz Abigail
64 O'Connor Kyle W 75 Salzmann Sebastien
65 Paik Philip 76 Santos Lauren
66 Patel Kitesh 77 Sayler Katherine Katie
67 Poenaru Natanael 78 Shepherd Slade
68 Pollom Jesse 79 Shih Yen Cheng Eric
69 Puentes Yasmine 80 Shim Joseph
70 Ramos Arian A 81 Shin Andrew
71 Rebhan Jennifer 82 Shin Iee Isaac

Group 9 Group 10
Box # Last Name First Name Box # Last Name First Name
83 Smith Jordan W 94 Tran Aaron B
84 Song Minsun 95 Tran Clayton A
James
85 Song Seung Y 96 Tutunaru Eugene
James
87 St. Hilaire Amenda 97 Um Bo Ram
86 Stewart Patrick R 98 Vega-Valbuena Natasha
88 Stitzinger Ryan 99 Wagner Robert Jake
89 Stratton Eric J 396 Watu Brittany
90 Tago Marilyn 397 Wong George J
91 Taylor Luke R 398 Yap Dillon
92 Thompson Greer 399 Yoon Andrew J
93 Traboulsi Anthony

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 Rubric Used to Grade Evidence Based Exercise

Category 3 Distinguished 2 Proficient 1 Apprentice 0 Novice

Defining the search scope

(selecting appropriate Superbly defined Well defined Somewhat defined Poorly defined
evidence)

Abstracts of selected
Superbly written Well written Acceptable Poor
articles

Description given of how the

selected evidence
Superbly described
(research) was used to
answer the question
Subject knowledge is
evident throughout the
Knowledge of subject project. All information is
clear, appropriate, and
correct.
Well described Somewhat described Poorly described
Subject knowledge is
Some subject knowledge is Subject knowledge is not
evident in much of the
evident. Some Information evident. Information is
project. Most information is
is confusing, incorrect, or confusing, incorrect, or
clear, appropriate, and
flawed. flawed.
correct.

Unstructured, strays from

Mostly structured, precise Somewhat structured but
Well-structured and the subject. Much of the
but parts may be too much time spent on
Overall organization presented in a logical presentation out of logical
unconnected to the rest of unimportant material.
sequence order. Too long
the presentation Disjointed sequence.
or too short

Total

Overall Total: ______________

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Lifelong Learning

Since we know that periodontics is such an important and fun subject, here some resources for the ones who
want to delve deeper and go beyond the scope of this course:

The Journal of Periodontology is the official publication of the American Academy of Periodontology. To
order, go to their website at www.perio.org.

There is also Clinical Periodontology: Munksgaard Publications.

Periodontology 2000 and Journal of Periodontics and Restorative Dentistry are also good sources,
especially once you learn more about the clinical part of dentistry.

All of the journals can also be found in the library.

AMERICANS WITH DISABILITY ACT (ADA) POLICY

Loma Linda University supports the integration compliance with all laws regarding equal opportunity for
all students of all qualified individuals into the programs of the University and is committed to full
compliance with all laws regarding equal opportunity for all students with a disability.
If you are an individual with a certifiable disability and need to make a request for reasonable
accommodation to fully participate in this class, please visit the Deans Office of your school. To view
the Disability Accommodation Policy please go to:
http://www.llu.edu/assets/central/handbook/documents/Student-Handbook.pdf?#page=60

ACADEMIC INTEGRITY POLICY

Loma Linda University seeks to educate ethical and competent professionals and scholars who are
committed to the practice of honesty and the pursuit of truth. This University is committed to the
following fundamental core values: compassion, integrity, excellence, freedom, justice, purity/self-
control, and humility. Acts of dishonesty including theft, plagiarism, giving or obtaining information in
examinations or other academic exercises, or knowingly giving false information are unacceptable.
Substantiated violations are to be brought before the dean for disciplinary action. Such action may
include, but is not limited to, academic probation or dismissal from the program. To view the Standards
of Academic Conduct Policy please visit:
http://www.llu.edu/assets/central/handbook/documents/Student-Handbook.pdf?#page=76

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