Module of Periodontology

Formal Teaching

ANATOMY AND EPIDEMIOLOGY

•  

  1. Anatomy of periodontal tissues

  - Gum

  - Periodontal ligament

  - Root cement

  - Alveolar bone

  - Vascularization of the periodontium

  - Innervation of the periodontium          

   

  1. Epidemiology of periodontal pathologies

  - Incidence of periodontal diseases

   

   

  2. AETIOLOGY AND PATHOGENESIS

   

  1. Biofilm and tartar of the oral cavity

  - Structure of dental plaque

  - Plaque formation

  - Dental plaque as a biofilm

  - Tartar and its clinical implications

   

  1. Periodontal inflammations

  - Unique features of periodontal inflammatory diseases

  - Microbial role in periodontal disease

  - Criteria for the definition of periodontal pathogens

  - Periodontal pathogens

  - Microbial complexes

  - Key Stone Therapy

   

  1. Pathogenesis of periodontitis

  - Prerequisites for the initiation and progression of periodontal disease

  - Clinically healthy gingiva

  - Gingival inflammation

  - Different types of lesions in gingivitis and periodontitis

  - Host-parasite interaction

  - Host defense processes

   

   

   

   

  1. Modification factors

  - Diabetes mellitus

  - Puberty, pregnancy, menopause

  - Tobacco smoke

   

   

  3. PERIOMEDICINE

   

  1. Rationale for the correlations between periodontitis and systemic diseases
  2. Cardiovascular diseases
  3. Diabetes, Obesity and Metabolic Syndrome
  4. Rheumatoid arthritis
  5. Obstetric complications
  6. Other systemic diseases related to periodontitis

   

   

   

  4. CLASSIFICATIONS OF PERIODONTAL DISEASES (Armitage 1999)

   

  1. Classification of Periodontal Disease

   

  1. Plaque-induced gingival diseases

  - Classification criteria for gingival diseases

  - Plaque-induced gingivitis

  - Gingival disorders associated with endogenous hormones

  - Gingival disorders associated with the use of drugs

  - Gingival disorders associated with systemic diseases

  - Gingival disorders associated with malnutrition

  - Gingival disorders associated with inheritance

  - Gingival disorders associated with ulcerative lesions

  - Treatment of plaque-induced gingival pathologies

   

  1. Chronic periodontitis

  - Clinical aspects and general characteristics of chronic periodontitis

  - Gingivitis as a risk of periodontitis

  - Predisposition to chronic periodontitis

  - Prevalence of chronic periodontitis

  - Progression of chronic periodontitis

  - Risk factors for chronic periodontitis

  - Scientific basis for the treatment of chronic periodontitis

   

   

   

  1. Aggressive periodontitis

  - Classification and clinical syndromes

  - Epidemiology

  - Etiology and pathogenesis

  - Diagnosis

  - Principles of therapeutic intervention

   

  1. Necrotizing periodontal disease

  - Terminology

  - Prevalence

  - Clinical characteristics

  - Diagnosis

  - Histopathology

  - Microbiology

  - Guest response and predisposing factors

  - Privacy

   

  1. Periodontal abscess

  - Classification

  - Prevalence

  - Pathogenesis and histopathology

  - Microbiology

  - Diagnosis

  - Privacy

  - Complications

   

  1. Endodontics and periodontology

  - Periodontal infectious processes of endodontic origin

  - Iatrogenic radicular perforations

  - Vertical root fractures

  - External root resorption

   

   

  5. CLASSIFICATION OF PERIODONTAL DISEASES (2017)

   

  1. Definition of Periodontal Health

   

  1. Gingival pathology and associated conditions

  - Induced plaque gingival pathology: gingival inflammation vs gingivitis

  - Gingival disorders not induced by plaque

   

  1. Periodontitis

  - Staging

  - Grading

   

  1. Periodontal manifestations of systemic diseases or acquired and developed conditions

  - Periodontal manifestations of systemic diseases

  - Mucogingival conditions

  - Occlusal trauma

  - Prosthetic factors

  - Tooth-related factors

   

  1. The implantation pathology

  - Peri-implant health

  - Periimplant mucositis

  - Periimplantitis

   

   

  6. CLINICAL PERIODONTOLOGY

   

  - Diagnosis of periodontal disease

  - History of the periodontal patient

  - Clinical examination of the periodontal patient: periodontal survey

  - Radiographic examination of the periodontal patient: radiographic status

   

  1. Periodontal disease indices

  - Probing depth (PPD)

  - Clinical attack level (CAL)

  - Recession (REC)

  - bleeding indexes (GI, FMBS, mBI)

  - Engagement of furcations

  - Dental mobility

  - Full Mouth Plaque Score (FMPS)

  - Plaque Indices (PI)

   

   

  7. CAUSE-RELATED PERIODONTAL THERAPY

   

   

  1. The importance of oral hygiene

  - motivation for oral hygiene

  - Instructions for oral hygiene

   

  1. Mechanical control of the supragingival plaque

  - Dental brushing with manual toothbrush

  - Dental brushing with electric toothbrush

  - Interdental brushes

  - Dental floss

   

  1. Chemical control of the supragingival plaque

  -Rationale for chemical plaque control

  - Agents for chemical plaque control

  - Toothpastes

  - Mouthwashes

  - Chlorhexidine

  - Evaluation of agents and chemicals

   

   

  1. Non-surgical therapy

  - Methods for non-surgical removal of debris from root surfaces

  - Root scaling and polishing (root planing)

  - Manual instrumentation: curette or scaler

  - Mechanical instrumentation: sonic and ultrasonic scalers

  - Polishing: pasta and airpolishing

  - Effects of mechanical removal of debris on subgingival biofilms

  - Scaling and smoothing of roots according to conventional quadrant scheme

  - Total disinfection of the mouth (full-mouth-disinfection and full-mouth-scaling) in 24 hours

  - Re-evaluation

   

   

  1. Use of antibiotics in periodontal therapy

  - Rationale for antibiotic therapy

  - Evaluation of antibiotics used in periodontal therapy

  - Local antibiotic therapy

  - Local antibiotic administration protocols

   

   

  8. TREATMENT OF DENTINAL HYPERSENSENSITIVITY

   

  - Topic application

  - Potassium fluoride

  - Potassium Carbonate Fluoride

  - Sodium fluoride

  - Calcium hydroxide

   

   

  9. SUPPORTIVE PERIODONTAL THERAPY

   

  - Basic paradigms for the prevention of periodontal disease

  - Patients at risk of periodontitis due to the lack of periodontal supportive therapy

  - Support periodontal therapy in patients with periodontitis

  - Continuous risk assessment at multiple levels

  - Objectives of periodontal support therapy

• Module of medical and applied technical sciences:
• Approach to the odontostomatological and periodontal patient.
• Behavioral process and acquisition of general medical and odontostomatological
  medical history data in relation to the procedures and the creation of professional
  and home treatment plans and oral hygiene procedures.
• Extra-oral, intra-oral and dento-periodontal physical examination of the
  patient.
• Studies, evaluation and interpretation of epidemiological indexes and,
  in this case, detection indexes of oral hyphae conditions, inflammation
  detection indexes and P.A.L. and indices of assessment of the need for treatment.
• Periodontal Folder and its compilation.     Periodontal disease: classification and evaluation of disease modifying factors, oral hygiene conditions, local and general factors and implications and correlations with the patient's lifestyle and flawed habits.
• The Periodontal survey: tools used and their handling, probing techniques,
  detection of diagnostic and prognostic parameters and their interpretation.
• Application of care and treatment plans: evaluation phase, treatment phase,
  re-evaluation phase, support phase and maintenance phase.
• Manual non-surgical instrumentation: instrumentation principles: scaling,
  root planing, root debridement.
• Objectives of the Dental Hygienist in non-surgical Periodontal instrumentation.
• Non-surgical periodontal therapy instruments: classification of manual
  instruments, handle, points of intra and extra oral support and fulcrum,
  correct instrumentation movements.
• Position in the patient's and operator's chair in relation to the area to be
  treated with non-surgical therapy.
• Sharpening of manual instruments: anatomy of instruments, composition materials
  of these, manual sharpening techniques and mechanical sharpening devices.
• Home oral hygiene motivation and compliance assessment of the treated and motivated
  patient.
• Use of all chemical and mechanical aids and devices for home use.  

Module of Periodontology

Clinical Periodontology & Implant Dentistry

Lindhe & Lang

Edi ermes

Module of Periodontology

Oral Examinations

Module of Periodontology

Office hours: Wednesday from 14:00 to 16:00 at the Edif. 10 B P.T. Santa Chiara Hospital, Pisa

e-mail: filippo.graziani@unipi.it